Atención de enfermería en emergencias de pacientes con síndrome coronario en el Hospital de Chone
Fecha
2017
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
Este trabajo está fundamentado en la importancia de mejorar la calidad de la atención
por parte del personal de enfermería en pacientes con síndrome coronario del hospital de Chone, se
realizó con la participación de los pacientes del área de emergencia del hospital a quienes se les aplicó
una encuesta.. El objetivo general del estudio fue diseñar un plan de mejoramiento para la atención a
los pacientes con enfermedad coronaria en el área de emergencias del Hospital “Napoleón Dávila
Córdova”, Se realizó el estudio descriptivo bajo el modelo de estudio de caso, entre los principales
resultados obtenidos está sobre todo que la calidad de atención por parte del personal de enfermería fue
calificada como mala casi en la totalidad de los pacientes salvo el 10% que la califico como excelente ,
además en relación al manejo por parte de enfermería es notorio que debido a la gran demanda de
paciente el personal no puede dar el soporte inicial de forma rápida en algunos casos , ya que llegan
simultáneamente casos emergentes , sin embargo se cumple con las prescripciones dada por el medico
de forma correcta , respecto al manejo como tal las medidas de soporte vital en un poco más de la
mitad manifestó que la administración de soluciones fue la principal medida de soporte aplicada,
seguida del manejo de la vía área , los fármacos utilizados para tratar la crisis hipertensiva se empleó
los IECAS el casi la totalidad de los casos de los casos y la décima parte de la restante le correspondió
a los betabloqueadores. al manejo de la anticoagulación se estableció el uso de la fraxiparina , se
recomienda actualización practica y dirigida asi como tambien periódica a todo el personal de salud
sobre todo el de emergencia para actuar de forma rápida con calidad y calidez frente a este tipo de casos
en donde los segundos y minutos juegan un prapel preponderante para el pronostico y estabilización del
paciente .
This study is based on the importance of improving the quality of care by the nursing staff in patients with coronary syndrome at the Chone hospital. This study was carried out with the participation of patients from the emergency area of the hospital who were The overall objective of the study was to design an improvement plan for the care of patients with coronary artery disease in the emergency area of the Hospital "Napoleón Dávila Córdova". The descriptive study was carried out under the case study model, between The main results obtained are mainly that the quality of care by the nursing staff was rated as poor in almost all patients except the 10% that I rate as excellent, in addition to the management by nursing is notorious That because of the great patient demand, the staff can not give the initial support quickly in some cases, since they arrive simultaneously emergent cases, nevertheless it complies with the prescriptions given by the doctor of correct form, with respect to the handling as such The measures of life support in a little more than half said that the administration of solutions was the main measure of support applied, followed by the management of the area, the drugs used to treat hypertensive crisis was used almost the entire IECAS Of the cases and one-tenth of the rest corresponded to beta-blockers. To the management of the anticoagulation was established the use of fraxiparin, it is recommended a practical and directed update as well as periodic to all the health personnel especia lly the emergency to act quickly with quality and warmth in front of this type of cases in Where the seconds and minutes play a preponderant prapel for the prognosis and stabilization of the patient.
This study is based on the importance of improving the quality of care by the nursing staff in patients with coronary syndrome at the Chone hospital. This study was carried out with the participation of patients from the emergency area of the hospital who were The overall objective of the study was to design an improvement plan for the care of patients with coronary artery disease in the emergency area of the Hospital "Napoleón Dávila Córdova". The descriptive study was carried out under the case study model, between The main results obtained are mainly that the quality of care by the nursing staff was rated as poor in almost all patients except the 10% that I rate as excellent, in addition to the management by nursing is notorious That because of the great patient demand, the staff can not give the initial support quickly in some cases, since they arrive simultaneously emergent cases, nevertheless it complies with the prescriptions given by the doctor of correct form, with respect to the handling as such The measures of life support in a little more than half said that the administration of solutions was the main measure of support applied, followed by the management of the area, the drugs used to treat hypertensive crisis was used almost the entire IECAS Of the cases and one-tenth of the rest corresponded to beta-blockers. To the management of the anticoagulation was established the use of fraxiparin, it is recommended a practical and directed update as well as periodic to all the health personnel especia lly the emergency to act quickly with quality and warmth in front of this type of cases in Where the seconds and minutes play a preponderant prapel for the prognosis and stabilization of the patient.
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Palabras clave
Atención de enfermería, Enfermedad coronaria, Calidad de la atención de salud, Servicio de Urgencia en Hospital, Hospital General Dr. Napoleón Dávila Córdova, Cantón Chone, Ecuador