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05812nas a22003617a 4500 |
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OSt |
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20210325135024.0 |
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ta |
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| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
1575-4146 |
| 040 ## - CATALOGING SOURCE |
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| Transcribing agency |
Salus Infirmorum |
| 245 00 - TITLE STATEMENT |
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| Title |
Diagnósticos e intervenciones de enfermería en el paciente ambulatorio con cardiopatía isquémica = |
| Remainder of title |
Nursing diagnoses and interventions in outpatients with ischemic cardiopathy / |
| Statement of responsibility, etc. |
Lara Lara MD, Segura Saint-Gerons C |
| 500 ## - GENERAL NOTE |
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| General note |
Este artículo se encuentra disponible en su edición impresa. |
| 504 ## - BIBLIOGRAPHY, ETC. NOTE |
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| Bibliography, etc. note |
Bibliografía: p.22 |
| 520 3# - SUMMARY, ETC. |
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| Summary, etc. |
• Introducción: Los pacientes con cardiopatía isquémica (CpI) precisan revisiones ambulatorias frecuentes, esto supone un porcentaje elevado en la consulta. En nuestro centro utilizamos la taxonomía NANDA, según el modelo de Virginia Henderson. • Objetivos: Determinar qué diagnósticos enfermeros al alta hospitalaria precisan continuidad de cuidados. Identificar las intervenciones de enfermería en la consulta. • Material y método: Estudio descriptivo, transversal, prospectivo. Incluimos: pacientes con diagnóstico médico de CpI, derivados a consulta y con informe de continuidad de cuidados de enfermería al alta hospitalaria, y con el mismo diagnóstico en revisiones sucesivas desde 1/10/2007 a 31/1/2008. Tratamiento estadístico con SPSS 9.0. • Resultados: Se han atendido 943 pacientes; 464 son hombres (49,20%) y 479 mujeres (50,80%); edad media: 61,4+ 3,80. Primeras citas 386 (40,93%) y 557 (59,07%) revisiones. La CpI global supone 29,91% (282 pacientes); el 12,95% de las primeras citas (50 pacientes) y 28,007% de las revisiones (156 pacientes). Los diagnósticos de enfermería (DxE) que precisan continuidad de cuidados son: 00132-Dolor torácico: 32,62% (92 pacientes); 00092-Intolerancia a la actividad: 28,01% (79 pacientes); 00126- Conocimientos deficientes: enfermedad, autocuidados y régimen terapéutico: 70,21% (198 pacientes); Manejo inefectivo del régimen terapéutico: 86 pacientes (30,49%). Las intervenciones en consulta se enfocan a: Dolor torácico: 4040-Cuidados cardiacos; Intolerancia a la actividad: 1800- Ayuda al autocuidado. 4490- Ayuda para dejar de fumar; Conocimientos deficientes: enfermedad, autocuidados y régimen terapéutico: 5612-Enseñanza: actividad / ejercicio prescrito 5614-Enseñanza dieta prescrita 5616-Enseñanza: medicamentos prescritos; Manejo inefectivo del régimen terapéutico: 4050-Precauciones cardiacas. • Conclusiones: Los informes de continuidad de cuidados son un instrumento eficaz para el seguimiento ambulatorio del paciente. Los diagnósticos enfermeros, que según el Informe de Enfermería al alta necesitan continuidad de cuidados, constituyen la base de nuestras intervenciones en consulta. Enfermería en consultas externas, a pesar de la limitación del tiempo, con intervenciones enfermeras concretas, puede consolidar la continuidad de los cuidados. |
| 520 8# - SUMMARY, ETC. |
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| Summary, etc. |
• Background: Patients with ischemic cardiopathy (IC) require frequent ambulatory checkups; they represent a high percentage of consultations. In our centre we use the Virginia Henderson model and the NANDA taxonomy of nursing diagnoses. • Aims. To determine which patients with nursing diagnoses made on hospital discharge require continuity of care. To identify the nursing interventions undertaken in outpatient visits. • Material and method: In this descriptive, cross-sectional, prospective study, we included patients with medical diagnosis of IC referred for follow up and with a Report of Continuity of Nursing Care on hospital discharge, plus the same diagnosis at successive revisions, between 1/10/2007 and 31/1/2008. Statistical analysis: SPSS 9.0. • Results: A total of 943 patients were attended; with 464 men (49,2%) and 479 women (50,8%); mean age 61,4+3,8 years; 386 (40,93%) were first visits and 557 (59,07%) revisions. Of these, 282 (29,91%) had IC; 50 (12,95%) were first visits and 156 (28,007%) revisions. The nursing diagnoses requiring continuity of care were: 00132-Thoracic Pain: 92 patients (32,62%); 00092-Activity intolerance: 79 patients (28,01%); 00126-Deficient knowledge of disease, self-care and therapeutic regime: 198 patients (70,21%); Ineffective handling of therapeutic regime: 86 patients (30,49%). Consultation interventions were for: Chest pain: 4040-Cardiac care, Activity intolerance: 1800-Help in self-care. 4490-Help with smoking cessation. Deficient knowledge: the disease, self-care and therapeutic regimes: 5612-Teaching: activity/prescribed exercise. 5614-Teaching: prescribed diet. 5616-Teaching: prescribed medicines. Ineffective handling of therapeutic regime. 4050-Heart precautions. • Conclusions: The report of nursing care continuity is an effective instrument for outpatient follow-up. The nursing diagnoses requiring continuity of care, according to the Nursing Report at discharge, constitute the basis of our interventions in the outpatient clinic. In spite of the limitations of time, nursing care with particular interventions can consolidate continuity of care. |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
cuidados de enfermería |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
continuidad de cuidados |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
diagnósticos de enfermería |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
informe de enfermería al alta |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
intervenciones de enfermería |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
consulta externa |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
nursing care |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
continuity of care |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
nursing diagnoses |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
nursing report on discharge |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
nursing interventions |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
outpatient visit |
| 773 ## - HOST ITEM ENTRY |
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| Related parts |
-- 2009, v. 16, n. 46, p. 17-22 |
| Title |
Enfermería en Cardiología |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
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| Uniform Resource Identifier |
<a href="https://www.enfermeriaencardiologia.com/wp-content/uploads/4602.pdf">https://www.enfermeriaencardiologia.com/wp-content/uploads/4602.pdf</a> |
| Link text |
Acceso al documento |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
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| Source of classification or shelving scheme |
Universal Decimal Classification |
| Koha item type |
Artículo de revista |
