{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T07:05:12Z","timestamp":1792739112354,"version":"4.5.0"},"reference-count":47,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:00:00Z","timestamp":1786924800000},"content-version":"vor","delay-in-days":228,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Nursing Management"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This study investigates factors associated with large hematomas after percutaneous renal biopsy (PRB) and describes PRB\u2010related complications in patients with native kidneys.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective observational cohort study was conducted from September 2023 to May 2024 on 418 patients undergoing PRB at a nephrology department. The study collected data including demographic details, laboratory data, and preprocedure renal ultrasonography findings. The advanced practice nurse utilized point\u2010of\u2010care ultrasound to conduct immediate bedside ultrasound examinations following PRB. Postoperative monitoring involved periodic ultrasound assessments to measure hematoma size at 1, 6, and 24\u2009h after the biopsy, complemented by pain evaluations using the Visual Analog Scale at 6 and 24\u2009h.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The study investigated complications in 418 patients post\u2010PRB, revealing that 7.7% experienced hematuria and hematoma incidence increased from 45.5% at 1\u2009h to 56.0% at 24\u2009h. ROC curve analysis identified critical cutoffs for predicting significant hematoma growth: 3.05\u2009cm at 1\u2009h (AUC\u2009=\u20090.827) and 4.125\u2009cm at 6\u2009h (AUC\u2009=\u20090.899). Factors significantly linked to larger hematomas at 24\u2009h included activated partial thromboplastin time (APTT) (OR\u2009=\u20091.25,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001), 6\u2010h hematoma diameter (OR\u2009=\u20092.05,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and 24\u2010h post\u2010PRB pain score at the puncture site (OR\u2009=\u20091.28,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.022).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Higher APTT, larger hematoma diameter at 6\u2009h, and higher puncture\u2010site pain scores at 24\u2009h were associated with large hematomas (\u2265\u20095\u2009cm) after PRB. These factors may serve as markers to support risk\u2010stratified postbiopsy monitoring. Further studies are needed to determine whether nursing interventions guided by these markers can reduce complications or improve patient outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Nursing Management<\/jats:title>\n                    <jats:p>Nurse\u2010led post\u2010PRB monitoring may incorporate APTT, 6\u2010h hematoma diameter, and pain assessment to support risk\u2010informed surveillance. In clinically stable patients without signs of hematoma progression, light ambulation may be considered as an alternative to prolonged strict bed rest.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jonm\/9929094","type":"journal-article","created":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T09:09:24Z","timestamp":1786957764000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Personalized Nursing Approaches in Monitoring and Managing Hematoma Risks After Percutaneous Renal Biopsy: A Prospective Observational Study"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7765-9693","authenticated-orcid":false,"given":"Di-fei","family":"Duan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8581-9861","authenticated-orcid":false,"given":"Deng-yan","family":"Ma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiao-jiao","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shen-yi","family":"Wei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5578-1324","authenticated-orcid":false,"given":"Lin-jia","family":"Yan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7704-0658","authenticated-orcid":false,"given":"Ling","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,17]]},"reference":[{"key":"e_1_2_11_1_2","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.16874"},{"key":"e_1_2_11_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2021.103183"},{"key":"e_1_2_11_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2019-009923"},{"key":"e_1_2_11_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/keac591"},{"key":"e_1_2_11_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-023-01183-2"},{"key":"e_1_2_11_6_2","first-page":"524","article-title":"Lung Ultrasound in Heart Failure: Envisioning Handheld Ultrasound to Empower Nurses and Transform Health Care\u2217","volume":"80","author":"Wiley B. 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