Protocolo de enfermería en preclampsia severa en primigesta en la Consulta Externa de la Maternidad Marianita de Jesus de Guayaquil año 2014
Fecha
2015
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Enfermería
Resumen
La incidencia de esta complicación obstétrica en diferentes series a nivel mundial, está entre un 6 y 30% del total de embarazos. En la actualidad se registran mayores números de casos de mujeres pre eclámpticas primigestas y sus graves consecuencias para ella y el feto. El presente trabajo de investigación acerca de las intervenciones de enfermería en la atención pre de gestantes primigestas con preeclampsia severa, tiene como objeto de estudio a las 30 gestantes que acuden a la consulta prenatal, , cuyo objetivo principal es identificar el protocolo de enfermería en la atención de primigestas con preeclampsia severa en donde encontramos un amplio marco científico de un embarazo y sus riesgos en especial cuando es por primera vez la concepción con fundamentos del marco legal y el marco conceptual. Se obtuvo como resultado, que el 40% de las gestantes primigestas con preeclampsia severa desconoce sobre los riesgos que ocasionan al no asistir a las consultas prenatales periódicamente, el 20% no sabe la importancia de un control prenatal oportuno, y el 54% no acude a la institución por la distancia, lo económico y el tiempo que genera al llegar a la institución y le impide llevar un control por la distancia y el tiempo que se requiere llegar a dicha Institución Hospitalaria. Para lo cual se plantea desarrollar intervenciones de enfermería a esta población vulnerable y contribuir a la disminución de nacimientos de niños prematuros. El resultado de la investigación nos direcciono a la atención de enfermería y su desfase en la atención ya que existen porcentajes muy bajos en la relación de la aplicación de un protocolo definido en la atención de enfermería, que nos lleva a la creación de un protocolo definido y exclusivo para la atención de estos casos.
The incidence of obstetric complications in different series worldwide is between 6 and 30% of all pregnancies. Today increasing numbers of cases of preclamptica primipara women and its serious consequences for her and the fetus are recorded. The present research about nursing interventions in the care of first time pregnant women with pre severe preeclampsia, aims to study the 30 pregnant women attending prenatal consultation, whose main objective is to identify the protocol in nursing primigravid care with severe preeclampsia, where there is a large scientific framework of a pregnancy and its risks especially when first the conception foundations of the legal framework and conceptual framework. It was obtained as a result, that 40% of primiparous pregnant women with severe preeclampsia known about the risks posed by not attending antenatal clinics regularly, 20% do not know the importance of timely prenatal care, and 54% do not go the institution by distance and time economically generated on reaching the institution and prevent you keep track of distance and the time required to reach such hospital institution. For which it is proposed to develop nursing interventions for this vulnerable population and contribute to the reduction of preterm births. The result of the research I turn my us to nursing care and its lag in care because there are very low percentages in relation to the application of a defined nursing care protocol, which leads to the creation of a protocol defined and exclusively for the care of these cases.
The incidence of obstetric complications in different series worldwide is between 6 and 30% of all pregnancies. Today increasing numbers of cases of preclamptica primipara women and its serious consequences for her and the fetus are recorded. The present research about nursing interventions in the care of first time pregnant women with pre severe preeclampsia, aims to study the 30 pregnant women attending prenatal consultation, whose main objective is to identify the protocol in nursing primigravid care with severe preeclampsia, where there is a large scientific framework of a pregnancy and its risks especially when first the conception foundations of the legal framework and conceptual framework. It was obtained as a result, that 40% of primiparous pregnant women with severe preeclampsia known about the risks posed by not attending antenatal clinics regularly, 20% do not know the importance of timely prenatal care, and 54% do not go the institution by distance and time economically generated on reaching the institution and prevent you keep track of distance and the time required to reach such hospital institution. For which it is proposed to develop nursing interventions for this vulnerable population and contribute to the reduction of preterm births. The result of the research I turn my us to nursing care and its lag in care because there are very low percentages in relation to the application of a defined nursing care protocol, which leads to the creation of a protocol defined and exclusively for the care of these cases.
Descripción
Palabras clave
Protocolos, Preeclampsia, Factores de riesgo, Primigesta, Hospital Especializado Mariana de Jesús, Atención de enfermería, Cantón Guayaquil, Ecuador