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Search Results: 1 - 10 of 41320 matches for " Ma Teresa; Alonso Nates "
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Repercusión de un protocolo de cuidados en la prevalencia de infección del orificio de salida del catéter de diálisis peritoneal Repercussion of a care protocol on the prevalence of cather exit wound infection in peritoneal dialysis
Magdalena Gándara Revuelta,Ana Begines Ramírez,Ma Teresa Sola García,Rosa Alonso Nates
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2011,
Abstract:
Las complicaciones de la herida quirúrgica en el trasplante renal
Zudaire Arana,Ma Teresa; Cabeza Guerra,Ma Victoria; Menezo Viadero,Raquel; Arias Ramos,Natalia; Alonso Nates,Rosa;
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2005, DOI: 10.4321/S1139-13752005000100005
Abstract: we note a worsening in the evolution of the surgical wounds in the post-operative kidney transplant. the problem starts at the beginning of treatment with rapamicin combined with other immunosuppressors we already used. objective. to evaluate whether there is correspondence with the nursing observation that the poorer evolution of the postoperative surgical wound of kidney transplants are related to the use of rapamicin as an immunosuppressor, added to the habitual risk factors. material and method. retrospective observational epidemiological study of cohorts. a total 56 patients transplanted in our unit were studied from 1999 to 2003. thirty patients were selected with the usual immunosuppression tendency: corticoids, cyclosporin or tacrolimus, mofethyl micophenolate, etc. and 26 patients with a similar treatment, but associated with rapamicin. results. the relationship between the days of exudation of the surgical wound in the postoperative period of the patients of the group treated with rapamicin is statistically significant in relation to the group that did not take it, with p = 0.016 (p< 0.05) in u by mann whitney. the difference between other variables studied was not significant.
Repercusión del acceso vascular sobre la calidad de vida de los pacientes en tratamiento con hemodiálisis
Pelayo Alonso,Raquel; Cobo Sánchez,José Luis; Reyero López,Marta; Sáenz de Buruaga Perea,Araceli; Tovar Rincón,Alicia; Alonso Nates,Rosa; Begines Ramírez,Ana; Sola García,Ma Teresa; Cano Gil,Alexandra;
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2011, DOI: 10.4321/S1139-13752011000400006
Abstract: in all patients diagnosed with chronic renal failure is essential to facilitate an adequate treatment and to prevent complications. when this premise is resolved, the attention is directed to assist these patients to live as well as possible with their disease, improving their quality of life ultimately. objective: to determine the extent vascular access influences the health related quality of life related of hemodialysis patients. methodology: cross-sectional study in a population of 38 hemodialysis patients. euroqol 5d visual analogue scale was used to evaluate their perceived health status. patients were asked about their health status at present time, and without the inconvenience and discomfort which gives them their vascular access. results: visual analogue scale mean score of patient with an arteriovenous fistula was 58.75 ± 20.31points vs60.56 ± 17.39 points of patients with central venous catheter (no statistically significant). conclusions: according our study, there is no significant influence of the vascular access on the patient's perceived quality of life. the major inconveniences and discomfort associated with vascular access occur in patients with a central venous catheter, who are treated with hemodialysis more than 1 year.
Estudio comparativo de incidencia de bacteriemias relacionadas con el catéter de hemodiálisis: bioconectores frente a conexión directa
Cobo Sánchez,José Luis; Sainz Alonso,Rosa Ana; Vicente Jiménez,Ma Yolanda; Cepa García,Hortensia; Pelayo Alonso,Raquel; Menezo Viadero,Raquel; Ibarguren Rodríguez,Emilio; Pérez Garmilla,Ana Isabel; Rojo Tordable,Marina; Begines Ramírez,Ana; Sola García,Ma Teresa; Alonso Nates,Rosa;
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2011, DOI: 10.4321/S1139-13752011000400004
Abstract: objective: to compare hemodialysis catheter-related bacteremia rate between bioconectors use and direct connection. methodology: comparative, retrospective and cross-sectional study over 2 consecutive years (one year with direct connection - 2009 february to 2010 february - and 1 year using bioconectors tego? -2010 march to 2011 march-) in hemodialysis patients in our unit with a permanent catheter as vascular access. catheters connection and disconnection protocol was the same during the study period, except for the disinfecting solution used: iodine povidone was using in direct connection, and 2% chlorhexidine was using with bioconectors. catheter-related bacteremia was defined as onset of fever with a positive blood culture in the absence of another infection source. results: 69 patients were studied: 36 during direct connection period and 33 during use bioconectors period. six patients were studied during both periods. bacteremia rate during direct connection period was 24.6/1000 catheters-day (9 bacteremia), while during the using bioconectors period, bacteremia rate was 5.47/1000 catheters-day (2 bacteremia) (p = 0.036). staphylococcus aureus (3 patients) and staphylococcus coagulase negative (3 patients) were the most common infectious agents during direct connection period. conclusions: use of bioconectors significantly decreases the rate of bacteremia catheter-related in hemodialysis patients versus direct connection.
