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Role of the nurse in post cesarean section patient with hellp syndrome in the obstetrics and gynecology service of a National Hospital 国立医院妇产科护士在剖腹产后hellp综合征患者中的作用
Pub Date : 2024-03-11 DOI: 10.62486/agsalud202437
Eva Gutiérrez Carlos, Eguiluz Castro Paucar
Pregnancy with hellp syndrome is life-threatening, it appears in 5-9 out of every 1000 pregnancies and in 10-20% of cases with severe preeclampsia, it causes the breakdown of red blood cells, causing liver problems , bleeding and blood pressure. The objective of this study is to manage nursing care for a patient with síndrome of hellp and hemoperitoneum with pelvic hematoma in the obstetrics-gynecology service. The present study is a research with a qualitative approach, clinical case type, study subject female, 21 years old. The nursing care process was used as a method, the assessment guide of Marjorie Gordon's 11 functional patterns was applied, by which altered patterns were found, formulating the nursing diagnoses: Decreased cardiac output, Acute Pain and CP: Shock hypovolemic. The activities were executed in a timely manner, the evaluation was through the difference in baseline and final scores of the indicators. We can conclude that hellp syndrome is a hypertensive disorder of pregnancy, however, the complication of this post-cesarean patient is hemoperitoneum with pelvic hematoma, timely nursing care against this was the main axis in the patient's restoration. It is concluded that, according to the problems identified in the patient, the nursing care process was managed in its five stages, improving the patient's health status, but the survival and success of the treatment provided depends on the timely identification of the problems and appropriate choice of treatment.
妊娠合并地狱综合征是一种危及生命的疾病,每 1000 例妊娠中就有 5-9 例会出现这种情况,在 10-20% 的重度子痫前期病例中会出现这种情况,它会导致红细胞分解,引起肝脏问题、出血和血压升高。本研究的目的是在妇产科服务中对一名患有地狱综合征和血腹水并伴有盆腔血肿的患者进行护理管理。本研究采用定性研究方法,临床病例类型,研究对象为女性,21 岁。以护理程序为方法,应用马乔里-戈登的 11 种功能模式评估指南,通过评估发现模式的改变,制定护理诊断:护理诊断为:心输出量减少、急性疼痛和心肌梗死:休克低血容量。这些活动都得到了及时执行,并通过各项指标的基线得分和最终得分的差异进行了评估。我们可以得出结论,hellp 综合征是一种妊娠期高血压疾病,但该剖宫产术后患者的并发症是腹腔积血和盆腔血肿,针对这一并发症的及时护理是患者康复的主轴。综上所述,根据患者发现的问题,护理过程分五个阶段进行管理,改善了患者的健康状况,但治疗的成活率和成功率取决于问题的及时发现和治疗方法的合理选择。
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引用次数: 0
Implementación de la Guía la Interrupción Voluntaria del Embarazo 自愿中止妊娠准则》的实施情况
Pub Date : 2024-03-10 DOI: 10.62486/agsalud202460
A. Villaalta, Matias Orsetti, Yamila Bertolini, Fernanda Creo, Patricia Santillan, Noemi Inzaurralde
The Diploma in Gender Equity of the Hospital Interzonal General de Agudos Prof. Dr. Ramón Carrillo seeks to approach health from a feminist and transfeminist perspective, especially in relation to National Law No. 25929, which guarantees the right to the Voluntary Interruption of Pregnancy (VTP). The hospital management faced challenges such as the conscientious objection of some obstetrics professionals. To overcome these obstacles, several actions were proposed, including training professionals in gender equity, expanding care services and improving communication with the community. An interdisciplinary Nurse Liaison team was established to facilitate access to abortion care and a registry system was implemented to monitor outcomes. These measures are expected to reduce barriers to access to sexual and reproductive health, empowering women and pregnant women to make informed decisions about their health. This intersectoral approach and specialized training in gender equity aims to close access gaps and improve the quality of care
