Maruja Amelia Torres Zarate, Sofía Dora Vivanco Hilarioa
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引用次数: 2
摘要
导言:子宫内膜异位症是子宫内膜腺体和基质在身体其他部位的异常扩张,可引起出血、炎症和纤维化。主要并发症是生育能力下降,约有 50%至 75%的妇女会出现这种情况。目标:确定宫颈子宫内膜异位症患者的护理活动。方法:定性发表,采用基于护理过程(PAE)方法的单一临床病例设计,将 Marjory Gordon 的评估指南应用于一名 39 岁的患者,该患者表现为下腹疼痛、性交后出血和瘙痒。结果:确定了八项护理诊断,优先考虑(00132)急性疼痛 r/c 生物有害物 m/p 止痛体位、疼痛表达、呻吟、防御行为和 VAS 8/10。所采取的干预措施改善了出血过程;考虑到出血并发症的问题,由于干预和评估的时间较短,结果仍不确定。结论确定了子宫颈内膜异位症患者的临床特征以及增加可能并发症的风险因素。对子宫内膜异位症引起的出血风险采取预防措施非常重要。在 PAE 中确定主要问题和风险的整个过程有助于制定个性化护理计划,提供充分、及时的护理,满足基本需求,利用 NANDA I、NOC、NIC 和 Linda Carpenito 区域模型的协作问题提高护理专业人员的技能。
Atención de enfermería a paciente con endometriosis cervical del servicio de ginecología en un hospital nacional de Huánuco
Introduction: Endometriosis is the abnormal expansion of endometrial glands and stroma in other areas of the body, these can cause hemorrhage, inflammation and fibrosis. The main complication is decreased fertility, between 50% to 75% of women. Objective: Determine the nursing activities for a patient with cervical endometriosis. Methodology: Qualitative publication, with a single clinical case design based on the nursing care process (PAE) method, Marjory Gordon's assessment guide was applied to a 39-year-old patient who presented with pain in the lower abdomen, postcoital bleeding and pruritus. Results: Eight nursing diagnoses were identified, prioritizing (00132) Acute pain r/c biological harmful agent m/p analgic position, expression of pain, moaning, defensive behavior and VAS 8/10. The interventions carried out improved the bleeding process; Given the problem of hemorrhage complication, the results are still indefinite due to the few hours of intervention and evaluation. Conclusion: The clinical characteristics of the patient corresponding to cervical endometriosis and the risk factors that increase the possible complication were identified. It is important to apply preventive actions against the risk of bleeding caused by endometriosis. This entire process framed in the PAE that identified main problems and risks allowed the development of a personalized care plan to provide adequate, timely care that covers basic needs, improving the skills of the nursing professional using the NANDA I, NOC, NIC, and the collaboration problems of Linda Carpenito's Area Model.