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2015, Number 3

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Rev Mex Enf Cardiol 2015; 23 (3)

Characterization of patients in postoperative period of myocardial revascularization according to clinical nursing care events

Ariza-Olarte C

Language: Spanish
References: 21
Page: 103-109
PDF size: 194.81 Kb.


ABSTRACT

Background: cardiovascular diseases are the leading cause of morbidity and mortality at global and national level; stands out coronary disease. This has contributed to make the surgical treatment of coronary artery bypass grafting being considered a routine procedure. This is one of the most important advances in medicine during the twentieth century. In Bogota, statistical records show that more than 50% of all cardiovascular surgeries corresponds to it. Objective: to characterize patients who are in early postoperative myocardial revascularization, who present physiological changes secondary to procedure, in the biological area at neurological, cardiovascular, respiratory, and gastrointestinal level, elimination system and skin. Methodology: a descriptive study was performed and followed prospectively. The medical records of 151 patients in postoperative 48 to 96 hours were seen and reviewed. The review of the medical history was performed by the researcher. The information was collected on a recording sheet and then recorded and processed by methods of multidimensional exploratory analysis: Multiple correspondence analysis combined with Cluster Classification Method. Results: they were related to the kind of patient according to clinical events present in each of the studied systems where there is evidence of alteration of the neurological, cardiovascular and respiratory systems, and skin. Conclusion: the characterization of patients in postoperative of myocardial revascularization allows nursing care to be focused on solving problems of the aforementioned systems.


REFERENCES

  1. dane.gov.co. [Internet]. Colombia: Dane; 2014 [actualizado 23 Dic 2012; citado 15 abr 2014]. Disponible en: http://www.dane.gov.co./index.php/esp/poblacion-y-demografia/nacimientos-y-defunciones/118-demograficas/estadisticas-vitales/6234-defunciones-no-fetales-2015-preliminar.

  2. Guerra P. Sociedad de Cirugía Cardiovascular. Bogotá, Colombia: Observación inédita; 2009.

  3. Ariza C. Cuidado de Enfermería al paciente en posoperatorio temprano de una revascularización miocárdica. Bogotá: Pontificia Universidad Javeriana; 2012.

  4. Galdeano LE, Rossi LA, Nobre LF, Ignácio DS. Diagnóstico de Enfermería en el período transoperatório de cirugía cardiaca. Rev Latino-am Enfermagem. 2003; 11(2): 199-206.

  5. Vitello-Cicciu J J, Fitzgerald C, Whalen D. On the horizon: minimally invasive cardiac surgery. J Cardiovas Nurs. 1998; 12(3): 1-16.

  6. Gambogi R, Debenedetti A, González MC. Cirugía de revascularización coronaria. Montevideo: Fondo Nacional de Recursos; 2002.

  7. Deaton C, Namasivayam S. Nursing outcomes in coronary heart disease. J Cardiovasc Nurs. 2004; 19(5): 308-315.

  8. Universidad Nacional de Colombia, Sede Bogotá. Acuerdo 7. Acta 5 de 2004. Conformación y Reglamentación del Comité de Ética en Investigación. (31 de marzo de 2004).

  9. Escofier B, Pages J. Analyses factorielles simples et multiples: Objectifs, méthodes et interprétation (Sciences Sup). 4 ed. París: Dunot; 1990.

  10. Lebart L Morineau A, Piron M. Statistique Exploratoire Multidimensionelle. Paris: Dunot; 1995.

  11. Pardo CE, Cabarcas G. Métodos Estadísticos Multivariados en investigación social. Algunos Métodos de Clasificación. En: Simposio de Estadística. Santa Martha: 2001.

  12. http://www.R-project.org. [Internet]. Vienna: R Development Core Team, R: A Language and Environment for Statistical Computing, R. Foundation for Statistical Computing. [Actualizado 15 Nov 2012; citado 25 abr 2013]. Disponible en: https://www.r-project.org/conferences.html.

  13. O’Connor N. Paterson and Zderad: Humanistic Nursing Theory. Notes of nursing theories. New York; Sage;1992

  14. Gómez PMV, Fagundo SH, Prohías MJ, Padrón AS, Garay SO. Parámetros de calidad en la atención al paciente sometido a cirugía de revascularización coronaria [Internet]. Habana, Cuba; [citado 25 abr 2010]. Disponible en: http://www.monografias.com/trabajos18/atencion-cirugia-coronaria/atencion-cirugia-coronaria.shtml.

  15. Price P. Physiologic effects of first-time sitting among male patients after coronary artery bypass graft surgery. Dynamics. 2006; 17(1): 12-19.

  16. Rantanen A, Kaunonen M, Astedt-Kurki P, Tarkka MT. Coronary artery bypasses grafting: social support for patients and their significant others. J Clin Nurs. 2004; 13(2): 158-166.

  17. Reid T, Denieffe S, Denny M, McKenna J. Psychosocial interventions for panic disorder after coronary artery bypass graft: a case study. Dimens Crit Care Nurs. 2005; 24(4): 165-170.

  18. Marcês CAMF, Rocha RM. Teoria de Patterson e Zderad: Um cuidado de enfermagem ao cliente critica sustentado no dialogo vivido. R Enferm UERI. 2006; 14(3): 479-485.

  19. Bastos MAR. O saber e a tecnologia: mitos de um centro de tratamento intensivo. Rev Latino-am Enfermagem. 2002; 10(2):131-136.

  20. Theobald K, McMurray A. Coronary artery bypass graft surgery: discharge planning for successful recovery. J Adv Nurs. 2004; 47(5): 483-491.

  21. Nascimento ERP, Trentini MM. O cuidado de enfermagem na unidade de terapia intensiva (UTI): teoria humanística de Paterson e Zderad. Rev Latino-am Enfermagem. 2004; 12 (02): 250-257.




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