Psychological status of patients with nephrotic syndrome undergoing percutaneous renal biopsy

Abstract

Psychological status was common in patients who underwent PRB and were affected by many factors.

KHA‐CARI Guideline recommendations for renal biopsy

“…Despite this, there is limited evidence regarding patients' experiences and requirements when undergoing a renal biopsy. Education, psychosocial support and self‐management have been identified as a requirement for those in need of a renal biopsy . The method in which the information is conveyed to patients as well as the provision of support for the decision‐making process are also important …”

“…Ungraded suggestions for clinical care Patients with a pre‐biopsy haemoglobin (Hb) <80 g/L are more likely to require a blood transfusion post‐biopsy . Anaemia appears to be a surrogate marker for other bleeding risk factors (female gender, hypertension, impaired renal function, older age).…”

“…Education, psychosocial support and self-management have been identified as a requirement for those in need of a renal biopsy. 1,2 The method in which the information is conveyed to patients as well as the provision of support for the decision-making process are also important. 3 Although the procedure is considered to be safe, especially since the introduction of spring-loaded needles and real-time imaging, [4][5][6][7][8][9][10][11] bleeding is the most common complication.…”

“…• Patients with a pre-biopsy haemoglobin (Hb) <80 g/L are more likely to require a blood transfusion post-biopsy. [1][2][3][4] Anaemia appears to be a surrogate marker for other bleeding risk factors (female gender, hypertension, impaired renal function, older age). We do not recommend routine blood transfusion for pre-biopsy anaemia.…”

Identifying and integrating patient and caregiver perspectives in clinical practice guidelines for percutaneous renal biopsy

“…However, the procedure is invasive, requires day‐stay care, analgesia, may involve sedation, may interfere with current therapy (e.g. antihypertensives), and can provoke fear, anxiety, and stress in patients and their families . There are still uncertainties regarding the procedure including the cessation of medications such as antiplatelet and anticoagulant agents, optimal imaging technique, needle type and size, site of biopsy, observation period post‐biopsy, definition of sample adequacy and the benefits of surveillance biopsies .…”