Calidad de los cuidados de enfermeria en pacientes con pie diabetico atendidos en el area de medicina Interna del Hospital General Guasmo Sur
Fecha
2017
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Editor
Universidad de Guayaquil - Ciencias Médicas-Carrera de Enfermería
Resumen
La herramienta principal de la profesión de enfermería radica en los cuidados especializados, por este motivo el objetivo del estudio es determinar la calidad de los cuidados de enfermería en pacientes con pie diabético atendidos en el Área de Medicina Interna del Hospital General Guasmo Sur, durante diciembre del 2017 hasta marzo del 2018. Se aplicó la metodología descriptiva, cuantitativa, transversal, con uso de la encuesta a pacientes con pie diabético y al personal de enfermería, a quienes también se observó en su accionar. Los resultados obtenidos evidenciaron que el perfil académico del personal enfermero ostenta título de Licenciatura, con experiencia mayor a un año o nivel mediano de experiencia. Se observó mayor cumplimiento en lo relacionado a la curación de la herida, uso de material adecuado, normas de bioseguridad cumplidas; las debilidades fueron encontradas en la valoración de patrones perceptuales y de comportamiento, limitada consejería de autocuidado y apoyo emocional, lo que incrementó el riesgo de infección en la extremidad inferior respectiva. La calificación del servicio de enfermería fue bueno, con mayor satisfacción de los pacientes por la curación de la herida e insatisfacción por la orientación inadecuada del autocuidado que no minimizó el riesgo de infección. En consecuencia, se determinó un nivel de calidad medio de los cuidados de enfermería en pacientes con pie diabético atendidos en el Área de Medicina Interna del Hospital General Guasmo Sur, con falencias en la función preventiva que es responsabilidad de enfermería.
The main tool of the nursing profession lies in specialized care, for this reason the objective of the study is to determine the quality of nursing care in patients with diabetic foot in the Internal Medicine Area of the General Guasmo Sur Hospital, during December 2017 to March 2018. The descriptive, quantitative, cross-sectional methodology was applied, with the use of the survey of patients with diabetic foot and the nursing staff, who were also observed in their actions. The results obtained showed that the academic profile of the nursing staff holds a Bachelor's degree, with more than one year of experience or a medium level of experience. Greater compliance was observed in relation to wound healing, use of adequate material, biosecurity standards complied with; the weaknesses were found in the assessment of perceptual and behavioral patterns, limited self-care counseling and emotional support, which increased the risk of infection in the respective lower extremity. The qualification of the nursing service was good, with greater satisfaction of the patients for wound healing and dissatisfaction due to the inadequate orientation of self-care that did not minimize the risk of infection. Consequently, an average quality level of nursing care was determined in patients with diabetic foot in Area of Internal Medicine of the General Guasmo Sur Hospital, with shortcomings in the preventive function that is the responsibility of nursing.
The main tool of the nursing profession lies in specialized care, for this reason the objective of the study is to determine the quality of nursing care in patients with diabetic foot in the Internal Medicine Area of the General Guasmo Sur Hospital, during December 2017 to March 2018. The descriptive, quantitative, cross-sectional methodology was applied, with the use of the survey of patients with diabetic foot and the nursing staff, who were also observed in their actions. The results obtained showed that the academic profile of the nursing staff holds a Bachelor's degree, with more than one year of experience or a medium level of experience. Greater compliance was observed in relation to wound healing, use of adequate material, biosecurity standards complied with; the weaknesses were found in the assessment of perceptual and behavioral patterns, limited self-care counseling and emotional support, which increased the risk of infection in the respective lower extremity. The qualification of the nursing service was good, with greater satisfaction of the patients for wound healing and dissatisfaction due to the inadequate orientation of self-care that did not minimize the risk of infection. Consequently, an average quality level of nursing care was determined in patients with diabetic foot in Area of Internal Medicine of the General Guasmo Sur Hospital, with shortcomings in the preventive function that is the responsibility of nursing.
Descripción
BENF1227
Palabras clave
CALIDAD, CUIDADOS DE ENFERMERIA, PACIENTES, PIE DIABETICO, HOSPITAL GUASMO SUR, CANTON GUAYAQUIL, ECUADOR