Guía de manejo para pacientes con crisis hipertensivas en emergencias aplicado en el Centro de Salud Chimbacalle en el año 2016
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2017
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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Antecedentes: Las crisis hipertensivas son afecciones que constituyen un problema de salud pública, en el Ecuador se presenta con 9,3% de la población comprendida entre 18 y 59 años, es causa de variadas patologías que inciden en la morbimortalidad. Objetivo: Diseñar una Guía de Manejo para pacientes con crisis hipertensivas que asisten al servicio de emergencias del Centro de Salud Chimbacalle para que el personal de enfermería contribuya con la valoración y administración del tratamiento adecuado y oportuno. Metodología: El enfoque es cualitativo, permitiendo determinar en una población de 35 enfermeras, las falencias relacionadas al proceso de atención de pacientes con crisis hipertensivas. Resultados: Se identificaron el poco conocimiento del personal de enfermería para el manejo de pacientes con crisis hipertensivas en emergencia siendo varias las respuestas incorrectas ofrecidas ante la actuación de enfermería, motivo de la falta de capacitación evidenciado por el 80% de las encuestas y a la necesidad de contar con una guía para el manejo de pacientes con crisis hipertensivas. Conclusiones: La atención de enfermería relacionada al manejo del paciente con crisis hipertensiva que asiste a emergencias está relacionada a la forma de presentación, tipos, valoración clínica, terapéutica y tratamiento farmacológico de estas complicaciones. Existe un nivel inadecuado de conocimientos en el personal de enfermería para el manejo de pacientes con crisis hipertensivas en emergencia y se diseñó una guía de manejo para pacientes con crisis hipertensivas que asisten al servicio de emergencias del Centro de Salud Chimbacalle.
Background: Hypertensive crises are conditions that constitute a public health problem, in Ecuador it presents with 9.3% of the population between 18 and 59 years old, it is the cause of varied pathologies that affect morbimortality. Objective: To design a Management Guide for patients with hypertensive crisis who attend the emergency service of the Chimbacalle Health Center so that the nursing staff contributes with the evaluation and administration of the appropriate and timely treatment. Methodology: The approach is qualitative, allowing determining in a population of 35 nurses the shortcomings related to the care process of patients with hypertensive crisis. Results: The nursing staff did not know much about the management of patients with emergency hypertensive crisis, with several incorrect answers being offered to nurses, a reason for the lack of training evidenced by 80% of the surveys and the need of having a guide for the management of patients with hypertensive crisis. Conclusions: Nursing care related to the management of patients with hypertensive crisis attending emergencies is related to the form of presentation, types, clinical assessment, therapeutics and pharmacological treatment of these complications. There is an inadequate level of knowledge in the nursing staff for the management of patients with emergency hypertensive crisis and a management guide was designed for patients with hypertensive crisis who attend the emergency service of the Chimbacalle Health Center.
Background: Hypertensive crises are conditions that constitute a public health problem, in Ecuador it presents with 9.3% of the population between 18 and 59 years old, it is the cause of varied pathologies that affect morbimortality. Objective: To design a Management Guide for patients with hypertensive crisis who attend the emergency service of the Chimbacalle Health Center so that the nursing staff contributes with the evaluation and administration of the appropriate and timely treatment. Methodology: The approach is qualitative, allowing determining in a population of 35 nurses the shortcomings related to the care process of patients with hypertensive crisis. Results: The nursing staff did not know much about the management of patients with emergency hypertensive crisis, with several incorrect answers being offered to nurses, a reason for the lack of training evidenced by 80% of the surveys and the need of having a guide for the management of patients with hypertensive crisis. Conclusions: Nursing care related to the management of patients with hypertensive crisis attending emergencies is related to the form of presentation, types, clinical assessment, therapeutics and pharmacological treatment of these complications. There is an inadequate level of knowledge in the nursing staff for the management of patients with emergency hypertensive crisis and a management guide was designed for patients with hypertensive crisis who attend the emergency service of the Chimbacalle Health Center.
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HIPERTENSION, EMERGENCIAS, CENTRO DE SALUD DE CHIMBACALLE, CANTON QUITO, ECUADOR