Evaluación de atención de enfermería a pacientes con insuficiencia cardíaca congestiva que acuden a emergencia Hospital Rodríguez Zambrano Manta 2010 y propuesta de protocolo actualizado
Fecha
2012
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Universidad de Guayaquil. Facultad de Ciencias Médicas
Resumen
El corazón, al fallar su funcionamiento provoca insuficiencia cardíaca congestiva, causa de morbi – mortalidad. Su incidencia es frecuente en personas mayores de 40 años. En nuestro medio es una de las causas más frecuentes de hospitalización. El personal de enfermería debe afrontar con este problema, de ahí la necesidad de prepararse en varios aspectos: científicos, técnicos humanos y espirituales. El Objetivo de este trabajo consiste en la evaluación de atención de enfermería a pacientes con insuficiencia cardíaca congestiva y propuesta de Protocolo Actualizado de Atención de Enfermería. Se cumplieron los objetivos específicos planteados, determinando la prevalencia, filiación, los factores de riesgo, tratamiento, destino de los pacientes con insuficiencia cardíaca congestiva; se recopiló información del personal de enfermería sobre criterios del cumplimiento del protocolo y la atención al paciente con la propuesta de actualización del protocolo. La metodología aplicada en este estudio descriptivo, prospectivo, no experimental contó con un Universo de la población atendida en el área de emergencia del Hospital Rodríguez Zambrano del 01 de mayo del 2010 al 30 de Abril del 2011. La muestra de la investigación consistió en 111 Historias Clínicas. Los resultados del trabajo se efectuaron en base a las estadísticas del área de emergencia, se utilizó el método clasificatorio analítico, encuestas y tabulación de datos, que evidencian la incidencia y la filiación de los pacientes. Se concluye que, la insuficiencia cardíaca congestiva padecen la mujer y el hombre, destacándose el 50,45% masculino el 49,54% femenino, entre las edades de mayor riesgo están: 61 años y mas con un 63,06% en el área urbana se presenta un 54,95% en las casadas un 38,73%, de Primaria 74,74%, nivel socioeconómico bajo 73,87%, la hipertensión arterial es el factor que predomina en lo personal con 73,87% y familiar con un 63,06%. La atención que recibieron del personal de enfermería fue buena. Existió predisposición y colaboración de las autoridades del hospital para que el trabajo de investigación se concluya. Acorde a resultados y con sustento del marco teórico, se elaboró un protocolo de atención de enfermería que se recomienda como plan piloto para el Hospital y otros Centros de Salud.
The heart, causing operation failure congestive heart failure, cause of morbidity - mortality. Its incidence is common in people over 40 years. In our environment is one of the most frequent causes of hospitalization. The nursing staff must deal with this problem, hence the need to prepare in several aspects: scientific, technical, human and spiritual. The objective of this work consists in evaluating nursing care for patients with congestive heart failure and proposal Updated Protocol Nursing Care. He met the specific objectives, determining the prevalence, affiliation, risk factors, treatment, fate of patients with congestive heart failure, we collected information on nursing staff protocol compliance criteria and patient care with the proposal update protocol. The methodology used in this descriptive, prospective, nonexperimental Universe had a population treated in the emergency area of the Hospital Rodriguez Zambrano May 1, 2010 to April 30, 2011. The research sample consisted of 111 medical histories. The results of the work were made based on the statistics of the emergency area classification method was used analytical surveys and tabulation of data, which show the incidence and relationship of the patients. We conclude that congestive heart failure suffer from women and men, highlighting the male 50.45% 49.54% female, between the ages of greatest risk are: 61 years and more with 63.06% in the area Urban has a 54.95% in the married one 38.73%, 74.74% Elementary, 73.87% low socioeconomic status, hypertension is the predominant factor in personal and family with 73.87% with 63.06%. The attention they received from nursing staff was good. There was cooperation and assistance from the hospital authorities for the research work is completed. According to results and to support the theoretical framework, we developed a nursing protocol is recommended as a pilot for the Hospital and other health centers.
The heart, causing operation failure congestive heart failure, cause of morbidity - mortality. Its incidence is common in people over 40 years. In our environment is one of the most frequent causes of hospitalization. The nursing staff must deal with this problem, hence the need to prepare in several aspects: scientific, technical, human and spiritual. The objective of this work consists in evaluating nursing care for patients with congestive heart failure and proposal Updated Protocol Nursing Care. He met the specific objectives, determining the prevalence, affiliation, risk factors, treatment, fate of patients with congestive heart failure, we collected information on nursing staff protocol compliance criteria and patient care with the proposal update protocol. The methodology used in this descriptive, prospective, nonexperimental Universe had a population treated in the emergency area of the Hospital Rodriguez Zambrano May 1, 2010 to April 30, 2011. The research sample consisted of 111 medical histories. The results of the work were made based on the statistics of the emergency area classification method was used analytical surveys and tabulation of data, which show the incidence and relationship of the patients. We conclude that congestive heart failure suffer from women and men, highlighting the male 50.45% 49.54% female, between the ages of greatest risk are: 61 years and more with 63.06% in the area Urban has a 54.95% in the married one 38.73%, 74.74% Elementary, 73.87% low socioeconomic status, hypertension is the predominant factor in personal and family with 73.87% with 63.06%. The attention they received from nursing staff was good. There was cooperation and assistance from the hospital authorities for the research work is completed. According to results and to support the theoretical framework, we developed a nursing protocol is recommended as a pilot for the Hospital and other health centers.
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Evaluación en enfermería, Atención de enfermería, Insuficiencia cardíaca congestiva, Protocolos, Servicio de Urgencia en Hospital, Hospital General Dr. Rodríguez Zambrano, Cantón Manta, Ecuador