卡亚俄一家国立医院妇产科对附件囊肿术后患者的护理。

AG Salud Pub Date : 2024-03-12 DOI:10.62486/agsalud202430
Carmen Elena Martínez Martínez, Pinchi Vasquez Eliska, Sofía Dora Vivanco Hilario
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摘要

这项研究的对象是一名被诊断为右侧附件囊肿的术后患者,她在妇产科医院住院治疗。附件囊肿或卵巢囊肿是妇女生育期最常见和最普通的妇科疾病之一,会不断发展和增大,产生急性症状,导致手术治疗,这也是该患者住院治疗的原因。.本研究的目的是将护理流程作为专科护理的工具,对右侧附件囊肿术后患者进行管理。该研究采用定性方法,对一名 30 岁的患者应用护理流程方法进行单个病例研究,共分为 5 个阶段:评估阶段,通过马乔里-戈登的 11 种功能模式评估指南进行评估,发现 9 种功能模式发生了改变,并对这些模式进行了优先排序:感知-健康控制、感知-认知、适应-压力耐受、自我感知-自我概念。诊断阶段。根据 NANDA 分类法 II,确定了 10 项护理诊断,并按照 SSPFR 格式(体征和症状、问题、相关因素/风险因素)优先考虑其中 3 项诊断:急性疼痛、焦虑和自我健康管理无效。)执行阶段,针对优先考虑的问题提供具体的护理。最后,评估阶段通过各项指标的最终得分与基线得分的差异来表示,结果得到了 +2、+2、+1 的变化得分。 总之,对该患者的护理过程得到了管理,以整体和全面的方式提供了优质、温馨的护理,有利于她的康复,促进了她对健康的自我管理。
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Cuidados de enfermería en paciente posoperada de quiste anexial en el servicio de gineco obstetricia, en un hospital nacional del Callao
This research study was applied to a postoperative patient diagnosed with a right adnexal cyst who was hospitalized in the gynecologic-obstetric hospitalization service. The adnexal or ovarian cyst is one of the most common and ordinary gynecological pathologies in women during their reproductive stage, which can evolve and grow, producing acute symptoms that lead to surgical interventions, which has been the reason for the patient's admission to the service. . The objective was to manage the nursing care process as an instrument for specialized nursing care, to a post-operative patient for a right adnexal cyst. The study had a qualitative approach, single case type with the Nursing Care Process methodology applied to a 30-year-old patient, applying the 5 stages: assessment stage that was carried out through the assessment guide of the 11 functional patterns of Marjorie Gordon, 9 altered functional patterns were found and the patterns were prioritized: perception-control of health, perceptive-cognitive, adaptation-tolerance to stress, self-perception-self-concept. Diagnostic stage. was developed based on NANDA's taxonomy II, ten nursing diagnoses were identified, prioritizing three of them: acute pain, anxiety and ineffective self-management of health, according to the SSPFR format (signs and symptoms, problem, related factor / risk factor). risk/associated with). Execution stage, specific nursing care was provided for prioritized problems. Finally, the evaluation stage was expressed by the difference in the final and baseline scores of the respective indicators, obtaining as a result the change score of +2, +2, +1. In conclusion, the nursing care process for the patient was managed, providing nursing care in a holistic and comprehensive manner, with quality and warmth, favoring her recovery and promoting self-management of her health.
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