Proceso de atención de enfermería vinculado al lenguaje taxonómico NANDA, NIC y NOC en el cuidado de hemorragias postparto en el Hospital Vicente Corral Moscoso enero-diciembre 2021

Abstract

Background: Obstetric emergencies are problems that occur daily in pregnant and postpartum women. Among the main obstetric complications are postpartum hemorrhages, which are one of the three causes of maternal mortality in the world. According to WHO data, postpartum hemorrhages are responsible for 25% of maternal deaths, with the greatest number of cases occurring in developing countries. Objective: To determine the nursing care process linked to the taxonomic language NANDA, NIC and NOC in the care of postpartum hemorrhage at the Vicente Corral Moscoso Hospital January-December 2021. Methodology: A descriptive cross-sectional study was conducted, reviewing all the medical records of patients diagnosed with postpartum hemorrhage in the year 2021. A pre-prepared form was used for data collection and the data were tabulated using Microsoft Excel to create a coded database. For data analysis, SPSS version 25 statistical software was used. Results: The Nursing Care Process according to the taxonomic language NANDA, NOC and NIC in the care of postpartum hemorrhage determined that in the diagnosis of fluid volume deficit, compliance by the nurse was very good with a percentage of 40.48%, in the diagnosis of deterioration of gas exchange, compliance was regular with 78.78%. In the diagnosis of impaired urinary elimination, compliance was good with 59.25%; in the diagnosis of risk of shock, 46.25% had good compliance. In the diagnoses of hypothermia and acute pain, compliance was good with a percentage of 64.28% and 44.04% respectively. Finally, in the diagnosis of decreased cardiac output, compliance was fair with 52.38%. Conclusions: Most diagnoses such as impaired urinary elimination, hypothermia, risk of shock and acute pain had good nurse compliance, while compliance was fair for decreased cardiac output and impaired gas exchange.