Protocolo de Atención de enfermería para pacientes con sindrome abdominal. Hospital Básico San Andrés de Flavio Altaro año 2010
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2012
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
Los servicios de emergencia en el área de salud afrontaron una demanda cada vez mayor de atención a pacientes con necesidades urgentes de tratamiento, a consecuencia de diversas situaciones como: epidemias, incremento de delincuencia, vandalismo, accidentes de tránsito, desastres naturales, por lo que se evidencio la necesidad de contar con personal altamente calificado en este desempeño, con habilidades cognitivas, actitudinales y procedimentales, que le permitió brindar una atención oportuna y segura. El término dolor abdominal se caracteriza por la presencia de tres o más episodios de dolor abdominal, durante un período de tres meses, aunque en la práctica clínica, el término se aplica también a episodios intermitentes de dolor de más de un mes de duración. En el presente trabajo se realizó: Revisión bibliográfica sobre el dolor abdominal, etiología, clasificación actual y diagnóstico; se realizó un análisis crítico de la evaluación de atención de enfermería a los pacientes con estos trastornos y la conducta a seguir con ellos.El estudio fue Descriptivo-Correlacional; el universo estuvo constituido por 965 pacientes atendidos. Con una prevalencia del 0,107 en el mes de junio, el 30% perteneció a la cabecera cantonal Flavio Alfaro, sexo femenino, entre edades de 36 a 45 años, la población tenía una escolaridad primaria incompleta representado por el 47%, el síndrome doloroso abdominal está representada por el 27%, seguido por la Apendicitis y Litiasis Renal en un 19%, no presentaron complicaciones. El profesional de enfermería representado por el 86% y el 14% auxiliar de enfermería, las que intervenían al paciente realizándole valoración inicial y la exploración física en un 50% canaliza vía. Los reportes de enfermería así como registro de los signos vitales, representado en un 100%, los que fueron realizados por profesionales que laboran en el área de emergencia, esta es una forma de evaluar la atención de enfermería. El 80% de los pacientes atendidos en el área de Triaje, indicaron que reciben buena atención, en emergencia el 91% y en hospitalización el 61%, manifestaron buena. Tomando en cuenta los resultados obtenidos se elaboraron protocolos de enfermería, y se socializo con el personal de enfermería que labora en la institución.
The emergency services in the area of health confronted a demand every time bigger than attention to patient with urgent necessities of treatment, to consequence of diverse situations like: epidemics, increment of delinquency, vandalism, traffic accidents, natural disasters, for what the necessity is evidenced of counting with personal highly qualified in this acting, with abilities cognitivas, actitudinales and procedural that allowed him to offer an opportune and sure attention. The term abdominal pain is characterized by the presence of three or more episodes of abdominal pain, during a period of three months, although in the clinical practice, the term is also applied to intermittent episodes of pain of more than a month of duration. Presently work was carried out: bibliographical revision on the abdominal pain, etiología, current classification and diagnosis; he/she was carried out a critical analysis from the evaluation of infirmary attention to the patients with these dysfunctions and the behavior to continue with they. The study it was Descriptive-Correlacional; the universe was constituted by 965 assisted patients. With a prevalencia of the 0,107 in the month of June, 30% belongsed to the cantonal head Flavio Alfaro, feminine sex, among ages of 36 to 45 years, the population had an incomplete primary escolaridad represented by 47%, the abdominal painful syndrome is represented by 27%, continued by the Appendicitis and Renal Litiasis in 19%, they didn't present complications. The infirmary professional represented by 86% and 14 auxiliary% of infirmary, those that intervened to the patient carrying out him initial valuation and the physical exploration in 50% channel via. The infirmary reports as well as registration of the vital signs, represented in 100%, those they were carried out by professionals that work in the emergency area, this it is a form of evaluating the infirmary attention. 80% of the patients assisted in the area of Triaje, they indicated that they receive good attention, in emergency 91% and in hospitalization 61%, they manifested good. Taking into account the obtained results infirmary protocols was elaborated, and you socializes with the infirmary personnel that works in the institution.
The emergency services in the area of health confronted a demand every time bigger than attention to patient with urgent necessities of treatment, to consequence of diverse situations like: epidemics, increment of delinquency, vandalism, traffic accidents, natural disasters, for what the necessity is evidenced of counting with personal highly qualified in this acting, with abilities cognitivas, actitudinales and procedural that allowed him to offer an opportune and sure attention. The term abdominal pain is characterized by the presence of three or more episodes of abdominal pain, during a period of three months, although in the clinical practice, the term is also applied to intermittent episodes of pain of more than a month of duration. Presently work was carried out: bibliographical revision on the abdominal pain, etiología, current classification and diagnosis; he/she was carried out a critical analysis from the evaluation of infirmary attention to the patients with these dysfunctions and the behavior to continue with they. The study it was Descriptive-Correlacional; the universe was constituted by 965 assisted patients. With a prevalencia of the 0,107 in the month of June, 30% belongsed to the cantonal head Flavio Alfaro, feminine sex, among ages of 36 to 45 years, the population had an incomplete primary escolaridad represented by 47%, the abdominal painful syndrome is represented by 27%, continued by the Appendicitis and Renal Litiasis in 19%, they didn't present complications. The infirmary professional represented by 86% and 14 auxiliary% of infirmary, those that intervened to the patient carrying out him initial valuation and the physical exploration in 50% channel via. The infirmary reports as well as registration of the vital signs, represented in 100%, those they were carried out by professionals that work in the emergency area, this it is a form of evaluating the infirmary attention. 80% of the patients assisted in the area of Triaje, they indicated that they receive good attention, in emergency 91% and in hospitalization 61%, they manifested good. Taking into account the obtained results infirmary protocols was elaborated, and you socializes with the infirmary personnel that works in the institution.
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ATENCION DE ENFERMERIA, PROTOCOLO, PACIENTES, SINDROME ABDOMINAL, EVALUACION, HOSPITAL BASICO SAN ANDRES DE FLAVIO ALTARO, SINDROME DOLOROSO, ECUADOR, PROVINCIA DE MANABI