Nursing care in patients with cesarean section due to premature rupture of membranes in the obstetrics and gynecology service, Lima hospital

AG Salud Pub Date : 2024-03-11 DOI:10.62486/agsalud202467
Tania Rosario Alcántara Echegaray, Cynthia Milagros Gonzales Carbajal, Sofía Dora Vivanco Hilario
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Abstract

Premature rupture of membranes (RPM) is defined as the loss of continuity of the amniotic membranes with leakage of transvaginal amniotic fluid, which occurs before the onset of labor, where cesarean section is medical-surgical treatment with the purpose of avoid complications of neonatal maternal morbidity and mortality. The objective of the study was to manage the nursing care process for a patient with cesarean section by RPM. The nursing care process had a qualitative approach, single case type, of methodology, which included a 35-year-old woman, in which the five stages of the PAE were applied where the assessment was carried out applying the assessment guide of the patterns. of Maryori Gordon, three nursing diagnoses were prioritized: acute pain, risk of infection and anxiety, using the NANDA-I taxonomy. In the planning and execution stage, the care plan was prepared considering the Taxonomy NOC, NIC and in the last evaluation stage a change score +2, +2, +2 was obtained. It is concluded that the application of the PAE allows to provide specialized care in a comprehensive and quality manner throughout the recovery process.
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利马医院妇产科对胎膜早破剖宫产患者的护理
胎膜早破(RPM)是指羊膜失去连续性,经阴道羊水漏出,发生在临产前,剖宫产是内外科治疗,目的是避免新生儿产妇发病率和死亡率的并发症。该研究的目的是通过RPM管理剖宫产患者的护理过程。护理过程采用定性方法、单个病例类型、方法学,其中包括一名 35 岁的产妇,应用 PAE 的五个阶段,应用模式的评估指南进行评估。 根据 NANDA-I 分类法,Maryori Gordon 的三个护理诊断被优先考虑:急性疼痛、感染风险和焦虑。在计划和执行阶段,根据 NOC、NIC 分类标准制定了护理计划,并在最后的评估阶段获得了 +2、+2、+2 的变化分数。结论是,应用 PAE 可以在整个康复过程中提供全面、优质的专门护理。
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