학술논문
La higiene corporal en el paciente crítico cardiológico
Document Type
Dissertation/Thesis
Author
Source
TDX (Tesis Doctorals en Xarxa)
Subject
Language
Spanish; Castilian
Abstract
El objetivo de esta tesis doctoral es evaluar el impacto físico-psíquico de la higiene corporal diaria en los pacientes críticos cardiológicos. En la primera fase se ha analizado el impacto hemodinámico del paciente crítico cardiovascular en la higiene diaria mediante un estudio observacional, longitudinal y prospectivo de 242 higienes consecutivas. En la segunda fase, se explora el estado emocional mediante un cuestionario ad hoc de 30 ítems a 148 pacientes y se analizan las diferencias en función de experiencias previas, de sexo y perspectiva de género. La hipertensión destaca como evento adverso principal. Los resultados muestran que la técnica es segura. Aun así, se concluye que la higiene debe individualizarse. Por una parte, la enfermera debe decidir el momento adecuado para realizarse; y por otra, se deben tener en cuenta las preferencias del paciente, para realizar unos cuidados centrados en la persona basados en la seguridad y la calidad asistencial.
The increasing complexity of the critically ill cardiac patient, together with the need to ensure comfort and privacy, requires the evaluation of the physical and psychological impact of daily body hygiene. The first phase of this thesis is the analysis of the hemodynamic impact that hygiene has on these patients through an observational, longitudinal and prospective study of 242 consecutive hygiene procedures. In the second phase, it explores the emotional state by means of an ad hoc questionnaire of 30 items in 148 patients, analyzing the differences according to previous experience, sex and gender perspective. The main adverse event was hypertension. The results show that the procedure is safe, although it should be individualized; the nurse should decide the appropriate time for its performance, taking into account the patient's preferences. Training plans and protocols at institutions should be adapted to promote patient-centered care based on safety and quality of care.
Programa de Doctorat en Ciències de la Infermeria
The increasing complexity of the critically ill cardiac patient, together with the need to ensure comfort and privacy, requires the evaluation of the physical and psychological impact of daily body hygiene. The first phase of this thesis is the analysis of the hemodynamic impact that hygiene has on these patients through an observational, longitudinal and prospective study of 242 consecutive hygiene procedures. In the second phase, it explores the emotional state by means of an ad hoc questionnaire of 30 items in 148 patients, analyzing the differences according to previous experience, sex and gender perspective. The main adverse event was hypertension. The results show that the procedure is safe, although it should be individualized; the nurse should decide the appropriate time for its performance, taking into account the patient's preferences. Training plans and protocols at institutions should be adapted to promote patient-centered care based on safety and quality of care.
Programa de Doctorat en Ciències de la Infermeria