Examinando por Materia "Guías de Práctica Clínica como Asunto"

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Cumplimiento de la tromboprofilaxis de la guía de práctica clínica de enfermedad tromboembólica venosa en pacientes hospitalizados de la Clínica Internacional sede San Borja. Julio–diciembre 2014
(Universidad Privada Norbert Wiener, 2015) Vega Silva, Yohana Gisella; Caldas Herrera, Emma
The present thesis aims to determine adherence to thromboprophylaxis according to the Clinical Practice Guideline for venous thromboembolic disease, which has been identified as a principal factor of hospital morbidity and mortality. Delays in the development and implementation of clinical guidelines can result in high mortality among medical and surgical patients. Therefore, rapid evaluation of risk factors, prompt response, and adherence to the guideline are required for effective thromboprophylaxis. Reviewed studies show that the use of thromboprophylaxis guidelines has not been consistently implemented in patients meeting the criteria for treatment, despite the fact that effective prophylaxis improves outcomes. This underscores the importance of identifying the main risk factors or criteria for thromboprophylaxis. Objectives: To determine adherence to thromboprophylaxis according to the Clinical Practice Guideline for venous thromboembolic disease in hospitalized patients at Clínica Internacional, San Borja branch, from July to December 2014. Subsequently, to establish the percentage of hospitalized patients receiving pharmacological and non-pharmacological treatment according to the institutional clinical practice guideline for venous thromboembolic disease. Materials and Methods: A retrospective, descriptive statistical methodology was applied to hospitalized patients at Clínica Internacional, San Borja branch. The analysis material consisted of patient medical records, using the decision algorithm from the thromboprophylaxis guideline as the instrument. Each day of the patient’s hospital stay was reviewed, obtaining specific and relevant data for the study. Results were tabulated and presented using statistical graphs. Data processing was performed using SPSS 20 and Microsoft Office Excel 2010. Results: A total of 320 complete clinical records from July to December 2014 were collected, organized, and analyzed. Of these, 257 patients (80.3%) were medical and 63 patients (19.7%) were surgical. Risk stratification showed 116 patients (36.3%) as low risk, 133 (41.6%) moderate risk, and 71 (22.2%) high risk. Thromboprophylaxis was administered to 154 patients (48.1%). According to surgical specialty, prophylaxis was given to 25 patients (16.2%) in general surgery, 11 (7.1%) in traumatology, 27 (17.5%) in gynecology, 1 (0.6%) in neurosurgery, and 10 (6.5%) in urology. Pharmacological prophylaxis was administered to 59 patients (38.3%). The clinical guideline was applied in 285 patients (89.1%): 226 medical (70.6%) and 59 surgical (18.5%). The probability of guideline use was higher in medical patients than in surgical patients. Conclusions: Thromboprophylaxis has proven to be an effective method to prevent venous thromboembolism in hospitalized patients according to the criteria established in the institutional clinical practice guideline. It was observed that 285 patients (89.1%) complied with thromboprophylaxis, while 35 patients (11.4%) did not, based on guideline criteria. Proper use and dissemination of the guideline for implementing thromboprophylaxis in the appropriate patients significantly reduces thrombotic events in both medical and surgical hospitalized patients.
Acceso abierto
Efectividad de la utilización de una guía práctica de atención oral de enfermería en la prevención de la neumonía asociada a ventilación mecánica en pacientes intubados del servicio de emergencia
(Universidad Privada Norbert Wiener, 2018-12-16) Vigo Murrieta, Evelyn Janina; Del Aguila Grández, Dárica Cinthia; Calsin Pacompia, Wilmer
Resultados: los artículos del 100%, el 60% corresponden estudios revisión sistemática, 10%Meta -análisis, 10% causi experimental, 10% Estudio observacional, 10%estudio de cohorte. Conclusiones: se concluye que el 70% de los estudios evidencian que la utilización de una guía práctica de atención oral de enfermería en la prevención de la neumonía asociada a ventilación mecánica en pacientes intubados fue efectiva reducción el nivel de NAV, mejora la morbimortalidad y estancia hospitalaria de los pacientes. Y el 30% evidencian que la utilización de una guía práctica de enfermería clínica de atención oral de enfermería en la prevención de la neumonía asociada a ventilación mecánica en pacientes intubados no fue efectiva ya que no se evidencia disminución de la estancia hospitalaria y reducción morbimortalidad.