Revista Cubana de Enfermeria最新文献

This study consisted in the observation of the technique of administration of antineoplastic drugs to children in the Department of Hematology and Oncology at "Pedro Borrás Astorga" Pediatric Hospital during January and February, 1989. A number of 50 techniques from which 96% were correct and only two (4%) were incorrect since there was a chemical phlebitis in the site of the venous puncture, was observed. It was proved that nursing staff is well trained for the development of this technique which requires maximal scientific skills to avoid complications in these patients. Adverse reactions shown by the patients with the administration of different antineoplastic drugs do not differ from what has been found in the literature.

The hepatic coma is an entity tending to occur as a complication of severe hepatic diseases and in which the recognition of symptoms and signs by the personnel caring for those patients is essential for the early detection of this condition. A review of the literature is made making emphasis on the pathogenesis, clinical picture and the trigger factors of the hepatic coma. The nursing care for patients with hepatic coma are described; stressing that the nursing diagnosis of the first signs Ia essential for the prognosis and the clinical course of these patients. It is pointed out how health education in these patients is oriented to maintain and improve their health condition, to have a better response to the treatment and to avoid a relapse in prone patients.

A survey in the health area of "Héroes del Moncada" Polyclinics in Plaza de la Revolución municipality from Havana City was carried out by means of a multistage sampling in which 352 women in reproductive age (15-49 years old) were randomly chosen. A questionnaire designed by the World Health Organization for this kind of investigation was applied and a work of information and orientation was carried out for the infertile women. Prevalence of infertility in this health area was moderate and was found in 9.1% of the total number of women studied (12.1% of married women). Primary infertility was found in 0.6% of the total number of the women studied (12.1% of married women) and secondary infertility was found in 8.5% (11.3% of married women). A 43.8% of infertile women wanted to be pregnant what inversely correlated with the age and the number of children. The efficacy of the educational work of nursing was evidenced because 85.7% of infertile women who wanted to be pregnant attended the specialized consultation after the interview by the nurse. It is recommended to increase the nursing activity in the field of human reproduction.

A study was carried out on 200 patients divided in two groups of 100, labeled 1 and 2. They underwent vaginal secretion tests by the direct method in order to assess its appropriateness for Gardnerella vaginalis presumptive diagnosis. This study was related with patients' symptoms, such as leukorrhea and fetidity prevailing in Group 1 and lower abdomen pain prevailing in Group 2, as well as the proportions of germs isolated and the association with this symptom for defining the microorganism role in the occurrence of so-called unspecific vaginitis; Group 1 had 100% of positive plates and Group 2 had 55%, who were given adequate treatment for the couple with further confirmation of the results which were effective in 96.7% of the cases. No relation could be seen between IUD and the presence of germ, since it is likely that its existence was not taken into account on inserting IUD.

Greater dynamism is advocated in the teaching-learning process of Nursing Care by proposing essential skills which are both logical and specific, necessary and sufficient, to provide people (healthy or diseased), the family and the community with more efficient and quicker nursing cares. The theoretical foundations of the invariants proposed are stated and a description is given of the operational method for evaluating students' case discussions by using a measuring scale in a surgical patient with hydric, electrolytical and acid-basic unbalance. The results reached are satisfactory since 50% of the students were evaluated as "very high". Continuation of the study with other groups of students is recommended.

In March 1989 the sub-program for reducing low birth-weight was put into practice. As a response to the application of this subsystem a plan was started at the Northern Maternal Hospital in Santiago de Cuba aimed at training these children's mothers in relation to techniques for caring babies. By means of the sources used some aspects regarding these newborn children were assessed, as well as the achievements of the mothers in the course during their hospitalization. The results showed the effectiveness of this plan, the advantages of its being adopted by nurses and its great social significance.

A study was carried out with children who had been hospitalized due to urinary sepsis at the Ciro Redondo General Hospital in Artemisa, during the first quarter of 1990. Nursing cares are pointed out. Of the 149 children admitted during that period, 13 (8.64%) had urinary infection. The most affected age group was that under 1 year. The germ most often found was Escherichia coli. Vesicoureteric reflux was found in 2 infants and the most common manifestation was fever.