Cedeño ET, García RM

Language: Spanish
References: 18
Page: 1-21
PDF size: 222.35 Kb.

ABSTRACT

Introduction: The survival of the ventilated newborn is an important problem in the Neonatology Intensive Care Service, and the quality of the nursery care process is a remarkable aspect to be considered. Objective: To determine the effectiveness of the nursery care process in order to obtain a greater survival of the ventilated newborns. Methods: Evaluation study towards ventilated newborns in the Premature Close Neonatology Service at Carlos Manuel de Céspedes Hospital in Bayamo, since 2006 to 2010. For the NCP evaluation, there were made five phases. There were defined three dimensions: nursery diagnosis, expectations and actions. The data were processed through the statistical package STATISTICS version 8, for windows 2008. Results: The nursery action, that is, keeping the permeable aerial ways, was evaluated as adequate in 96.13 % of the cases; 297 (88.39%) of the newborns were alive at the end of the ventilation and 26 deceased (6.73%). To fulfill the aspects asepsis and antisepsis was adequated in 94.04% of the cases (n= 316), 295 were alive and 21 deceased, while it was inadequated in 20 newborns (5.96%). After the valuation of the NCP in the survival of the ventilated newborns, it was found a succesful proportion of 90.77% from the amount of children studied, with a level of significance α =0,05. Conclusions: The nursery interventions in the ventilated newborns, evidenced the level of competence and skills performed by this staff, which ensures the survival of ventilated newborns.

REFERENCES

1. Moreira Pinheiro E, Paes de Silva MJ, Angelo M, Ribeiro CA. Significiado de la interacción de las profesionales de enfermería con el recién nacido/familia durante la hospitalización. Rev Latino-am Enfermagem [Internet]. 2008 novembro-dezembro [citado 26 Mayo 2010]; 16 (6). Disponible en: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692008000600012&lng=es&nrm=iso&tlng=es .

2. Patiño Masó J, Reixach Bosch M. ¿Qué tipo de ayuda demandan los padres de recién nacidos hospitalizados en cuidados intensivos neonatales? Enferm Clin [Internet]. 2009 [citado 26 mayo 2010]; 19(2):90-4. Disponible en: http://www.elsevier.es/sites/default/files/elsevier/pdf/35/35v19n02a13135753pdf001.pdf

3. Iyer PW, Taptich BJ, Bernocchi Losey D. Proceso y Diagnóstico de Enfermería. 3 ed. La Habana: Ciencias Médicas; 2006.p. 9-13.

4. Riscart Rivero A. Asistencia de Enfermería a pacientes con ventilación mecánica artificial. En: León Román Ca, Suárez López D, Méndez Rosabal A, et al. Enfermería en Urgencias.t2. La Habana: ECIMED; 2008.p.127-55.

5. Labarrere Cruz Y, Castro López FW, González Hernández G. Beneficio de la asistencia ventilatoria de alta frecuencia en el recién nacido. Rev Cubana Enferm. [Internet]. 2006 [citado 6 Agosto 2007]; 22(2). Disponible en: http://bvs.sld.cu/revistas/enf/vol22_2_06/enf04206.htm.

6. García Fernández Y, Fernández Ragi RM, Rodríguez Rivero M, Pérez Moreno E. Supervivencia en el recién nacido ventilado. Rev Cubana Pediatr [Internet]. 2006 [citado 3 Julio 2008]; 78 (4). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75312006000400002.

7. Shultze A, Gerhardt T, Musante G, Sxhaller P, Claure N, Everett R. Optional assisted ventilation in low birth weight infants with acute respiratory disease: a comparison to assist/control and conventional mechanical ventilation. J Pediatr. 2009; 135:339-44.

8. Roehr CC, Schmalisch G, Khakban A, Proquitté H, Wauer RR. Use of continuos positive airway pressure (CPAP) in neonatal units - a survery of current preferences and practice in Germany. Eur J Med Res. 2007 Apr 26; 12(4): 139-44.

9. McGettigan M, Adolph VR, Ginsberg HP, Golsmith JP. New ways to ventilate newborns in acute respiratory failure. Clin Pediatr. 1998; 45:475-510.

10. Rojas MA. Very Early Surfactant Without Mandatory Ventilation in Premature Infants Treated With Early Continuous Positive Airway Pressure: A Randomized, Controlled Trial. Pediatrics [Internet]. 2009 [citado 13 Marzo 2011]; 123: 137-42. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/19117872.

11. Organización Mundial de la Salud. División de Salud de la familia. The incidence of low birth weight: A. Critical review of available information. Health Stad Q. 2005; 33(3): 197-224.

12. Domínguez Dieppa F, Cejas Pérez G, Roca Molina MC, Millán Cruz Y. Neurodesarrollo de primeros neonatos cubanos ventilados con alta frecuencia. Rev Cubana Pediatr. [Internet]. 2009 Dic [citado 8 Julio 2011]; 81(4): 42-52. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75312009000400005.

13. Domínguez Dieppa F. Cuidados intensivos neonatales: Organización y resultados en Cuba. Panorama Cuba y Salud. 2008; 3(1):4-9.

14. Sixto Bustelo G, Zayas León MD, Valle Santana G, Rodríguez Cárdenas A. Resultados perinatales del crecimiento intrauterino retardado. Rev Cubana Obstet Ginecol [Internet]. 2006 [citado 13 Marzo 2011]; 32(1). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-600X2006000100009.

15. Boccarato A, Taboa S, Panizza R. Valoración de la asistencia ventilatoria en una unidad de tratamiento intensivo neonatal. Arch Pediatr Urug. 2004; 75(1): 1-10.

16. UNICEF. Objetivos de desarrollo del milenio para reducir la mortalidad infantil. [Internet]. [citado 3 Julio 2009]. Disponible en: http://www.un.org/es/mdg/summit2010/pdf/MDG_FS_4_SP.pdf.

17. Sarmiento Portal Y, Crespo Campos A, Portal Miranda ME, Menéndez Humarán YR, León Vara CO. Caracterización del neonato con peso menor de 1 500 g asistido con ventilación mecánica. Rev Cubana Pediatr [Internet]. 2010 Mar [citado 8 Julio 2011]; 82(1). Disponible en: http://bvs.sld.cu/revistas/ped/vol_82_01_10/ped02110.htm.

18. Catlin AJ, Stev DK. Physician’s neonatal resuscitation of extremely low birth weight Preterm Infants. Imag J. 2007; 31(3): 269-75.