Evaluación del protocolo de atención de enfermería a pacientes con amenaza de parto prematuro. Hospital Napoleón Dávila Córdova de Chone período febrero 2010-2011
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2013
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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Los factores de riesgo de parto prematuro, así como la introducción en estos últimos diez años de la medición ecográfica de la longitud del cuello uterino han permitido evaluar mejor el riesgo de parto prematuro en las pacientes que presentan una sintomatología de amenaza de dicha situación. Además, el tratamiento de la amenaza de parto prematuro ha evolucionado. El reposo estricto en cama asociado a hospitalizaciones muy prolongadas ya no está indicado, salvo en casos infrecuentes. Una nueva clase de tocolíticos, el atosiban, ha demostrado una eficacia equivalente con menos efectos secundarios, comparada con los β-miméticos, en la prevención del parto prematuro. De forma adicional, varios grandes estudios prospectivos muestran que la antibioticoterapia sistemática no está indicada. En cambio, la corticoterapia prenatal sí está recomendada y permite reducir la mortalidad y la morbilidad neonatal .La prematuridad es la causa más frecuente de enfermedad y mortalidad en los recién nacidos y el gran problema que se nos presenta al personal de salud y su paciente, es que en la mayor parte de los casos no sabemos quienes van a sufrirla, y una vez que ocurre, casi nunca se logra determinar una causa que esté condicionando el problema. Es por ello que se planteara una investigación de este problema para poder determinar si el del Protocolo de Atención de Enfermería a Pacientes con Amenaza de Parto Prematuro Hospital Napoleón Dávila Córdova de Chóne es el más adecuado , durante el periodo 2010-2011, se tomaran en cuenta variables como : Factores biológicos como ( Edad, Paridad, Obesidad) y enfermedades concomitantes(diabetes ,HTA, cirugía uterina y del cuello uterino), y antecedentes de partos prematuros previos , el trabajo se realizara en base a fichas de recolección de datos los resultados serán tabulados estadísticamente y discutidos para de acuerdo a ello mejorar la calidad de atención del servicio a las usuarias.
The factors of risk of premature childbirth, as well as the introduction in these last ten years of the mensuration ecográfica of the longitude of the uterine neck has allowed to evaluate the risk of premature childbirth better in the patients that present a sintomatología of threat of this situation. Also, the treatment of the threat of premature childbirth has evolved. The strict rest in bed associated to very lingering hospitalizations is no longer suitable, I save in uncommon cases. A new tocolíticos class, the atosiban, has it demonstrated an equivalent effectiveness with less secondary effects, compared with those? - mimetic, in the prevention of the premature childbirth. In way additional, several big prospective studies they show that the systematic antibioticoterapia is not suitable. On the other hand, the prenatal corticoterapia yes it is recommended and it allows to reduce the mortality and the morbilidad neonatal. The prematuridad is the most frequent cause in illness and mortality in the newly born ones and the great problem that we are presented to the personnel of health and its patient, it is that in most of the cases we don't know who will suffer it, and once it happens, it is hardly ever possible to determine a cause that is conditioning the problem. It is for it that thought about an investigation of this problem to be able to determine if the one of the Protocol of Attention of Infirmary to Patient with Threat of Childbirth Premature Hospital Napoleon Dávila Córdova of Chóne is the but appropriate, during the period 2010-2011, they took into account variables as: Biological factors as (Age, Parity, Obesity) and illnesses concomitantes(diabetes, HTA, uterine surgery and of the uterine neck), and antecedents of previous premature childbirths, the work was carried out based on records of gathering of data the results they will be tabulated statistically and discussed it stops according to it to improve the quality of attention from the service to the users.
The factors of risk of premature childbirth, as well as the introduction in these last ten years of the mensuration ecográfica of the longitude of the uterine neck has allowed to evaluate the risk of premature childbirth better in the patients that present a sintomatología of threat of this situation. Also, the treatment of the threat of premature childbirth has evolved. The strict rest in bed associated to very lingering hospitalizations is no longer suitable, I save in uncommon cases. A new tocolíticos class, the atosiban, has it demonstrated an equivalent effectiveness with less secondary effects, compared with those? - mimetic, in the prevention of the premature childbirth. In way additional, several big prospective studies they show that the systematic antibioticoterapia is not suitable. On the other hand, the prenatal corticoterapia yes it is recommended and it allows to reduce the mortality and the morbilidad neonatal. The prematuridad is the most frequent cause in illness and mortality in the newly born ones and the great problem that we are presented to the personnel of health and its patient, it is that in most of the cases we don't know who will suffer it, and once it happens, it is hardly ever possible to determine a cause that is conditioning the problem. It is for it that thought about an investigation of this problem to be able to determine if the one of the Protocol of Attention of Infirmary to Patient with Threat of Childbirth Premature Hospital Napoleon Dávila Córdova of Chóne is the but appropriate, during the period 2010-2011, they took into account variables as: Biological factors as (Age, Parity, Obesity) and illnesses concomitantes(diabetes, HTA, uterine surgery and of the uterine neck), and antecedents of previous premature childbirths, the work was carried out based on records of gathering of data the results they will be tabulated statistically and discussed it stops according to it to improve the quality of attention from the service to the users.
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EVALUACION DE PROCESOS Y RESULTADOS EN ATENCION DE SALUD, PROTOCOLOS, ATENCION DE ENFERMERIA, AMENAZA DE PARTO PREMATURO, HOSPITAL GENERAL DR. NAPOLEON DAVILA CORDOVA, CANTON CHONE, ECUADOR