Actualización del protocolo de atención de enfermería a pacientes con trauma craneoencefálico grave en la Unidad de Cuidados Intensivos del Hospital Quito enero a octubre del 2010
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2015
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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El Trauma Craneoencefálico (TCE), constituye uno de los mayores problemas que afronta el Hospital Quito, su misión se enfoca en la atención al personal policial, expuesto por naturaleza a peligros sociales y accidentes. Su mortalidad es del 50% con un alto riesgo de secuelas neurológicas. Para la Unidad de Cuidados Intensivos (UCI), es la patología con el mayor número de casos, ellos requieren una atención emergente y siendo el personal de Enfermería responsable directo de su cuidado, se propuso la actualización del Protocolo de Atención de Enfermería, teniendo como herramienta la taxonomía NANDA, NOC y NIC, se identificó: incidencia de pacientes con TCE Grave, datos de filiación, etiología, clasificación y complicaciones; se registró al Personal de Enfermería según: datos de filiación, años de servicio; se evaluó: conocimientos y cumplimiento del Protocolo de TCE existente. Con una Investigación Descriptiva-Retrospectiva de enero a octubre del 2010, según registros e historias clínicas, se identificó 41 pacientes ingresados en UCI con TCE, siendo 26 Graves, demostrando una incidencia de 11.9/100, el más afectado, el sexo masculino en relación 3.3:1, de 26 a 50 años, su etiología: 53.84% accidentes de tránsito y 26.92% caídas y su complicación más frecuente, hipertensión intracraneal. Se realizó un Estudio no Experimental aplicado en octubre del 2011 a 20 enfermeras/os, determinando, buen nivel de conocimientos y la no utilización del Protocolo, por tanto se considera de gran importancia para disminuir la morbi-mortalidad de los pacientes con TCE Grave, la socialización del Protocolo establecido, mismo que ha sido revisado y aprobado.
The Craneoencefalic Traumatism (CET), is one of the biggest problems facing the Quito Hospital , mission focuses on the assist police officers exposed by nature a social dangers and accidents. Their mortality is 50 % with a high risk of neurological sequelae. For the Intensive Care Unit (ICU) is the pathology with the highest number of cases, they require emergent care and being the staff directly responsible Nursing care, updating the Protocol Nursing Care was proposed, with the tool NANDA, NOC and NIC taxonomy identified: incidence of CTE patients Grave, personal data, etiology, classification and complications; were recorded at Nursing Staff as: personal data, years of service, assessed: knowledge and existing Protocol compliance CTE. With a Descriptive - Archival Research from January to October 2010, according to records and medical records of 41 patients admitted to the ICU with CTE was identified, being 26 CTE Graves, showing an incidence of 11.9/100 patients, the most affected males in relation 3.3:1, 26-50 years etiology: 53.84% traffic accidents and falls 26.92% and its most common complication of intracranial hypertension. A non Experimental study applied in October 2011-20 Nurses/os, determining a good level of knowledge and not using the Protocol therefore considered of great importance for reducing morbidity and mortality of patients with CTE Grave was performed, socialization of the Protocol established, it has been reviewed and approved.
The Craneoencefalic Traumatism (CET), is one of the biggest problems facing the Quito Hospital , mission focuses on the assist police officers exposed by nature a social dangers and accidents. Their mortality is 50 % with a high risk of neurological sequelae. For the Intensive Care Unit (ICU) is the pathology with the highest number of cases, they require emergent care and being the staff directly responsible Nursing care, updating the Protocol Nursing Care was proposed, with the tool NANDA, NOC and NIC taxonomy identified: incidence of CTE patients Grave, personal data, etiology, classification and complications; were recorded at Nursing Staff as: personal data, years of service, assessed: knowledge and existing Protocol compliance CTE. With a Descriptive - Archival Research from January to October 2010, according to records and medical records of 41 patients admitted to the ICU with CTE was identified, being 26 CTE Graves, showing an incidence of 11.9/100 patients, the most affected males in relation 3.3:1, 26-50 years etiology: 53.84% traffic accidents and falls 26.92% and its most common complication of intracranial hypertension. A non Experimental study applied in October 2011-20 Nurses/os, determining a good level of knowledge and not using the Protocol therefore considered of great importance for reducing morbidity and mortality of patients with CTE Grave was performed, socialization of the Protocol established, it has been reviewed and approved.
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Traumatismos craneocerebrales, Atención de enfermería, Protocolos, Unidades de Cuidados Intensivos, Complicaciones, Indicadores de morbimortalidad, Hospital Quito No. 1 de la Policía Nacional, Cantón Quito, Ecuador, Epidemiología descriptiva, Estudios retrospectivos