Proceso de enfermería a paciente de post histerectomía abdominal total del servicio de ginecología en un hospital de Arequipa

AG Salud Pub Date : 2024-03-11 DOI:10.62486/agsalud202435
Mary Luz Farfán Espinal, Rocío Milagros Martínez Mendoza de Centurión, María Guima Reinoso Huerta
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Abstract

Myomas are benign smooth muscle tumors of the uterus, whose main sign is bleeding. The objective was to manage the nursing care process in a post total abdominal hysterectomy patient. The study had a qualitative approach, single case type, the methodology was the nursing care process, which included 40-year-old patient, in which all stages of the nursing care process were followed: the assessment stage, was performed through the assessment framework of the 11 functional patterns of Maryori Gordon, 10 altered patterns were found, prioritizing three: infection risk criterion, convenience and comfort, education diagnosis and adaptation improvement, the diagnostic stage was elaborated based on NANDA I taxonomy II, ten nursing diagnoses were identified, prioritizing three of them: risk of operative wound infection, acute pain and anxiety, according to the SSPFR format (signs and symptoms, problem, related factor/risk factor/associated to); likewise the planning stage was carried out taking into account the Taxonomy NOC, NIC, in the execution stage the care was administered, and the evaluation was given by the difference of final and baseline scores respectively. In the results, a score of +1, +1, +1 change was obtained. In conclusion, the nursing care process was managed in the patient which allowed providing quality care to the patient. 
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阿雷基帕一家医院妇科全腹子宫切除术后患者的护理流程。
子宫肌瘤是一种良性子宫平滑肌瘤,主要表现为出血。本研究的目的是对全腹子宫切除术后患者的护理过程进行管理。该研究采用定性方法,单病例类型,方法为护理流程,其中包括 40 岁的患者,护理流程的所有阶段均遵循:评估阶段,通过 Maryori Gordon 11 种功能模式的评估框架进行评估,发现 10 种改变的模式,优先考虑三种模式:感染风险标准、方便和舒适、教育诊断和适应性改善;诊断阶段,根据 NANDA I 分类法 II 进行阐述,确定 10 项护理诊断,优先考虑其中 3 项:根据 SSPFR 格式(体征和症状、问题、相关因素/风险因素/有关因素),确定了十项护理诊断,并将其中三项列为优先事项:手术伤口感染风险、急性疼痛和焦虑;同样,在计划阶段,考虑到分类标准 NOC、NIC,实施了护理,并分别根据最终得分和基线得分的差异进行了评估。结果显示,得分分别为+1、+1、+1。总之,对患者的护理过程进行了管理,从而为患者提供了优质护理。
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