Prevalencia de flebitis postcateterización / Prevalence of post-catheterization phlebitis

Objetivo: determinar la prevalencia de flebitis asociada a catéteres de inserción periférica en los centros de Hospitales Universitarios (HU) Virgendel Rocío de Sevilla y analizar los factores de riesgo asociados, así como las diferencias en la prevalencia en función de distintos momentos del año. Método: estudio descriptivo con tres cortes transversales en pacientes portadores de catéteres de inserción periférica ingresados en unidades de hospitalización en los que la permanencia del catéter es superior a 48 horas.Variables de estudio: tipo de catéter; tipo de conexiones; localización del catéter; tipo de infusión; Escala de Maddox para determinar la flebitis;edad y sexo del paciente.Resultados: se estudiaron 470 pacientes. Según la escala de Maddox, se encontró una prevalencia de flebitis del 8,5% (primer corte), del 17,1%(segundo corte) y del 11% (tercer corte). El riego de aparición de flebitisera mayor si había infusión intermitente (OR = 3,236), si no había llave de tres pasos (OR = 3,647), si existía conexión por bioconector(OR = 2,98) y si se era mujer (OR = 2,421).Conclusiones: la prevalencia de flebitis asociadas a catéter en los distintos cortes del presente estudio está consonancia con otros publicados.Los resultados del estudio han permitido conocer que los procesos aplicados se encuentran dentro de los márgenes de variabilidad deseables,detectando áreas de mejora sobre las que se deberá incidir (AU)

Objective: to determine the prevalence of phlebitis associated to peripherally inserted catheters at the Virgen del Rocío de Sevilla University Hospitals and to analyse associated risk factors, as well as differences in prevalence at different times of the year.Method: descriptive study with three cross-sections in patients who are carriers of peripherally inserted catheters admitted to hospitalization units in which the catheter is in place over 48 hours. Study variables: type of catheter; type of infusion; Maddox Scale to determine phlebitis; patientage and sex. Results: 470 patients were studied. According to the Maddox scale, a phlebitis prevalence of 8,5% (first cross section), 17,1% (second cross section)and 11% (third cross section) was found. The risk of phlebitis onset was greater if there was intermittent infusion (OR = 3,236), if there was no three-step key (OR = 3,647), if there was a connection via a bioconnector(OR = 2,98) or if the patient was a woman (OR = 2,421).Conclusions: the prevalence of catheter-related phlebitis in this study mirrors that of other published data. The results of the study have enabledus to discover that the applied processes are found within desirable variability margins, detecting areas of improvement which should be worked on (AU)

[Case report: coordination of the care provided to patients with breast cancer]. / Caso clínico: coordinación en los cuidados de una paciente con cáncer de mama.

In Spain, cancer is the leading cause of death in absolute terms. Statistically, the most frequent type of cancer in women in developed countries is breast cancer, which is becoming the leading cause of death from cancer among women. The breast cancer is statistically the most frequent in women and it is getting the first reason of death by cancer between the feminine population, in most of developed countries. This health problem is usually associated with psychological dependency, which can be aggravated in elderly patients without adequate family support. TThe nursing process is the most commonly used tool to establish interaction among the nurse, the patient and the family. Through this interaction, the nurse can identify the patient's health objectives and energy limitations, as well as the resources available to obtain optimal health status. The nursing process is a systematic method for providing efficient humanistic care aimed at achieving expected outcomes. In the case presented herein, we employed Marjory Gordon's Functional Patterns and the taxonomies of the North American Nursing Diagnosis Association (NANDA), Nursing Interventions Classification (NIC) and Nursing Outcomes Classification (NOC). The nursing diagnoses detected were fear, anxiety, self-care deficit, impaired mobility, risk of low self-esteem, ineffective coping, and potential complications (pain and infection). The care session is one of the main interventions to improve the effectiveness of the care provided. During this session, methodological adjustments of the nursing process are analyzed, with special attention paid to the appropriateness of the interventions, the possible alternatives and encouragement of reflective practice Essential elements to improve quality of life in these elderly oncology patients are the role of nursing through the care provided and coordination among professionals in different disciplines and healthcare levels.

Caso clínico: coordinación en los cuidados de una paciente con cáncer de mama / Case report: coordination of the care provided to patients with breast cancer

En España el cáncer es la primera causa de muerte en términos absolutos. Estadísticamente el cáncer de mama supone, en la mayoría de los países desarrollados, el que con más frecuencia aparece en la mujer y se convierteen la primera causa de muerte por cáncer entre la población femenina. Este problema de salud en la mayoría de los casos se encuentra asociado a una dependencia psicológica que se puede ver agravado en pacientes deedad avanzada sin un adecuado apoyo familiar. El proceso enfermero es el instrumento empleado para realizar la interacción mutua entre la enfermera, el paciente y la familia para identificar los objetivos de salud, las energías y limitaciones del paciente, y los recursos disponibles para conseguir el estado óptimo de salud. Es un método sistemático de brindar cuidados humanistas eficientes centrados en el logro de resultados esperados. En el caso que presentamos hemos trabajado según los patrones funcionales de Marjory Gordon y usando las taxonomías NANDA (Nort American Nursing Diagnosis Association), NIC (Nursing Interventions Classification) y NOC (Nursing Outcomes Classification). Los diagnósticos enfermeros detectados son: temor, ansiedad, déficit de autocuidados, deterioro de la movilidad, riesgo de baja autoestima, afrontamiento inefectivo y las complicaciones potenciales: dolor e infección. La sesión clínica multidisciplinar de cuidados es una de las intervenciones que pueden mejorar la efectividad de los cuidados prestados, analizando la adecuación metodológica de las etapas del proceso enfermero, prestando especial atención a la adecuación de la intervención, sus posibles alternativas y fomentando la práctica reflexiva. Para poder mejorar la calidad de vida de estas pacientes oncológicas en edad avanzada, el papel enfermero a través de los cuidados es un elemento indispensable, así como una coordinación entre profesionales de distintas disciplinas y niveles de asistencia sanitaria

In Spain, cancer is the leading cause of death in absolute terms. Statistically, the most frequent type of cancer in women in developed countries is breastcancer, which is becoming the leading cause of death from cancer among women.The breast cancer is statistically the most frequent in women and it is getting the first reason of death by cancer between the feminine population, inmost of developed countries.This health problem is usually associated with psychological dependency, which can be aggravated in elderly patients without adequate family support. The nursing process is the most commonly used tool to establish interaction among the nurse, the patient and the family. Through this interaction, the nurse can identify the patient’s health objectives and energy limitations, as well as the resources available to obtain optimal health status. The nursing process is a systematic method for providing efficient humanistic care aimed at achieving expected outcomes. In the case presented here in, we employed Marjory Gordon’s Functional Patterns and the taxonomies of the North American Nursing Diagnosis Association (NANDA), Nursing Interventions Classification (NIC) and Nursing Outcomes Classification (NOC). The nursing diagnoses detected were fear, anxiety, self-care deficit, impaired mobility, risk of low self-esteem, ineffective coping, and potential complications (pain and infection). The care session is one of the main interventions to improve the effectiveness of the care provided. During this session, methodological adjustments of the nursing process are analyzed, with special attention paid to the appropriateness of the interventions, the possible alternatives and encouragement of reflective practice. Essential elements to improve quality of life in these elderly oncology patients are the role of nursing through the care provided and coordination among professionals in different disciplines and healthcare levels