Atención de enfermería en paciente post cesareada por preeclampsia severa del servicio de ginecobstetricia del hospital nacional de Cajamarca

AG Salud Pub Date : 2024-03-11 DOI:10.62486/agsalud202466
Eresvita Cotrina Celiz, Maritza Mercedes Villanueva Julcamoro, Sofía Dora Vivanco Hilario
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引用次数: 2

Abstract

Hypertensive disorders typical of pregnancy include a range of possibilities ranging from preeclampsia (PE) to Eclampsia (E), characterized by the classic triad of arterial hypertension, proteinuria and edema, from week 20 of gestation to the immediate postpartum period. Objective, to determine the role of nursing in the care of patients after cesarean section due to severe preeclampsia. Methodology. The study has a qualitative approach, single case type, applying the nursing care process to a 27-year-old patient selected by convenience; The data collection instrument was the assessment guide according to Maryory Gordon's eleven functional patterns. Results. It was possible to recognize 7 altered nursing diagnoses, prioritizing the main nursing diagnosis (00132) Acute pain r/c physical harmful agent evidenced by facial expression of pain, expressive behavior and VAS 6/10, and as a collaboration problem the Risk of complication: hypovolemic shock. Conclusion. The clinical characteristics and risks of complications in the patient with severe preeclampsia were assessed and identified, individualized nursing interventions were planned that had favorable results in the patient's evolution, +1, +1+1 and +1, the nursing care process based on its five stages, managing to provide comprehensive quality care that allowed favorable results to be obtained in the recovery of the patient's health.
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卡哈马卡国立医院妇产科对一名严重先兆子痫剖宫产术后患者的护理。
典型的妊娠期高血压疾病包括从子痫前期(PE)到子痫后期(E)的一系列可能性,子痫前期的特点是动脉高血压、蛋白尿和水肿,从妊娠第 20 周一直持续到产后不久。目的:确定护理在重度子痫前期剖宫产术后患者护理中的作用。研究方法。该研究采用定性研究方法,单个病例类型,对方便选取的一名 27 岁患者应用护理流程;数据收集工具是根据 Maryory Gordon 的 11 种功能模式制定的评估指南。结果可以识别出 7 个改变的护理诊断,优先考虑主要护理诊断(00132)急性疼痛 r/c 物理有害因子,表现为面部疼痛表情、表达行为和 VAS 6/10,以及作为协作问题的并发症风险:低血容量休克。结论评估并确定了重度子痫前期患者的临床特征和并发症风险,规划了个性化的护理干预措施,对患者的病情发展、+1、+1+1 和 +1产生了良好的效果,基于五个阶段的护理流程,成功提供了全面的优质护理,使患者的健康恢复取得了良好的效果。
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