Prevalencia de apendicitis aguda y aplicacion de un protocolo de atención de enfermería Hospital Dr. Teodoro Maldonado Carbo año 2012
Fecha
2014
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
La apendicitis ayuda es la patología quirúrgica más frecuente de abdomen agudo en emergencia a nivel mundial, y puede afectar a todos los grupos etarios, abarcando áreas urbanas y rurales. Se origina por la obstrucción de la luz del apéndice, relacionado con ulceración en la mucosa apendicular, de origen infecciosa u oclusión por algún fecalito tumor o parásitos (áscaris). La apendicitis aguda se presenta a cualquier edad, en algún momento de la vida, que si no es diagnosticada oportunamente puede ocasionar peritonitis que es una infección grave. Esto motivó la realización de este trabajo investigativo que me permitió relacionar datos de filiación de los afiliados y la prevalencia de la apendicitis aguda, registrar los factores de riesgo, síntomas, diagnostico, tratamiento y evaluar la calidad de atención de enfermería brindando a los pacientes con apendicitis aguda. Con los resultados obtenidos, se diseño un protocolo de atención de enfermería. El método fue de tipo descriptivo y correlacional, el diseño de la investigación es no experimental. El universo de este estudio fueron todos los pacientes diagnosticado con apendicitis aguda en el área de Emergencia del Hospital “Dr. Teodoro Maldonado Carbo” la muestra es el 100% de los usuarios que corresponde al universo. Los resultados nos permiten conocer que la prevalencia de apendicitis aguda está entre los 15 – 32 años con un 58,31%, encontrándose un menor número de pacientes conforme aumentar la edad 75 – 80 años con un 0.40%, de procedencia urbana, sexo masculino, solteros, instrucción secundaria, afiliación activa, ingresos económicos de bajo nivel, el periodo de evolución esta entre 24 – 48 horas ( 57.37%), los síntomas y según con mayor porcentaje están dolor abdominal y dolor fosa iliaca derecha 100%, los medios de diagnostico en un 100% fueron ecografía abdominal y examen de laboratorio, lo más relevante encontrado en este estudio es que las enfermeras no aplican plan de cuidados y no disponen de una adecuada distribución del espacio físico para realizar las intervenciones a los afiliados.
Help Appendicitis is the most common surgical pathology of acute abdomen in emergency worldwide, and can affect all age groups, covering urban and rural areas. It is caused by obstruction of the lumen of the appendix, associated with appendiceal mucosa ulceration of infectious origin or occlusion by a tumor or fecalitth, parasites (roundworms). Acute appendicitis occurs at any age, at some point in life, if not diagnosed promptly can cause peritonitis is a serious infection. This prompted us to conduct this research work that allowed me to relate data in affiliation of the participants and the prevalence of acute appendicitis record the risk factors, symptoms, diagnosis, treatment and evaluate the quality of nursing care providing patients with acute appendicitis. With the results, protocol design nursing care. The method was descriptive and correlacional; the research design is not experimental. The universe of this study was all patients diagnosed with acute appendicitis in the area of Emergency Hospital "Dr. Teodoro Maldonado Carbo” sample is 100% of users corresponding to the universe. The results allow us to know that the prevalence of acute appendicitis is between 15-32 years with a 58.31%, finding a smaller number of patients under increasing age 75-80 years with a 0.40%, from urban, male , single, secondary education, active membership, low income level, the development period is between 24 - 48 hours (57.37%), symptoms and according to the highest percentage are abdominal pain and right iliac fossa pain 100%, means diagnostic 100% were abdominal ultrasound and laboratory examination, the most important findings of this study is that nurses do not apply care plan and do not have an adequate distribution of physical space for interventions to members.
Help Appendicitis is the most common surgical pathology of acute abdomen in emergency worldwide, and can affect all age groups, covering urban and rural areas. It is caused by obstruction of the lumen of the appendix, associated with appendiceal mucosa ulceration of infectious origin or occlusion by a tumor or fecalitth, parasites (roundworms). Acute appendicitis occurs at any age, at some point in life, if not diagnosed promptly can cause peritonitis is a serious infection. This prompted us to conduct this research work that allowed me to relate data in affiliation of the participants and the prevalence of acute appendicitis record the risk factors, symptoms, diagnosis, treatment and evaluate the quality of nursing care providing patients with acute appendicitis. With the results, protocol design nursing care. The method was descriptive and correlacional; the research design is not experimental. The universe of this study was all patients diagnosed with acute appendicitis in the area of Emergency Hospital "Dr. Teodoro Maldonado Carbo” sample is 100% of users corresponding to the universe. The results allow us to know that the prevalence of acute appendicitis is between 15-32 years with a 58.31%, finding a smaller number of patients under increasing age 75-80 years with a 0.40%, from urban, male , single, secondary education, active membership, low income level, the development period is between 24 - 48 hours (57.37%), symptoms and according to the highest percentage are abdominal pain and right iliac fossa pain 100%, means diagnostic 100% were abdominal ultrasound and laboratory examination, the most important findings of this study is that nurses do not apply care plan and do not have an adequate distribution of physical space for interventions to members.
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PREVALENCIA, APENDICITIS AGUDA, ATENCION DE ENFERMERIA, PROTOCOLOS, HOSPITAL DE ESPECIALIDADES DR. TEODORO MALDONADO CARBO, CANTON GUAYAQUIL, ECUADOR