拉蒙-卡里略(Ramón Carrillo)教授博士跨区综合医院的性别平等文凭旨在从女权主义和变性女权主义的角度来看待保健问题,特别是与保障自愿中止妊娠(VTP)权利的第 25929 号国家法律有关的问题。医院管理层面临着一些挑战,如一些产科专业人员出于良心拒 绝接受治疗。为了克服这些障碍,提出了几项行动建议,包括对专业人员进行性别平等培训、扩大护理服务和改善与社区的沟通。成立了一个跨学科护士联络小组,以方便获得堕胎护理,并实施了一个登记系统来监测结果。这些措施有望减少获得性健康和生殖健康服务的障碍,增强妇女和孕妇的能力,使她们能够对自己的健康做出知情决定。这种跨部门方法和性别平等方面的专门培训旨在缩小获得服务方面的差距并提高护理质量
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引用次数: 0
Neumonía de lenta resolución, reporte de un caso 缓慢消退的肺炎,病例报告
Pub Date : 2024-03-10 DOI: 10.62486/agsalud202461
Lázaro Noel Pérez Lazo, Darilys Pita Perez, Mayda Nemecia Valido García
Respiratory infections are one of the main causes of consultation and hospitalization in primary health care, including pneumonia. We present the case of a 3-year-old preschooler who came to the health services for presenting frequent wet cough and fever of up to 39 degrees Celsius of 8 days of evolution, who was previously treated with oral Amoxacillin in his health area without resolution of the symptoms. On physical examination, the patient was found to be in good general condition, where only the presence of crackling rales in the right lung base was positive; antimicrobial therapy was started, showing clinical improvement and cessation of the febrile symptoms. On the fifth day of evolution the febrile symptoms reappeared with peaks of up to 39 degrees Celsius. Physical and radiological examination showed worsening of the symptoms. Results of nasopharyngeal exudate were received, which showed Klebsiella pneumophila. An evolutionary chest X-ray was indicated, resulting in a denser and more homogeneous opacity with radiolucent areolar images towards its upper contour that kept occupied upper and middle segments of the right lung field, showing a phase of hepatization of the process with images suggestive of pneumatoceles. Antimicrobial spectrum was extended with Meropenen associated to Vancomycin according to antibiogram and possible sensitivity according to the most frequent etiology according to age, with satisfactory resolution of the picture. Atypical etiologies, including Klebsiella pneumophila, should be suspected in the case of slowly resolving pneumonia.
呼吸道感染是基层医疗机构就诊和住院的主要原因之一,其中包括肺炎。本病例是一名 3 岁的学龄前儿童,因频繁湿咳和持续 8 天高达 39 摄氏度的发烧而到医疗服务机构就诊。体格检查发现,患者全身状况良好,只有右肺底部出现噼啪声啰音呈阳性;抗菌治疗开始后,临床症状有所改善,发热症状也停止了。第五天,发热症状再次出现,最高温度达 39 摄氏度。体格检查和放射检查显示症状加重。鼻咽渗出物检查结果显示有嗜肺克雷伯菌。胸部 X 射线检查结果显示,翳的密度更高、更均匀,上部轮廓有放射线影,一直占据右肺野的中上部,显示出肝化过程阶段,并伴有气灶影。根据抗生素图谱和最常见的病因(根据年龄)可能的敏感性,使用美罗培南联合万古霉素扩大抗菌谱,结果令人满意。在肺炎缓解缓慢的情况下,应怀疑非典型病因,包括嗜肺克雷伯菌。
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引用次数: 0
Implementation of the Respectful Childbirth Guide from a human rights perspective 从人权角度实施《尊重分娩指南
Pub Date : 2024-03-10 DOI: 10.62486/agsalud202459
Matias Orsetti, Yamila Bertolini, A. Villaalta, Fernanda Creo, Patricia Santillan, Noemi Inzaurralde
The Hospital Zonal General de Agudos Prof. Dr. Ramón Carrillo of Ciudadela implements a project to guarantee respect for the rights of pregnant women during childbirth. It includes training of medical staff, promotion of the Respectful Childbirth Law and evaluation of its implementation. The multidisciplinary approach seeks to sensitize staff and the community, creating a committee dedicated to Respectful Childbirth. It is expected to improve the childbirth experience, increase patient satisfaction and strengthen the autonomy of pregnant women. The project aims to improve the quality of obstetric care and promote health equity, ensuring universal access to respectful and quality care
