Propuesta de un protocolo de atención de enfermería para eventos cerebrovasculares en pacientes atendidos en el Area de Emergencias, Hospital de Chone, de julio 2008 a junio 2009
Fecha
2015
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
La Enfermedad Cerebro Vascular (ECV) se constituye en una importante causa de
admisión urgente de pacientes en los servicios de emergencia. Con el objetivo de
determinar los factores de riesgo relacionados con eventos cerebrovasculares en pacientes atendidos en el servicio de emergencia del Hospital “Napoleón Dávila” de
Chone, Manabí se realizó un estudio de diseño no experimental, con metodología de
tipo descriptiva, retrospectiva. Los hallazgos dan cuenta que la incidencia de ECV en
el período estudiado fue de 1,2%, la mayor incidencia de ACV ocurrió en el género
masculino (64,4 %), el 72,8 % tiene antecedentes familiar o personal de
Hipertensión Arterial, el 49,1 % de los pacientes atendidos en este período ha tenido
antecedentes de ataque isquémico y el 62,7 % ha tenido enfermedad cardíaca . El
32,2 % ha tenido diabetes, 33,8 % ha tenido hiperlipidemia. De los hábitos el 64%
mencionaron el tabaquismo, el 35% tienen Alcoholismo, y la Obesidad en el 32,2 %.
El 69% de los pacientes que egresaron fueron con la condición de egreso de vivo, el
31% muerto. Para el cumplimiento de elaborar una propuesta de atención de
enfermería para ACV en emergencia, se tomó como base la medición de la calidad
de atención de enfermería, obteniendo resultados como el que 54 % de los pacientes
calificó de buena calidad, en la calidad de atención del servicio el 91% lo
calificaron como buena y el 16% muy buena. El grado de capacitación que tenía el
personal de Enfermería que labora en el servicio fue diverso antes de la capacitación.
Del total del personal de Enfermería el 23 % fue excelente, 30,7 % Muy buena y
Buena el 14,3 % mala. Mientras que el personal de Auxiliares de Enfermería el
33.3 % Buena y el 66.7 Regular. Los conocimientos del personal de enfermería
una vez que fueron evaluados mejoraron con la capacitación, y los resultados de la
misma fueron los siguientes: Excelentes 38,4 % y muy buena el 61,5 %.
Cerebrovascular Disease (CVD) is a major cause of emergency admission of patients in the emergency services. In order to determine the risk factors associated with cerebrovascular events in patients treated in the emergency "Napoleon Davila" Chone, Manabi Hospital a study of non-experimental design was conducted with descriptive methodology, retrospective. The findings realize that the higher incidence of stroke occurred in males (64.4%), 72.8% have a family or personal history of arterial hypertension, 49.1% of patients treated in this period has been history of ischemic stroke and 62.7% had heart disease. 32.2% had diabetes, 33.8% had hyperlipidemia. Habits 64% reported smoking, 35% had Alcoholism and Obesity in 32.2%. To fulfill develop a proposal for nursing care for stroke in emergency, was based on the measurement of the quality of nursing care, obtaining results such as that 54% of patients described as good quality, the quality of care service 91% rated it as good and 16% very good.The level of training that had the nursing staff working in the service was different before training. Of the total nursing staff was 23% excellent, 30.7% very good and good bad 14.3%. While staff Nursing Assistants 33.3% and 66.7 Regular Good. The knowledge of nurses once were evaluated improved with training, and the results of it were: Excellent 38.4% and 61.5% very good.
Cerebrovascular Disease (CVD) is a major cause of emergency admission of patients in the emergency services. In order to determine the risk factors associated with cerebrovascular events in patients treated in the emergency "Napoleon Davila" Chone, Manabi Hospital a study of non-experimental design was conducted with descriptive methodology, retrospective. The findings realize that the higher incidence of stroke occurred in males (64.4%), 72.8% have a family or personal history of arterial hypertension, 49.1% of patients treated in this period has been history of ischemic stroke and 62.7% had heart disease. 32.2% had diabetes, 33.8% had hyperlipidemia. Habits 64% reported smoking, 35% had Alcoholism and Obesity in 32.2%. To fulfill develop a proposal for nursing care for stroke in emergency, was based on the measurement of the quality of nursing care, obtaining results such as that 54% of patients described as good quality, the quality of care service 91% rated it as good and 16% very good.The level of training that had the nursing staff working in the service was different before training. Of the total nursing staff was 23% excellent, 30.7% very good and good bad 14.3%. While staff Nursing Assistants 33.3% and 66.7 Regular Good. The knowledge of nurses once were evaluated improved with training, and the results of it were: Excellent 38.4% and 61.5% very good.
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Protocolos, Atención de enfermería, Evento cerebrovasculares, Servicio de emergencia del hospital, Epidemiología descriptiva, Estudios retrospectivos, Hospital General Dr. Napoleón Dávila Córdova, Cantón Chone, Ecuador