RESUMO
Resumen:
Introducción: la seguridad del paciente se ha convertido en un objeto esencial de los sistemas de salud desde la perspectiva de calidad asistencial, puesto que se identifica con los procesos de mejora de los servicios sanitarios para elevar la calidad de la atención. La Comisión Internacional de Enfermería propone el trato digno como un indicador de calidad. La enfermera es el personaje que tiene más interacción con el paciente. Objetivo: conocer la percepción del familiar y del paciente sobre el trato digno otorgado por el personal de enfermería. Metodología: se realizó una encuesta a 114 sujetos en el Hospital de Especialidades Ignacio García Téllez de Mérida, Yucatán. Se utilizó el cuestionario sobre trato digno; los datos se sometieron a análisis descriptivo y los resultados se presentaron en cuadros y figuras. Resultados: el promedio de edad fue de 40.62 ± 7.77 años. El 55.3 % de los pacientes perteneció al género femenino. El 31.6 % era del servicio de Hematología y el 28.1 % de Oncología. El nivel de escolaridad predominante fue la secundaria. El 82.5 % de los pacientes respondió que siempre recibe trato digno. Conclusiones: el personal de enfermería cumplió con los criterios de trato digno al paciente hospitalizado; sin embargo, no alcanza el indicador del sistema INDICAS, por lo que es necesario plantear p royectos de mejora para elevar la calidad de la atención.
Abstract:
Introduction: Patient safety has become essential object of health systems from the perspective of quality of care and the improvement health services. The International Nursing Commission proposes Fair treatment as a quality indicator. The nurse is the character with more interaction with the patient. Objective: To know the perception of family and patient on fair treatment by the nursing staff. Methodology: We conducted a survey of 114 subjects in the UMAE of Merida, Yucatan. The dignified treatment questionnaire was used; data underwent descriptive analysis and the results are presented in tables and figures. Results: The mean age was 40.62±7.77 years. The 55.3% were female and 44.7% was male. The 31.6% of subjects was from hematology and 28.1% was from oncology. The predominant academic level was highschool. 82.5% of answers was that the subjects always received fair treatment. Conclusions: The nursing staff met the criteria of fair treatment to hospitalized patient; however, it not enough to achieve the INDICAS goal, it is necessary to propose improvement projects to reach the quality of care.
Assuntos
Humanismo , Humanização da Assistência , Pessoalidade , Recursos Humanos de Enfermagem , Serviços de Saúde , México , HumanosRESUMO
BACKGROUND: carbetocin, a potentially cardio toxic drug is used by intravenous bolus for uterine bleeding prevention during cesarean section. The aim was to assess the cardiac effects of carbetocin in patients undergoing cesarean sections. METHODS: a pretest-postest design study was carried out on 74 women (23 ± 5.3 years, ASA I-II classification, no history of pregnant induced-hypertension) who underwent elective or emergency cesarean section. At surgical room entry (baseline), and after administration of carbetocin (infunded 100 µg along 30 minutes) during the anesthesic-surgical follow up, vital signs and EKG were registered; and CK, CK MB, and troponin I blood levels were measured. Wilcoxon's rank test was used. RESULTS: significant changes were found on CK (30 vs. 58), CK MB (4.0 vs. 5.9), troponin I (0.01 vs. 0.03), blood sistolic pressure (110 vs. 100), blood diastolic pressure (70 vs. 60) and heart rate (76 vs. 90); all of them: p < 0.001. However, no patient showed heart ischemia signs during EKG monitoring. CONCLUSIONS: an increase on biochemical indicators of myocardiac damage blood levels was observed after the administration of a carbetocin bolus in patients underwent cesarean section.
