Síndrome de distrés respiratorio en prematuros moderados en el Policlínico Mora de Santo Domingo
Fecha
2016
Autores
Título de la revista
ISSN de la revista
Título del volumen
Editor
Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
El síndrome de distrés respiratorio en recién nacidos prematuros moderados o enfermedad de la membrana hialina (EMH) es la patología respiratoria más frecuente en el recién nacido pretérmino. Como antecedente se encontró la falta de conocimiento de la población invoucrada en este problema para llevar un control de cuidados estandarizados en el área a fin de proporcionar una mejor evaluación y seguimiento de los pacientes. Se realizó un estudio observacional descriptivo, transversal y retrospectivo, perteneciente a la línea de investigación de Atención Integral a la salud infantil. El universo de estudio se conformó con los 50 recién nacidos en el Policlínico Mora de la ciudad de Santo Domingo de los Tsáchilas durante el periodo de enero a septiembre del 2016 y la muestra la constituyeron el 100% de los casos presentados con Síndrome de dificultad respiratoria leve, moderada y grave que ingresaron en la Unidad de Cuidados Intensivos Neonatales. Los datos se recolectaron de las historias clínicas de los pacientes y se procesaron empleando estadísticas descriptivas y distribuciones de frecuencia mediante fórmulas de Microsoft Excel. Predominaron los neonatos del sexo masculino, menores de 34 semanas, con peso por debajo de los 1500 gramos y puntaje de Apgar normal, en su mayoría nacidos por cesárea y sin maduración pulmonar previa. La tasa de supervivencia fue elevada acercándose al 98% de efectividad en los tratamientos aplicados. El objetivo del estudio es la de orientar las acciones de prevención, atención y control prenatal en la población gestantes en el área de Gineco- obstetricia, la propuesta se expone con un plan de cuidados estandarizados al personal de enfermería para llevar un control adecuado del recién nacido en esta institución de salud.
Respiratory distress syndrome in moderate preterm infants or hyaline membrane disease (MCH) is the most common respiratory pathology in preterm infants. As antecedent was found the lack of knowledge of the population involved in this problem to bring a standardized care control in the area in order to provide a better evaluation and follow-up of patients. A descriptive, cross - sectional and retrospective observational study was carried out, belonging to the research line of Integral Attention to Children 's Health. The study universe consisted of 50 newborns in the Mora Polyclinic of the city of Santo Domingo de los Tsáchilas during the period from January to September of 2016 and the sample consisted of 100% of the cases presented with respiratory distress syndrome Mild, moderate and severe who entered the Neonatal Intensive Care Unit. Data were collected from patients' medical records and processed using descriptive statistics and frequency distributions using Microsoft Excel formulas. Prevalence of male infants, younger than 34 weeks, weighing less than 1500 grams and normal Apgar score, mostly born by cesarean section and without previous pulmonary maturation. The survival rate was high, approaching 98% of effectiveness in the treatments applied. The objective of the study is to orient the actions of prevention, care and prenatal control in the pregnant population in the area of Gineco-obstetrics, the proposal is exposed with a plan of standardized care to the nursing staff to take an adequate control of the newly Born in this health institution.
Respiratory distress syndrome in moderate preterm infants or hyaline membrane disease (MCH) is the most common respiratory pathology in preterm infants. As antecedent was found the lack of knowledge of the population involved in this problem to bring a standardized care control in the area in order to provide a better evaluation and follow-up of patients. A descriptive, cross - sectional and retrospective observational study was carried out, belonging to the research line of Integral Attention to Children 's Health. The study universe consisted of 50 newborns in the Mora Polyclinic of the city of Santo Domingo de los Tsáchilas during the period from January to September of 2016 and the sample consisted of 100% of the cases presented with respiratory distress syndrome Mild, moderate and severe who entered the Neonatal Intensive Care Unit. Data were collected from patients' medical records and processed using descriptive statistics and frequency distributions using Microsoft Excel formulas. Prevalence of male infants, younger than 34 weeks, weighing less than 1500 grams and normal Apgar score, mostly born by cesarean section and without previous pulmonary maturation. The survival rate was high, approaching 98% of effectiveness in the treatments applied. The objective of the study is to orient the actions of prevention, care and prenatal control in the pregnant population in the area of Gineco-obstetrics, the proposal is exposed with a plan of standardized care to the nursing staff to take an adequate control of the newly Born in this health institution.
Descripción
PDF
Palabras clave
SINDROME DE DIFICULTAS RESPIRATORIA DEL RECIEN NACIDO, RECIEN NACIDO PREMATURO, EPIDEMIOLOGIA DESCRIPTIVA, ESTUDIOS RETROSPECTIVOS, POLICLINICO FAMILIAR MORA, CANTON SANTO DOMINGO, ECUADOR