Olivia Edith Pulcha Llerena, Sofía Dora Vivanco Hilario
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引用次数: 0
摘要
导言:宫外孕是指受精卵在子宫内膜腔以外的地方着床和随后的发育,在子宫输卵管的发病率较高。输卵管破裂和大出血会导致死亡,被视为真正的急诊。目的阐述针对宫外孕患者的护理流程。方法:这是一项描述性定性研究工作,采用单一病例设计,针对一名 35 岁的患者。采用了护理流程,并将 Margory Gordon 的功能模式作为评估工具。结果:确定了 6 项护理诊断,优先考虑主要诊断:急性疼痛/生物性损伤,表现为语言表达和 VAS 评分 10/8。采取护理干预措施后,病情得到有效改善,变化分值为 +2;PC 前宫外孕和休克 CR 仍在改善过程中。结论确定了患者宫外孕的临床表现;确定了并发症的风险因素,并通过应用低血容量休克预防性护理描述了护理作用。通过宫外孕 EAP 所包含的护理干预措施和活动,确定并解决了合作问题和风险,改善了健康状况。
Proceso de enfermería aplicado a una paciente con embarazo ectópico de un hospital de Arequipa
Introduction: Ectopic Pregnancy is the implantation and subsequent development of the fertilized ovum outside the endometrial cavity, with greater prevalence in the uterine tubes. Tubal rupture and hemorrhage causes morbimortality and is considered a true medical emergency. Objective: To elaborate the nursing care process oriented to a patient with ectopic pregnancy. Methodology: This is a descriptive qualitative research work, with a single case design, aimed at a 35-year-old patient. The Nursing Care Process was used, applying Margory Gordon's functional patterns as an assessment instrument. Result: 6 nursing diagnoses were identified, prioritizing the main diagnosis: Acute pain r/c biological injury agent manifested by verbal expressions and VAS scale 10/8. Nursing interventions were applied with effective result achieving improvement with change score +2; before PC extrauterine pregnancy and Shock CR are still in the process of improvement. Conclusions: The clinical manifestations of an ectopic pregnancy were identified in the patient; the complication risk factors were determined and the nursing role was described by applying preventive care in hypovolemic shock. Collaborative problems and risks were identified and addressed through the nursing interventions and activities included in the EAP for ectopic pregnancy, achieving better health status.