Repercusión del grado de dependencia de los pacientes en hemodiálisis sobre la carga de trabajo de enfermería Repercussion of the degree of dependency of haemodialysis patients on the nursing workload
José Luis Cobo Sánchez,Raquel Pelayo Alonso,Ma Soraya Sánchez Cano,Rosa Alonso Nates
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2008,
Abstract: El envejecimiento de la población junto con la pluripatología e inmediatez del comienzo del tratamiento sustitutivo renal supone un gran reto para la enfermería nefrológica. La mayor supervivencia ante ciertas patologías se acompa a de una mayor incapacidad de los pacientes y de una mayor necesidad de cuidados. Nuestro objetivo fue evaluar el grado de dependencia de pacientes en hemodiálisis (HD) hospitalaria y analizar las necesidades de cuidados de enfermería requeridos en función de la misma. Estudio prospectivo descriptivo en 43 pacientes en HD hospitalaria. Para la evaluación del grado de dependencia se utilizó el "Test Delta", que consta de 3 escalas: dependencia en general, deficiencia física y deficiencia psíquica. Se dise ó un registro específico en el que se recogía además: edad, sexo, enfermedad de base, tiempo en HD, índice de Comorbilidad de Charlson (ICC). Análisis estadístico SPSS 8.0. Se estudiaron 28 hombres (65,1%) y 15 mujeres (34,9%), con una edad media de 61,86 a os y un ICC medio de 5,39. Tiempo medio en HD 52,39 meses. El 67,43% presentaba algún tipo de dependencia. Cerca de un 50% de la muestra necesitaba algún tipo de ayuda en cuanto a movilización, deambulación y desplazamiento, aseo y vestido. El 35% precisaba ayuda en la administración de tratamientos y un 70% precisaba mayores cuidados de enfermería. Existe una elevada prevalencia de dependencia de os pacientes en HD hospitalaria, por lo que surge la necesidad de revisar los ratios enfermera/paciente y auxiliar de enfermería/paciente para aportar unos cuidados de mayor calidad. The aging of the population along with the pluripathology and immediacy of the beginning of the renal substitute treatment supposes a great challenge for the nephrology nursing. Greater survival before certain pathologies is accompanied by a greater incapacity of the patients and by a greater necessity of cares. Our objective was to evaluate the dependency degree of patients in hospital hemodialysis (HD) and to analyze the required necessities of nursing cares based on the same one. Descriptive prospective study in 43 patients in hospital HD. Dependency degree was evaluated by the "Delta Test", which consists of 3 scales: general dependency, physical deficiency and psychic deficiency. A specific registry was designed in which it took shelter in addition: age, sex, nephropathy, time in HD, Charlson Comorbidity Index (CCI). Statistical analysis SPSS 8.0. Twenty-eight men (65,1%) and 15 women (34,9%) were studied: mean age 61.86 years, mean CCI 5,39 points and mean time in HD 52.39 months. 67.43% present
Repercusión del grado de dependencia de los pacientes en hemodiálisis sobre la carga de trabajo de enfermería
Cobo Sánchez,José Luis; Pelayo Alonso,Raquel; Sánchez Cano,Ma Soraya; Alonso Nates,Rosa; Menezo Viadero,Raquel; Gándara Revuelta,Magdalena; Rojo Tordable,Marina; Cuadrado Mantecón,Ma Eugenia; Villa Llamazares,Camino;
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2008, DOI: 10.4321/S1139-13752008000100002
Abstract: the aging of the population along with the pluripathology and immediacy of the beginning of the renal substitute treatment supposes a great challenge for the nephrology nursing. greater survival before certain pathologies is accompanied by a greater incapacity of the patients and by a greater necessity of cares. our objective was to evaluate the dependency degree of patients in hospital hemodialysis (hd) and to analyze the required necessities of nursing cares based on the same one. descriptive prospective study in 43 patients in hospital hd. dependency degree was evaluated by the "delta test", which consists of 3 scales: general dependency, physical deficiency and psychic deficiency. a specific registry was designed in which it took shelter in addition: age, sex, nephropathy, time in hd, charlson comorbidity index (cci). statistical analysis spss 8.0. twenty-eight men (65,1%) and 15 women (34,9%) were studied: mean age 61.86 years, mean cci 5,39 points and mean time in hd 52.39 months. 67.43% presented some dependency type. near to 50% of the sample needed some aid type as far as mobilization, deambulation and displacement, cleanliness and dress 35% needed aid in the administration of treatments and 70% needed greater nursing cares. a high prevalence of dependency of the patients in hospital hd exists, reason why must review patient/ nurse and to patient/ nursing assistant ratios to contribute cares of greater quality.
