Abdomen agudo en Emergencia del Hospital El Carmen, Manabí
Fecha
2017
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
El abdomen agudo es un síndrome, que con frecuencia acude el paciente a
emergencia, generalmente su tratamiento es quirúrgico, la rapidez del diagnóstico y
tratamiento determina la disminución de morbimortalidad; se realizó un estudio cuantitativo
no experimental, de cohorte transversal, el objetivo fue: Caracterización del abdomen agudo,
en pacientes que acuden a emergencia del hospital el Carmen Manabí, 2016. Los datos fueron
obtenidos del departamento de estadística y de historias clínicas de emergencias, utilizando
regla de tres y procesados en programa de Excel, todos los datos fueron confidenciales y con
autorización de la directora. La muestra del estudio fue 3% que equivale a 1063 pacientes; La
frecuencia de abdomen agudo predomina en el sexo femenino con 57.85%, el grupo etario de
mayor frecuencia con abdomen agudo son pacientes mayores 60 años con 31.23%, de nivel
educacional primaria 44.30%, pertenecen a zona rural 59.81%. La patología más frecuente
fue, abdomen agudo inespecífico con 39.79%; El 92.78% no presentaron complicaciones y la
deshidratación fue la complicación más frecuente, con 3.85%. La patología de mayor
frecuencia en el comportamiento etiológico y su relación con el sexo, predomino el abdomen
agudo inespecífico en ambos sexos, 48.61% son femeninas y 27.68% son masculinos. En el
comportamiento etiológico de abdomen agudo y su relación con la edad y sexo en las
femeninas, predomina la colecistitis aguda con 70.70% y la oclusión intestinal con 82.25%
ambas patologías en mayores de 60 años, en los masculinos, predomino oclusión intestinal
con 89,65 en mayores de 60 años. Se realiza un proyecto aplicado a mejorar la atención de
enfermería a pacientes con Abdomen Agudo y recomendamos que el distrito de salud 13D05
el Carmen, en coordinación con líder de gestión de enfermería, socialicen el presente
proyecto.
The acute abdomen is a syndrome, which frequently comes to the patient in emergency, usually its treatment is surgical, the speed of diagnosis and treatment determines the decrease of morbidity and mortality; A non-experimental, cross-sectional quantitative study was carried out. The objective was: Characterization of the acute abdomen in patients who come to the emergency room of the Carmen El Manabí hospital in 2016. Data were obtained from the statistics department and emergency medical histories, Using rule of three and processed in excel program, all the data was confidential and with authorization of the director. The study sample was 3% which equates to 1063 patients; The frequency of acute abdomen predominates in the female sex with 57.85%, the most frequent age group with acute abdomen are patients older than 60 years with 31.23%, primary education level 44.30%, belong to the rural area 59.81%. The most frequent pathology was acute non-specific abdomen with 39.79%; 92.78% had no complications and dehydration was the most frequent complication, with 3.85%. The most frequent pathology in the etiological behavior and its relation to sex predominated the non-specific acute abdomen in both sexes, 48.61% were female and 27.68% were male. In the etiologic behavior of acute abdomen and its relationship with age and sex in females, acute cholecystitis predominates with 70.70% and intestinal occlusion with 82.25%, both pathologies in patients older than 60 years, in the male, intestinal occlusion predominates with 89, 65 in people over 60 years. A project is applied to improve nursing care for patients with Acute Abdomen and we recommend that the 13D05 el Carmen health district, in coordination with the nursing management leader, socialize this project.
The acute abdomen is a syndrome, which frequently comes to the patient in emergency, usually its treatment is surgical, the speed of diagnosis and treatment determines the decrease of morbidity and mortality; A non-experimental, cross-sectional quantitative study was carried out. The objective was: Characterization of the acute abdomen in patients who come to the emergency room of the Carmen El Manabí hospital in 2016. Data were obtained from the statistics department and emergency medical histories, Using rule of three and processed in excel program, all the data was confidential and with authorization of the director. The study sample was 3% which equates to 1063 patients; The frequency of acute abdomen predominates in the female sex with 57.85%, the most frequent age group with acute abdomen are patients older than 60 years with 31.23%, primary education level 44.30%, belong to the rural area 59.81%. The most frequent pathology was acute non-specific abdomen with 39.79%; 92.78% had no complications and dehydration was the most frequent complication, with 3.85%. The most frequent pathology in the etiological behavior and its relation to sex predominated the non-specific acute abdomen in both sexes, 48.61% were female and 27.68% were male. In the etiologic behavior of acute abdomen and its relationship with age and sex in females, acute cholecystitis predominates with 70.70% and intestinal occlusion with 82.25%, both pathologies in patients older than 60 years, in the male, intestinal occlusion predominates with 89, 65 in people over 60 years. A project is applied to improve nursing care for patients with Acute Abdomen and we recommend that the 13D05 el Carmen health district, in coordination with the nursing management leader, socialize this project.
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ABDOMEN AGUADO, SERVICIO DE URGENCIA EN HOSPITAL, HOSPITAL BASICO EL CARMEN, CANTON EL CARMEN, ECUADOR