Ciudadela 的 Zonal General de Agudos Prof. Dr. Ramón Carrillo 医院实施了一个项目,以确保尊重孕妇在分娩期间的权利。该项目包括培训医务人员、宣传《尊重分娩法》和评估其执行情况。这种多学科方法旨在提高工作人员和社区的认识,成立一个专门负责 "尊重分娩 "的委员会。预计这将改善分娩体验,提高患者满意度,并加强孕妇的自主权。该项目旨在提高产科护理质量,促进健康公平,确保普遍获得受尊重的优质护理服务
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引用次数: 0
Social vulnerability in communities of reformation and his relation with the stress 改革社区的社会脆弱性及其与压力的关系
Pub Date : 2024-02-23 DOI: 10.62486/agsalud202445
María de las Nieves Veloz Veloz Montano, Mercedes Keeling Álvarez
The article constitutes a result attained of the study accomplished from the Center Especializado in Servicios Educacionales of the municipality San Miguel of the Census to the 19 communities of reformation that are  characterized for his conformation with originating residents of communities with socioeconomic unfavorable conditions, with risk factors in the behavior of the same, generated for internal emigration. He shows himself to be transit to new communities still when they improve the socioeconomic conditions of life, they keep on carrying conditions of social vulnerability, in front of lack of legal capacity and conscience of the communal in the solution of his problems of social cohabitation. They examine a set of factors that they have an effect on the prevalence of social vulnerability and relation with the stress that they generate the insecurity, the aggressiveness and the crowding accepts her.
这篇文章是人口普查圣米格尔市教育服务专业中心对 19 个改革社区进行研究的结果,这些社区的特点是与社会经济条件不利的社区原住居民相吻合,其行为具有风险因素,产生了内部移民。当新社区的社会经济生活条件得到改善时,他们仍会继续携带社会脆弱性条件,在缺乏法律能力和社区良知的情况下解决其社会同居问题。他们研究了一系列因素,这些因素对社会脆弱性的普遍性产生影响,并与产生不安全感、攻击性和拥挤的压力有关。
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引用次数: 0
Leadership in safety and health management at work in Courier companies 快递公司在工作安全和健康管理方面的领导能力
Pub Date : 2024-02-22 DOI: 10.62486/agsalud202444
Wilfredo J. De Pablos, Ana Julia Guillén, Mercedes B. Blanco, Estela Hernández-Runque
Objective: To evaluate the relationship between the type of leadership within the operational and management processes of Occupational Health and Safety of Courier companies in Venezuela. Materials and Methods: The research was of a: Documentary, Analytical and Comparative nature. Three Courier companies in Venezuela were analyzed, with an intentional sample of 21 supervisors. Two indexed questionnaires were applied, the Multifactor Transactional and Transformational Leadership Questionnaire and the Multifactor Leadership Questionnaire. Results: Company E1 obtained a score of 0.2 Points, which indicates that it is below the minimum, which in this case is 0.5 points, which corresponds to non-compliance with safety standards and procedures. and health at work. Likewise, the companies are framed in a value of 3.56, 3.84, 3.72, with the highest value being 4, which allows us to infer that the type of leadership with the greatest results obtained for the three companies evaluated was transformational. Conclusions: It was concluded that transformational leadership in occupational health and safety has a positive and direct influence on performance in occupational health and safety management
目的评估委内瑞拉快递公司职业健康与安全运营和管理过程中领导类型之间的关系。材料与方法:研究具有纪实、分析和比较性质。对委内瑞拉的三家快递公司进行了分析,意向样本为 21 名主管。采用了两份指数化问卷,即《多因素交易型和转化型领导力问卷》和《多因素领导力问卷》。结果显示E1 公司得分为 0.2 分,这表明它低于最低标准,在这种情况下,最低标准为 0.5 分,这相当于不遵守安全标准和程序。同样,各公司的框架值分别为 3.56、3.84、3.72,最高值为 4,由此我们可以推断,在接受评估的三家公司中,效果最好的领导类型是变革型领导。结论结论是,职业健康与安全方面的变革型领导对职业健康与安全管理的绩效具有积极和直接的影响。
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引用次数: 0
