Frecuencia de diagnósticos de enfermería en pacientes hospitalizados con infección Covid-19 / Frequency of nursing diagnoses in hospitalized patients with covid-19 infection

Introducción: las respuestas humanas de la persona ante enfermedades nuevas como infecciones por coronavirus (COVID-19), deben estar plasmados en los diagnósticos de enfermería como parte de la utilización del pensamiento crítico al establecer un plan de cuidados. Objetivo: describir la frecuencia de los diagnósticos de enfermería reportados en expedientes de pacientes con infección por COVID-19.Material y métodos: investigación clínica, con enfoque cuantitativo, retrospectivo; muestra probabilística conformada por 163 expedientes de pacientes hospitalizados por diagnóstico COVID-19 del Hospital General de Tula, entre abril y octubre 2020. La información se recabó en una ficha de recolección de datos diseñada ex profeso, acorde a la hoja de enfermería del hospital, utilizando la taxonomía NANDA-I. Investigación aprobada por el Comité de ética e investigación. Resultados: n=163 expedientes, pacientes con infección COVID-19 edad entre 20 y 92 años, 58.9 % del género masculino; en el tratamiento establecido 97.5 % tuvo oxigenoterapia, el rango de estancia de 0-24 días de hospitalización. Los diagnósticos de enfermería registrados con mayor frecuencia fueron riesgo de aspiración (f=1095), ansiedad (f=1079), disconfort (f=928), fatiga (f=862), riesgo de shock (f=813), patrón respiratorio ineficaz (f=660) y limpieza ineficaz de las vías aéreas (f=606). Conclusiones: los diagnósticos de enfermería de la taxonomía NANDA-I son aplicables en pacientes con infección COVID-19, el más frecuente: riesgo de aspiración.

Introduction: the person's human responses to new diseases such as coronavirus infections (COVID-19), must be reflected in nursing diagnoses as part of the use of critical thinking when establishing a care plan. Objective: To describe the frequency of nursing diagnoses reported in the records of patients with COVID-19 infection. Material and methods: clinical research, with a quantitative, retrospective approach; the probabilistic sample was made up of 163 records of patients hospitalized for a COVID-19 diagnosis at the General Hospital of Tula, in the period April-October 2020. The information was collected in a data collection form designed expressly, according to the data sheet. Hospital nursing, using the NANDA-I taxonomy. Research approved by the Ethics and Research Committee. Results: n=163 records, the patients with COVID-19 infection were between 20-92 years old, 58.9% were male; in the established treatment, 97.5% had oxygen therapy, the range of stay was 0-24 days of hospitalization. The most frequently recorded nursing diagnoses were risk of aspiration (f=1095), anxiety (f=1079), discomfort (f=928), fatigue (f=862), risk of shock (f=813), respiratory pattern ineffective (f=660) and ineffective airway clearance (f=606). Conclusions: the nursing diagnoses of the NANDA-I taxonomy are applicable in patients with COVID-19 infection, the most frequent was: risk of aspiration

[Nursing care for patients with kidney transplants during the immediate postoperative period]. / Atencion de enfermeria a los pacientes con trasplante renal en el posoperatorio inmediato.

Twenty medical records of patients who underwent a renal transplantation were reviewed with the aim of analyzing nursing care during the first 24 hours of the transplantation. The most significant aspects regarding these patients, as well as the most relevant actions undertaken with respect to nursing procedures were also analyzed. It is interesting to note that arterial hypertension is found to be among the leading causes of chronic renal failure. During the immediate postoperative period 5 patients required mechanical ventilation for more than 8 hours. Regarding diuresis surveillance and monitoring, 14 patients presented with an enhanced diuresis, but in 4 the urinary volume was lower than 50 mL/h. The need to treat those patients in an Intensive Care Unit by a highly trained and specialized nursing staff is highlighted.

[Our experience in the treatment of Taenia saginata (Goenze, 1762) with praziquantel]. / Nuestra experiencia en el tratamiento de Taenia saginata (Goenze, 1762) con praziquantel.

This paper studies 50 Cuban patients with Taenia saginata admitted at "Pedro Kouri" Institute of Tropical Medicine from October 1982 to November 1985. There were no significant differences as far as patient sex is concerned and there was a prevalence of the age group 15-25. All cases had undergone several courses of antiparasitic treatment with niclosamide. There was proglotid passage in 100% of cases and abdominal pain in 36% of patients, as clinical elements of interest. Praziquantel was administered in a dosage of 10 mg per kg of body weight, in single doses, and the effectiveness of the drug was documented in 100% of cases, with a follow-up of more than 7 weeks.