Uso del score de Silverman en enfermería para el manejo del neonato con dificultad respiratoria
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
El presente trabajo investigativo, realizado en el Hospital Básico “María Lorena Serrano
Aguilar” del cantón El Guabo, tiene como objetivo, determinar el cumplimiento del uso
del score de Silverman en enfermería para el manejo del neonato con Dificultad
Respiratoria. Es un estudio descriptivo, cuantitativo, no experimental, longitudinal
prospectivo, el universo está conformado por las historias clínica de 545 neonatos
atendidos desde el mes de Enero a Octubre del presente año durante las 2 primera horas de
observación, donde se observaron su hubo o no signos de alarma que llevaron al uso del
score de Silverman, antes de pasar a alojamiento conjunto, de los cuales 31 recién nacido
fueron ingresados por diversas patologías, siendo el 55, 3% de los ingresos la causa
respiratoria. Se aplicó un test de conocimiento sobre la dificultad respiratoria y el uso del
score de Silverman al personal de enfermería de los cuales el 15% (3 personas) aplican el
uso del score, un 10% (2 personas) no lo aplican y un 75% (15 personas) lo aplican a
veces. Los datos fueron analizados cuantitativamente ingresados al programa de Excel,
transformando de los datos absolutos a porcentajes y la interpretación de los mismos, se
elaboró un checklist para evaluar el cumplimiento del uso del score de Silverman en el
reporte de enfermería. El resultado en general encontrados en el proceso investigativo es
que el personal de enfermería le falta iniciativa y la destreza para observar signos de
alarma y usar el score, pues consideran que les toma tiempo hacer un reporte, falta de
personal de enfermería y además no es tomado en cuenta por parte del personal médico.
The present investigation, carried out in the Basic Hospital "María Lorena Serrano Aguilar" of the canton El Guabo, aims to determine compliance with the Silverman score in nursing for the management of the neonate with Respiratory Difficulty. It is a descriptive, quantitative, non-experimental, longitudinal, prospective study, the universe is conformed by the clinical histories of 545 neonates attended from the month of January to October of this year during the first 2 hours of observation, where they were observed or not Alarm signs that led to the use of the Silverman score, before moving to joint lodging, of which 31 newborns were admitted for various pathologies, with 55.3% of admissions being the respiratory cause. A knowledge test on respiratory distress and the use of the Silverman score was applied to nursing staff, of whom 15% (3 people) applied the score, 10% (2 people) did not apply it and a 75 % (15 people) apply it sometimes. The data were analyzed quantitatively in the Excel program, transforming from the absolute data to percentages and the interpretation of the same, a checklist was elaborated to evalua te the fulfillment of the use of the Silverman score in the nursing report. The overall result found in the investigative process is that the nursing staff lacks initiative and the ability to observe warning signs and use the score, as they consider that it takes time to make a report, lack of nursing staff and also is not Taken into account by medical personnel
The present investigation, carried out in the Basic Hospital "María Lorena Serrano Aguilar" of the canton El Guabo, aims to determine compliance with the Silverman score in nursing for the management of the neonate with Respiratory Difficulty. It is a descriptive, quantitative, non-experimental, longitudinal, prospective study, the universe is conformed by the clinical histories of 545 neonates attended from the month of January to October of this year during the first 2 hours of observation, where they were observed or not Alarm signs that led to the use of the Silverman score, before moving to joint lodging, of which 31 newborns were admitted for various pathologies, with 55.3% of admissions being the respiratory cause. A knowledge test on respiratory distress and the use of the Silverman score was applied to nursing staff, of whom 15% (3 people) applied the score, 10% (2 people) did not apply it and a 75 % (15 people) apply it sometimes. The data were analyzed quantitatively in the Excel program, transforming from the absolute data to percentages and the interpretation of the same, a checklist was elaborated to evalua te the fulfillment of the use of the Silverman score in the nursing report. The overall result found in the investigative process is that the nursing staff lacks initiative and the ability to observe warning signs and use the score, as they consider that it takes time to make a report, lack of nursing staff and also is not Taken into account by medical personnel
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Score de Silverman, Recién nacido, Enfermería, Síndrome de dificultad respiratoria del recién nacido, Epidemiología descriptiva, Hospital Básico María Lorena Serrano, Cantón El Guabo, Ecuador