ABSTRACT
INTRODUCCIÓN: El cáncer es una de las principales causas de morbilidad y mortalidad en el mundo, según la Organización Mundial de la Salud (OMS), en 2012 14 millones de casos nuevos y 8,2 millones de muertes. Se demostró que los pacientes en tratamiento, cirugía, quimioterapia y radioterapia tienen niveles altos de cortisol que influye en su calidad de vida. OBJETIVO: Identificar la relación entre el estrés, a nivel de cortisol y las estrategias de afrontamiento en pacientes con cáncer sometidos a tratamiento. MATERIAL Y MÉTODOS: Estudio transversal, descriptivo y correlacional realizado junio a diciembre del 2019. RESULTADOS EPIDEMIOLÓGICOS: 68.2% mujeres 31.8 % hombres, entre 17 y 76 años, con diagnósticos de: Ca mama (30.3%), de próstata (18.3), colon (15.2), pulmón (13.6), cervical (12.1% gástrico (9.1%) cáncer de piel (1.5%). Estadísticos: El 35,3% informaron cortisol a niveles normales y 64.5% niveles altos; el estrés obtuvo un promedio de 13.9 (DE = 4.64). Sobre el nivel de cortisol y el tipo de tratamiento, se observaron diferencias significativas (X2 = 1,546, p = .04), es decir, el paciente que tienen un tratamiento mixto el cortisol es más alto. CONCLUSIONES: Es importante reevaluar las estrategias centradas en el problema, analizar implicaciones y proponer estudios en el contexto en que se desenvuelven, en futuro desarrollar una intervención incluyendo actividades de enfermería en la quimioterapia y radioterapia, apoyando estrategias de afrontamiento efectivas. En este sentido y derivado de la minimización de amenazas centradas en el problema, es importante tener un enfoque integral más profundo
INTRODUCTION: Cancer is one of the leading causes of morbidity and mortality worldwide, according to the World Health Organization (WHO), in 2012 14 million new cases and 8.2 million deaths. (WHO, 2019). Patients in treatment, surgery, chemotherapy and radiation therapy have been shown to have high levels of cortisol that influence their quality of life. OBJECTIVE: to identify the relationship between stress, cortisol level and coping strategies in cancer patients undergoing treatment. MATERIAL AND METHODS: Cross-sectional, descriptive and correlational study conducted June to December 2018. In 65 male and female patients under treatment. RESULTS: 68.2% were women 31.8% men, between 17 and 76 years. With diagnoses Ca breast (30.3%), prostate cancer (18.3), colon (15.2), lung (13.6), cervical (12.1% gastric (9.1%) skin cancer (1.5%). Statistics: 35.3% reported cortisol at normal levels and 64.5% high levels; stress averaged 13.9 (DE s 4.64). On the level of cortisol and the type of treatment, significant differences were observed (X2 X 1,546, p .04), i.e. the patient who has a mixed treatment cortisol is higher. CONCLUSIONS: It is important to reevaluate the strategies focused on the problem, analyze implications and propose studies in the context in which they operate, in the future develop an intervention including nursing activities in chemotherapy and radiotherapy, supporting effective coping strategies. minimizing threats focused on the problem, it is important to have a deeper comprehensive approach
Subject(s)
Humans , Male , Female , Adolescent , Young Adult , Adult , Middle Aged , Aged , Hydrocortisone/analysis , Stress, Psychological/epidemiology , Adaptation, Psychological/classification , Neoplasms/psychology , General Adaptation Syndrome/epidemiology , Cross-Sectional Studies , Neoplasm Metastasis/physiopathology , Radiotherapy/psychology , Drug Therapy/psychology , Psychiatric Status Rating Scales/statistics & numerical dataABSTRACT
INTRODUCTION: The Pressure Ulcer Scale for Healing (PUSH) represent a serious problem around the world since they have important consequences, personal and economic, this making it a public problem health. The PUSH are a challenge for professionals nursing at all levels of care. OBJECTVE: Identify the frequency of Pressure Ulcer Scale for Healing in patients hospitalized in coronary and intensive unit care of a high specialty hospital. MATERIAL AND METHODS: A descriptive, observational, prospective, and cross-sectional study. The population was composed of 139 patients who were admitted in June and July period of 2015 in the Coronary and Intensive Unit Care. RESULTS: The total of patients valued (139) show a mean age of 50 years old, the 51.8% male, of these the 61.4% developed a skin lesion related to prostration. The 84.17% are not mobilized as recommended, of these the (45.3%) belonged to Neurosurgery, with a range hospital stay from 1 to 36-day. The 79.8% (111 patients) were under sedation drug. Directly related to the emergence of PUSH, obtaining 41% of patients ulcerated lesions the 8.2 average days. CONCLUSIONS: The PUSH as problem are present in a Coronary and General Intensive Care Unit frequently (41%) in June and July of 2015. The care and treatment of people with PUSH must be dynamic and interdisciplinary.