Pericardiocentesis guiada por ecografía en el Taponamiento cardíaco: reporte de un caso 超声引导下心包穿刺术治疗心脏填塞:病例报告
Pub Date : 2024-02-22 DOI: 10.62486/agsalud202342
Adrián Avila Hilari, Jhossmar Cristians Auza-Santiváñez, Digmar Ortiz Huiza, Robles-Nina Robles-Nina, Franco L Franco L, Diaz Guerrero Diaz Guerrero
We present the case of a patient with a history of penetrating chest trauma, complicated by hemopneumothorax, resolved by pleurostomy tube. Subsequently, the patient progresses unfavorably with hemodynamic instability and is transferred to the Intensive Care Unit, where POCUS (Point of Care Ultrasound) ultrasonography is performed, showing significant pericardial effusion which is caused by cardiac tamponade, which causes a state of shock. obstructive type, so it was decided to perform ultrasonography-guided pericardiocentesis, showing a favorable evolution after the procedure
我们介绍了一例患者的病例,患者曾有胸部穿透性外伤史,并发血气胸,经胸膜造口插管后得以缓解。随后,患者因血流动力学不稳定而病情恶化,被转入重症监护室,并在重症监护室进行了 POCUS(Point of Care Ultrasound,护理点超声)超声检查,结果显示患者有明显的心包积液,这是由心脏填塞引起的,并导致休克状态。
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引用次数: 0
Calidad de vida laboral en trabajadores con discapacidad de empresas manufactureras y de servicios 制造业和服务业残疾工人的工作生活质量
Pub Date : 2024-02-22 DOI: 10.62486/agsalud202443
Valentina Trovat, M. Ochoa, Estela M. Hernández-Runque, R. Gómez, M. Jiménez, Patrícia Correia
The present research aimed to analyze quality of work life in workers with disabilities in manufacturing and service companies. Among its main purposes was the assessment of workers with disabilities with respect to their working condition. Likewise, the elements that make up occupational well-being for these workers were characterized and the quality of work life and engagement with employment in general of workers with disabilities in manufacturing and service companies was analyzed. The contextualization and classification of the information used started from a method governed by the positivist paradigm with a quantitative approach, framed in a research whose level of knowledge and depth was descriptive, under evaluative field research criteria, within a horizon of reflection on a reality that closely impacts the professional experiences of people with disabilities. Using instruments to collect sociodemographic and labor data, as well as the Working Conditions Questionnaire, the General Work Wellbeing Questionnaire and the Satisfaction of Work Questionnaire. Among the most important results and conclusions is that the people surveyed identify significantly with the organization where they work and presented low collateral effects, responding to optimally valued work well-being along with a high commitment to their work, showing that they feel who have a good quality of work life
本研究旨在分析制造业和服务业公司残疾工人的工作生活质量。其主要目的之一是评估残疾工人的工作条件。同样,还对构成这些工人职业幸福感的要素进行了描述,并分析了制造业和服务业公司残疾工人的工作生活质量和总体就业参与度。对所使用的信息进行背景分析和分类,首先是采用实证主义范式的定量方法,在对密切影响残疾人职业经历的现实情况进行反思的基础上,根据评价性实地研究标准,对研究的知识水平和深度进行描述。使用工具收集社会人口和劳动数据,以及工作条件问卷、一般工作福利问卷和工作满意度问卷。其中最重要的结果和结论是,接受调查的人对其工作所在的组织认同度很高,并提出了较低的附带效应,对工作幸福感做出了最佳评价,同时对其工作做出了高度承诺,表明他们认为自己的工作生活质量很高。
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引用次数: 0
Update on the use of gamified educational resources in the development of cognitive skills 利用游戏化教育资源发展认知技能的最新情况
Pub Date : 2024-02-08 DOI: 10.62486/agsalud202441
Javier González-Argote, William Castillo-González
