Diseño de protocolo de atención de enfermería a adolescentes con intoxicación alcohólica que acuden a Emergencias del Hospital Alfredo Noboa Montenegro Guaranda 2010 - 2011
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2014
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
El consumo de alcohol, ocasiona pérdidas de diversas índole con amenaza a la salud y a la economía, situación investigada en algunas aéreas geográficas de Latino América, nuestro país y de manera particular se investiga en Hospital Alfredo Noboa Montenegro de la cuidad de Guaranda, problema que amerita ser tratado, los objetivos consistieron en evaluar, la atención de enfermería a adolescentes con intoxicación alcohólica que acuden al Hospital y elaborar un Protocolo de Atención de Enfermería Actualizado para lo cual se determinó la prevalencia de intoxicación con su grado, estableciendo el rol del Licenciado en Enfermería, verificar existencia de Protocolo. Del análisis y discusión aparecieron resultados en 150 historias clínicas 63% hombres ; 37% mujeres; de grupo etario más consumidor 16-18 años, con 49%; en la educación pública 10%; en nivel de instrucción primaria 39%; solteros 91%; predominaron en estudiantes 50%; menor incidencia en albañil 13%; síntoma predominante dolor abdominal 49%; estudio imagenológico más frecuente ecografía 15%; el tratamiento clínico 46%; alcohol etílico consumido 100%; en diferente formas, Cruz Roja remitió 45.3%; de consumidores, los pacientes en la totalidad desconocen las complicaciones del alcohol; 60%; presenta de signos vitales, elaboración de protocolo tradicional completo 41%; permanecieron internados de 1 a 2 días 85%; el 100% recibió atención parenteral; síntoma pre ingreso predomínate vómito 26%; inconsciencia 32%; al paciente 83% no fueron informados de su problema, 57% no se realizaron pruebas de laboratorio. Con estos resultados, sustentados en un amplio marco lógico se realizó el Protocolo de Atención de Enfermería que se presentó en consideración de las autoridades de salud para implementarlo como plan piloto del hospital y otras casas de salud.
Alcohol dependenceisa real problem, causinggreat lossesof various kindsas a major threatto public health. The objectives of this research work are to determine the incidence of adolescent patients with alcohol intoxication attending the Hospital Alfredo Montenegro Guaranda Noboa and design a protocol that nursing care may help improve their quality of life. In research methodology is based on an exploratory descriptive universe of patients seen by nurses in the period between 2010-2011. The information will be obtained by studying known histories where patient characteristics and the incidence of poisoning, additional specialists will meet experts in the subject. Research supported by a comprehensive logical framework will guide the development of the protocol, according to results will be held on Nursing Care Protocol to implement it on a pilot's Hospital and other Home.- Based on the analysis and discussion yielded the following results: total 150 patients were investigated medical records of which 94 = 62.6% were men and 56 = 37.3% were women, age was> 16 to 18 years old with a frequency of 74 = 49.3%, respectively, on the level of education 39.3% attended only primary school, 56.3% being single, so the 37.3% are students, on the complaint of having 48.6% had pain abdominal, were attended by health staff and 50% received clinical treatment, 45.3%, on the institution referred, 54.6% were transferred from other institutions, about 32% presented symptoms presented loss of consciousness, 26 % presented vomiting, 18% had dizziness, about 60% vital signs themselves are properly recorded on their remaining 85.3% remained of 1-2 days in the hospital, administering medication by 100% parenteral, and 100% of people do not know that alcoholism brings complications on imaging studies 66.6% of patients not conducted any studies, blood tests About 56.6% do not perform any tests, Conclusion: alcoholism chronic increased tolerance to high levels of ethanol.
Alcohol dependenceisa real problem, causinggreat lossesof various kindsas a major threatto public health. The objectives of this research work are to determine the incidence of adolescent patients with alcohol intoxication attending the Hospital Alfredo Montenegro Guaranda Noboa and design a protocol that nursing care may help improve their quality of life. In research methodology is based on an exploratory descriptive universe of patients seen by nurses in the period between 2010-2011. The information will be obtained by studying known histories where patient characteristics and the incidence of poisoning, additional specialists will meet experts in the subject. Research supported by a comprehensive logical framework will guide the development of the protocol, according to results will be held on Nursing Care Protocol to implement it on a pilot's Hospital and other Home.- Based on the analysis and discussion yielded the following results: total 150 patients were investigated medical records of which 94 = 62.6% were men and 56 = 37.3% were women, age was> 16 to 18 years old with a frequency of 74 = 49.3%, respectively, on the level of education 39.3% attended only primary school, 56.3% being single, so the 37.3% are students, on the complaint of having 48.6% had pain abdominal, were attended by health staff and 50% received clinical treatment, 45.3%, on the institution referred, 54.6% were transferred from other institutions, about 32% presented symptoms presented loss of consciousness, 26 % presented vomiting, 18% had dizziness, about 60% vital signs themselves are properly recorded on their remaining 85.3% remained of 1-2 days in the hospital, administering medication by 100% parenteral, and 100% of people do not know that alcoholism brings complications on imaging studies 66.6% of patients not conducted any studies, blood tests About 56.6% do not perform any tests, Conclusion: alcoholism chronic increased tolerance to high levels of ethanol.
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Atención de enfermería, Consumo de alcohol en menores, Intoxicación, Adolescente, Protocolos, Servicio de Urgencia en Hospital, Hospital General Alfredo Noboa Montenegro, Cantón Guaranda, Ecuador