RESUMO
El objetivo fue determinar la eficacia de la consejería de enfermería en la disminución de la ansiedad en las pacientes sometidas al AMEU en el servicio de emergencia del INMP. Material y Método: El estudio fue de tipo cuantitativo, nivel aplicativo, método cuasi experimental de corte transversal. La muestra estuvo conformada por 43 pacientes. La técnica fue la entrevista y el instrumento la Escala para la Ansiedad de Hamilton previo consentimiento informado. Resultados: Del 100 por ciento (43) antes de la aplicación de la consejería de enfermería; 93.1 por ciento (40) presentó un nivel de ansiedad severo/grave, 6.9 por ciento (3) moderado; luego de la consejería de enfermería (después); 51 por ciento (22) presentó un nivel de ansiedad moderado 46.7 por ciento (20) severo/grave y 2.3 por ciento (1) leve. Así también en el compnente componente somático y psiquico fue el primero que tuvo mayor disminución desde 14.6 a 9.7 mientras que en el componente psiquico se tuvo un promedio de 18.23 a 15.30. Para comprobar la hipótesis se aplicó la prueba t de student para datos pareados, el cual resulta ser significativo (p<0.05) la consejeria de enfermería en la disminución de la ansiedad. Conclusiones: La consejeria de enfermería resulta ser eficaz en la disminución de la ansiedad en las pacientes sometidas al AMEU...
The objective was to determine the effectiveness of the Department of nursing in the reduction of anxiety in patients undergoing the AMEU in emergency of the INMP. Materials and methods: The study was quantitative type, application level, quasi experimental of cross section method. The sample was made up by 43 patients. The technique was the interview and the instrument the scale for the Hamilton anxiety prior informed consent. Results: 100 per cent (43) before the implementation of the Department of nursing; 93.1 per cent (40) presented a serious/severe anxiety level, 6.9 per cent (3) moderate; After the Department of nursing (Iater); 51 per cent (22) presented a moderate level of anxiety 0.11 per cent (20) serious/severe and 2.3 per cent (1) light. So al so in the somatic component purposes and mental was the first which had greater decrease from 14.6 to 9.7 while mental component took an average of 18.23 to 15.30. To check the hypothesis test was applied for matched data student's t, which turns out to be significant (p<0.05) counseling of nursing in the decrease of anxiety. Conclusions: Counseling of nursing is to be effective in the de crease of anxiety in patients undergoing the AMEU...
Assuntos
Humanos , Adulto , Feminino , Ansiedade , Comunicação em Saúde , Enfermagem em Emergência , Curetagem a Vácuo/enfermagemRESUMO
CONTEXT: Each year, an estimated 120,000 women in Mexico seek treatment in public hospitals for abortion-related complications--the country's fourth leading cause of maternal mortality. Models of postabortion care emphasizing counseling and provision of contraceptives have the potential to improve the quality of care these women receive. METHODS: Between April 1997 and August 1998, women treated for abortion complications in six Mexican Institute of Social Security (IMSS) hospitals in the Mexico City metropolitan area were surveyed. Data related to patient-provider interaction, information provision and counseling were analyzed for three models of care: sharp curettage standard care, sharp curettage postabortion care and manual vacuum aspiration postabortion care. RESULTS: Women in the two postabortion care groups rated the quality of services they received more highly than did those receiving sharp curettage standard care. A significantly greater proportion of women treated under the postabortion care models than of those treated under the sharp curettage standard model received information about their health status before treatment, the uterine evacuation procedure, signs of postabortion complications and care at home. In addition, a greater proportion of women treated under the postabortion care models accepted a contraceptive method before leaving the facility (64-78% vs. 40%). CONCLUSIONS: Implementation of a postabortion care model contributes to the delivery of high-quality services to women experiencing abortion complications. The standard IMSS model of postabortion treatment should be modified to emulate those in hospitals that systematically link general counseling and family planning services to the clinical services provided to women with abortion complications.