Introduction: the use of game elements and game design techniques in content unrelated to the same is known as gamification. It is likely that gamified environments generate a fruitful scenario to evoke complex processes within higher nervous activity and thus develop cognitive skills. This facilitates its application for educational purposes. The objective was to characterize the use of gamified educational resources in the development of cognitive skills. Method: a total of 27 articles in Spanish and English were reviewed, from Pubmed, Scielo and Scopus; using as keywords: gamification, game, cognition, being more than 50% of the last five years.Result: gamification improves the services in which it is applied through playful experiences, it can positively influence aspects of the student experience such as level of interest, intellectual intensity and intrinsic motivation, by providing opportunities for autonomy, relationship and competition. There is a strong need for further exploration and experimentation to provide a gamified design that meets user preferences, tailored to individual characteristics. Conclusions: Gamified educational environments facilitate learning like a game. Through gamification it seems to increase motivation, commitment, active interaction, level of interest, critical thinking, intellectual intensity and intrinsic motivation. The effectiveness of gamification largely depends on the use of different game features and how they are implemented
导言:在与游戏无关的内容中使用游戏元素和游戏设计技术被称为游戏化。游戏化环境可能会产生一种富有成效的情景,唤起高级神经活动的复杂过程,从而发展认知技能。这有助于将其应用于教育目的。本研究的目的是分析游戏化教育资源在发展认知技能方面的使用情况。结果:游戏化通过游戏体验改善了所应用的服务,通过提供自主、关系和竞争的机会,它可以对学生体验的各个方面产生积极影响,如兴趣水平、智力强度和内在动力。我们亟需进一步探索和实验,以提供符合用户偏好、适合个人特点的游戏化设计。结论游戏化教育环境能像游戏一样促进学习。通过游戏化,似乎可以提高学习动机、承诺、积极互动、兴趣水平、批判性思维、智力强度和内在动力。游戏化的效果在很大程度上取决于不同游戏功能的使用和实施方式。
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引用次数: 2
Psychometric evidence of the mobile dependence test in the young population of Lima in the context of the pandemic 大流行病背景下利马年轻人移动依赖测试的心理计量学证据
Pub Date : 2024-02-08 DOI: 10.62486/agsalud202440
Fernando Joel Rosario Quiroz, Nicolás Humbertovich Gamarra
With the intention of estimating the psychometric properties of the mobile dependency test applied in the youth of Lima in the context of the pandemic, psychometric and instrumental design research has been carried out. The scale was administered to the 380 participants using non-probability sampling. It has been verified that the values of the goodness of fit of the original scale are outside the range of optimal values. The adjustment of factors was carried out by eliminating items 7 and 19 and obtaining the re-specified model of four factors with accumulated variance of 52.82%. The factor analysis of the re-specified model yielded acceptable goodness of fit values with x2/ gl = 2.8; RMSEA = .069; SRMR = .051; CFI = .92 and TLI = .90. The reliability of the total scale showed very good results in Cronbach's alpha and McDonalds Omega (.923 and .922). Finally, it was determined that the re- specified 4-factor scale with the items eliminated reveals the certainty of reliability and validity
为了评估在大流行病背景下应用于利马青年的移动依赖性测试的心理测量特性,我们开展了心理测量和工具设计研究。通过非概率抽样,对 380 名参与者进行了量表测试。经核实,原量表的拟合度值超出了最佳值范围。通过剔除第 7 项和第 19 项,对因子进行了调整,得到了由四个因子组成的重新规范模型,累计方差为 52.82%。对重新定义的模型进行因子分析后得出了可接受的拟合优度值:x2/ gl = 2.8;RMSEA = 0.069;SRMR = 0.051;CFI = 0.92;TLI = 0.90。总量表的 Cronbach's alpha 和 McDonalds Omega(0.923 和 0.922)信度结果非常好。最后,可以确定的是,在剔除相关项目后重新制定的 4 因子量表在信度和效度方面都是可靠的。
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引用次数: 2
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AG Salud
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