Nursing care in post-surgical patient of adnexal cystectomy in the obstetrics and gynecology service of a national hospital – Chincha

Abstract

The study was applied to an immediate post-surgical patient of adnexal cystectomy in the gynecology-obstetrics service. The ovarian cyst is a sac with a collection of fluid that forms in the ovary or the wall of adjacent organs. The objective was to manage the nursing care process (PAE) for a post-surgical patient of adnexal cystectomy with right salpingo-oopherectomy with release of adhesions. The study has a qualitative approach, a single case type, the methodology was the PAE, which included a 22-year-old patient, in which the five stages were applied: in the assessment stage, the guide with the 11 functional patterns was applied by Maryori Gordon, 6 altered patterns were found, three being prioritized: cognitive perceptual, exercise activity and metabolic nutritional; In the diagnosis stage, it was developed based on taxonomy II of NANDA-I, 10 nursing diagnoses were identified, prioritizing three: (00132) Acute pain, (00266) Risk of surgical wound infection and: (00232) Obesity, according to the SSPFR format (signs and symptoms, problem, related factor/risk factor/associated); In the planning stage, the care plan was developed based on the NOC, NIC Taxonomy; In the execution stage, specific care was provided according to the plan; and in the evaluation the difference between the final and baseline scores respectively was assessed, resulting in a score of +2, +1 and +1. In conclusion, the nursing care process for the patient was managed, which allowed quality and holistic care to be provided.