Atención integral al paciente con sangrado digestivo en el Hospital General de Babahoyo (IESS)
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2017
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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Antecedentes: La hemorragia digestiva alta y baja es una urgencia médica frecuente, consume recursos hospitalarios y para la resolución de esta patología se requiere equipos multidisciplinarios y personal capacitado con habilidades y destrezas. En Ecuador no se conoce un centro especializado en Sangrado digestivos. Objetivo: Determinar la atención integral al paciente con sangrado digestivo en el Hospital General IESS de Babahoyo. Metodología: Es un estudio de enfoque cuantitativo, con un diseño no experimental de tipo descriptivo y corte transversal. Resultados: En relación a los conocimientos sobre protocolos de manejo en hemorragia digestiva alta o baja el personal de salud respondió no estar ni acuerdo ni desacuerdo en un 52.40%. las instalaciones de la institución son las adecuadas para de manejo en hemorragia digestiva el personal de salud respondieron estar completamente de acuerdo un 71,23%; Muy de acuerdo 19,18%; la implementación del equipo multidisciplinario con alta capacidad de resolución se indica lo siguiente; estar completamente de acuerdo el 57,53%; muy de acuerdo un 24,66%. Conclusión: La creación de la Unidad de Sangrantes Digestivos en el Hospital del IESS de Babahoyo permitirá un manejo de calidad de estos pacientes, debido a la falta de un equipo multidisciplinario que brinde una atención integral del usuario con sangrado digestivo, que es uno de los objetivos primordiales; y la importancia que se cuente con infraestructura, personal calificado, normas y protocolos actualizados, recursos financieros y logísticos, así como una educación permanente al personal de salud para brindar la atención adecuada a los pacientes con sangrado digestivo.
Background: Upper and lower gastrointestinal hemorrhage is a frequent medical emergency, consuming hospital resources and for the resolution of this pathology requires multidisciplinary teams and trained personnel with skills and abilities. In Ecuador there is no known center specialized in digestive bleeding. Objective: To determine comprehensive care for the patient with digestive bleeding at the IESS General Hospital in Babahoyo. Methodology: It is a study of quantitative approach, with a non-experimental design of descriptive type and transversal section. Results: In relation to knowledge about management protocols in upper or lower gastrointestinal bleeding, health personnel answered that there was neither agreement nor disagreement in 52.40%. The facilities of the institution are suitable for management in digestive hemorrhage the health personnel responded to be fully agreeing 71.23%; Strongly agree 19.18%; The implementation of the multidisciplinary team with high resolution capacity is indicated as follows; Be fully in agreement 57.53%; Very agree 24.66%. Conclusion: The creation of the Digestive Bleeding Unit at the IESS Hospital in Babahoyo will allow a quality management of these patients, due to the lack of a multidisciplinary team that provides an integral attention of the user with digestive bleeding, which is one of the Primary objectives; And the importance of having infrastructure, qualified personnel, up-to-date standards and protocols, financial and logistical resources, as well as ongoing education to health personnel to provide adequate care to patients with digestive bleeding.
Background: Upper and lower gastrointestinal hemorrhage is a frequent medical emergency, consuming hospital resources and for the resolution of this pathology requires multidisciplinary teams and trained personnel with skills and abilities. In Ecuador there is no known center specialized in digestive bleeding. Objective: To determine comprehensive care for the patient with digestive bleeding at the IESS General Hospital in Babahoyo. Methodology: It is a study of quantitative approach, with a non-experimental design of descriptive type and transversal section. Results: In relation to knowledge about management protocols in upper or lower gastrointestinal bleeding, health personnel answered that there was neither agreement nor disagreement in 52.40%. The facilities of the institution are suitable for management in digestive hemorrhage the health personnel responded to be fully agreeing 71.23%; Strongly agree 19.18%; The implementation of the multidisciplinary team with high resolution capacity is indicated as follows; Be fully in agreement 57.53%; Very agree 24.66%. Conclusion: The creation of the Digestive Bleeding Unit at the IESS Hospital in Babahoyo will allow a quality management of these patients, due to the lack of a multidisciplinary team that provides an integral attention of the user with digestive bleeding, which is one of the Primary objectives; And the importance of having infrastructure, qualified personnel, up-to-date standards and protocols, financial and logistical resources, as well as ongoing education to health personnel to provide adequate care to patients with digestive bleeding.
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Atención integral del paciente, Hemorragia gastrointestinal, Epidemiologia descriptiva, Hospital General Babahoyo (IESS), Cantón Babahoyo, Ecuador