Ciencias de la Salud

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    “Efectividad de las intervenciones de enfermería para disminuir la ansiedad pre-quirúrgica en familiares y pacientes que se encuentran en el hospital general Latacunga en el área de cirugía general”
    (Universidad Técnica de Ambato - Facultad de Ciencias de la Salud - Carrera de Enfermería, 2018-10-01) Cerna Estrella, Katherine Gissella; Lcda. Mg. Andrade Coronel, Neida del Rocío
    Research has objective to verify interventions effectivity of nursing to reduce the anxiety pre-surgical in family and patients in general hospital of Latacunga, it is of descriptive design, direct observation, cross section, quantitative with qualitative variables. To obtain accurate results, I was used different instruments, among which we have the observational guide designed considering the NIC Interventions to reduce anxiety, I was determined de the anxiety level in a group of patients and relatives with the STAI scale; I determined the socio-economic data and its influence on the state of pre-surgical anxiety. It was determined that anxiety in this hospital has high levels with 31.9% for the patients and 38.3% for family members, as well as it was verified that the specific activities for the reduction of the pre-surgical anxiety are not executed at all and few are carried out with frequency. Subsequent these results, I was applied in other group of patients and family the intervention based on the NIC activities and elaborated by the researcher based on scientific refer, the same one that revealed positive results when obtaining low anxiety levels in a higher percentage with 40.4% for patients and 48.9 for relatives, besides I was determined that anxiety level can be increased by factors such as sex, educational level, income, previous surgeries and surgery type. Based in these results, it was proposed a protocol that look for to implement that nurse interventions with respect to this topic be more effective.
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    Abdomen Agudo Obstructivo Secundario A Tumor de la cola del Páncreas
    (2016-09-01) Valle Proaño, Christian Andrés; Yépez Yerovi, Fabián Eduardo Dr. Esp.
    The following case is a male patient 67 years old, mestizo, catholic religion, born and living in Ambato (Pishilata), painter occupation, incomplete higher education; Family history Pathological father died with pancreatic cancer; Personal history Pathological Parkinson's disease 11 years ago; Pathological history Surgical Prostatectomy 5 years. Go to present about 72 hours ago epigastric pain, cramping of mild to moderate intensity that radiates to the right flank and left shaped belt accompanied with widespread decay, so go to Mobile Hospital where he administered antibiotic therapy not specified, probable diagnosis of acute diarrheal disease without showing clinical improvement, 24 hours before admission, the patient persists with abdominal pain of great intensity accompanied postprandial vomiting on three occasions in moderate amount of food and bilious content as well alteration of intestinal habit prone to constipation, so go back to Mobile Hospital who you refer to Provincial Teaching Hospital Ambato (HPDA). In the emergency service received HPDA patient with TA 100/60 mmHg FC: 108 lpm FR: 35 rpm, 96% O2 Sat, aware, no fever, dry oral mucosa, preserved cardiopulmonary, tense abdomen distended and painful epigastric mesogastrio, with increased bowel sounds, no signs of peritonitis, no limbs edema, tremor in the upper extremities, distal pulses present at the entrance to the surgery department with presumptive diagnosis of obstructive acute abdomen is decided. Having assessed the patient decides to perform a Laparotomy Exploratory meeting free fluid inflammatory abdominal cavity, erythematous bowel loops and dilated from the first jejunal loops to the angle of Treitz and duodenum, is also a tumor in the tail of the pancreas was found irregular edges, well vascularized, enlarged spleen, performing pancreatectomy Distal and splenectomy hard consistency, remaining hospitalized in the Department of Surgery at later presented a pancreatic fistula low spending the same which was controlled and had an evolution favorably so within 30 days of hospitalization is decided hospital in good general conditions for outpatient control. The histopathologic result was a lymphangioma tail of the pancreas.