Trabajo socioeducativo con adolescentes en las aulas escolares del distrito de La Latina de Madrid
Ma. del Carmen Alonso Rodríguez,Ma. Teresa Buendía Bueno
Indivisa : Boletin de Estudios e Investigación , 2000,
Abstract:
Estudio comparativo de biocompatibilidad entre la hemodiafiltración en línea y la hemodiafiltración con reinfusión endógena
Cobo Sánchez,José Luis; Pelayo Alonso,Raquel; Menezo Viadero,Raquel; Cuadrado Mantecón,Ma Eugenia; Villa Llamazares,Camino; Gándara Revuelta,Magdalena; Cepa García,Hortensia; Saenz de Buruaga Perea,Araceli; Incera Setién,Ma Elena; Sainz Alonso,Rosa Ana; Vicente Jiménez,Ma Yolanda; Sánchez Cano,Ma Soraya; García Martínez,Mirian; Alonso Nates,Rosa; Paule Pe?asco,Blanca Amalia;
Enfermería Nefrológica , 2012,
Abstract: aim: to compare biocompatibility between online hemodiafiltration (hdf) and hemodiafiltration with endogenous reinfusion. methods: observational comparative study in a population of 15 chronic hemodialysis patients randomly selected among the patients in our unit. we compared changes in hematological profile, crp level and vital signs, pre and post hemodialysis, after undergoing both hemodiafiltration techniques. comparing the differences between the parameters studied before and after each hemodialysis technique. results: platelet levels decreased more in the hdf (hdf -1,33 vs hfr -19,73 x103/mm3, p=0,005). leukocyte levels decreased in the hdf and increased with hfr (hdf -0,46 vs hfr +0,8 x103/mm3; p=0,006). regarding the leukocyte formula had mixed results: segmented hdf -1,7 vs hfr +5,4%, p<0,001; lymphocytes hdf +1,96 vs hfr -3,62%, p<0,001. with the hfr decreased crp levels less (hdf -0,05 vs hfr -0,001 mg/dl; p= ns). regarding vital signs, systolic blood pressure decreased more in the hfr than hdf (hdf -9,93 vs hfr -10,33 mmhg; p<0,001), conversely that the diastolic blood pressure (hdf -5,2 vs hfr -3 mmhg; p=0,007), and heart rate (hdf -1,46 vs hfr +1,73 lpm; p=ns). body temperature increased more with the hdf that the hfr (hdf +0,35 vs hfr +0,06 oc; p=ns). conclusions: according to our results the hfr seems more biocompatible than the hdf, probably derived by exogenous reinfusion of hdf.
Factores sociológicos y calidad de vida relacionada con la salud en pacientes en hemodiálisis
Cobo Sánchez,José Luis; Pelayo Alonso,Raquel; Ibarguren Rodríguez,Emilio; Aja Crespo,Ainhoa; Saenz de Buruaga Perea,Araceli; Incera Setién,Ma Elena; Vicente Jiménez,Ma Yolanda; Sainz Alonso,Rosa Ana; Merino González,Lucía; Serrano Rubio,Ana Isabel; Pérez Garmilla,Ana Isabel; Alonso Nates,Rosa;
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2011, DOI: 10.4321/S1139-13752011000200004
Abstract: objective: to evaluate the influence of sociological factors on the perceived health related quality of life among hemodialysis patients in our unit. methodology: prospective, descriptive and cross-sectional study in hemodialysis patients who had been at least 3 months on chronic treatment. euroqol-5d was used as a measuring instrument. as sociological dependent variables were studied: age, sex, marital status, cohabitation, educational level and monthly income. results: forty-seven patients were studied: 67% men, mean age 62 ± 15 years. sixty-three percent suffered some type of moderated pain / discomfort, and 49% were anxious / depressed to varying degrees. neither sex nor educational level correlated with any parameter of the euroqol-5d. married people had worse scores in terms of vas (p = 0.012), anxiety / depression (p = 0.002) and perceived health status in the past year (p = 0.016). those who lived alone had better scores on the vas (p = 0.062) and less pain / discomfort (p = 0.075). income level was inversely correlated with personal hygiene problems (p = 0.016). patients over 65 years had poorer perception of health status that patients under 65 years (p = 0.006). conclusions: nearly 70% of patients have pain / discomfort, and nearly half are anxious or depressed. sociological variables that influence the quality of life related to health in hemodialysis patients are age, cohabitation, marital status and income level.
General care plan in a Paediatric Intensive Care Unit
Mónica Díaz López,Ma Teresa Martín Alonso
NURE Investigación , 2011,
Abstract: The care plan we expose is a general one applicable to all the children who are admitted in the unit, no matter what pathology they present/display, their physiopathological situation or their age. We present the common nursing actions which are applied to all the patients at the time of their admittance. The factor related to the studied problems is the hospitalization and what it has associate, from separation of the parents and rupture familiar ties, up to immobilization, the use of bloody devices and the generally hostile and stranger background.The protocol is based on the NANDA, the nursing outcomes classification NOC and the nursing intervention classification NIC. It is part of the nursing process and promotes systematized, humanistic and effective care, focuses on the child and his parents.We have selected the most relevant problems, ordered according to the deficits in the different selfcare requirements of Dorotea E. Orem. Each problem has its definition, the outcomes we pretend to reach with our care and the interventions to get the outcomes (these two last topics have the corresponding codification). In them all the most important factor is hospitalization in a unit of intensive care and the separation of the child from his habitual environment.
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