Subject(s)
Pressure Ulcer/epidemiology , Coronary Care Units , Cross-Sectional Studies , Female , Hospitalization , Hospitals, Special , Humans , Intensive Care Units , Longitudinal Studies , Male , Middle Aged , Prospective StudiesABSTRACT
Introducción. Las úlceras por presión (UPP) representan un problema grave a nivel mundial ya que tienen consecuencias importantes, personales y económicas, lo que las convierte en un problema de salud pública. Las UPP constituyen un reto para los profesionales de enfermería en todos los niveles de la atención. Objetivo. Identificar la frecuencia de UPP en pacientes hospitalizados en la Unidad De Cuidados Intensivos y Coronarios de un hospital de alta especialidad. Material y métodos. Se realizó un estudio descriptivo, prolectivo, observacional, de corte longitudinal. La población estuvo compuesta por 139 pacientes que ingresaron en el periodo de junio y julio de 2015. Resultados. Considerando el total de pacientes valorados (139), muestran una media de edad de 50 años, siendo hombres un 51.8 %. El 61.4 % desarrolló alguna lesión cutánea relacionada con la inmovilización. Se mostró que el 84.17 % no se moviliza según lo recomendado. De estos, el 45.3 % pertenecía a Neurocirugía, con un rango de hospitalización de 1 a 36 días. El 79.8 % (111 pacientes) se encontraba bajo sedación farmacológica. En relación directa con la aparición de UPP, se obtuvo un 41 % de pacientes ulcerados y un promedio de aparición de lesiones a los 8.2 días. Conclusiones. Las UPP como problema están presentes en Terapia Intensiva General y Coronarios con una frecuencia del 41 % en junio y julio de 2015. El cuidado y tratamiento de las personas con UPP ha de ser dinámico e interdisciplinar (AU)
Introduction. The Pressure Ulcer Scale for Healing (PUSH) represent a serious problem around the world since they have important consequences, personal and economic, this making it a public problem health. The PUSH are a challenge for professionals nursing at all levels of care. Objective. Identify the frequency of Pressure Ulcer Scale for Healing in patients hospitalized in coronary and intensive unit care of a high specialty hospital. Material and methods. A descriptive, observational, prospective, and cross-sectional study. The population was composed of 139 patients who were admitted in June and July period of 2015 in the Coronary and Intensive Unit Care. Results. The total of patients valued (139) show a mean age of 50 years old, the 51.8 % male, of these the 61.4 % developed a skin lesion related to prostration. The 84.17 % are not mobilized as recommended, of these the (45.3 %) belonged to Neurosurgery, with a range hospital stay from 1 to 36-day. The 79.8 % (111 patients) were under sedation drug. Directly related to the emergence of PUSH, obtaining 41 % of patients ulcerated lesions the 8.2 average days. Conclusions. The PUSH as problem are present in a Coronary and General Intensive Care Unit frequently (41 %) in june and july of 2015. The care and treatment of people with PUSH must be dynamic and interdisciplinary (AU)
