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-MENTAL HEALTH -HEALTH AND SOCIETY -SURGERY -SURGERY -SURGERY -SURGERY -SURGERY -RESEARCH -ESSAY
Joana Fornés Vives, Joan Reinés Femenia, Catalina Sureda García
Mobbing in Nursing. A Pilot Study
The purpose of this article is to know the prevalence of self medication by nursing personnel, even those in hospitals and neighborhood primary attention health clinics, by means of an observational, descriptive, transversal design in the Barcelona area. Nurses and nurses' aides from two hospitals and eleven neighborhood primary attention health clinics participated in this study. The sample was random. Among nursing professionals, their first option, when a cold symptom appears, is self medication. A fine knowledge of pharmaceutical products by nurses leads to a correct use of these products. This sill serve to correct and orientate the general population towards correct health care practices.
Martínez Arce MJ, Marco Eza O, Borrell Brau N, Morillas Rodríguez D, Barris Cutié A
Do Patients and Their Families Wait for What We Really Offer Them?
Frequently we evaluate user satisfaction for the treatment procedures provided (quality perceived), but we do not study the prior expectations (quality desired). Our objective is to discover what these patient and their family expectations are about treatment procedures and nurses' role so that we can make improvements and contribute to maximizing the quality of treatment provided. The aspects which cause greatest concern so that a patient's hospital stay is comfortable are the interpersonal relationships with family members, room mate, and professionals. Furthermore, the authors evaluate the treatment with nurses as a primary aspect in quality treatment.
Monserrat Carballo, Montserrat Llinas, M. Feijoo
Phlebitis in Peripheral Catheters (I). Occurrence and Risk Factors
The type of pathology and the current therapeutic tendencies justify that endo-venous therapy is the most frequently selected one. Although it has multiple advantages, it bears with it a series of infectious type complications (bacterial infections, phlebitis and thrombophlebitis). Even though bacterial infections in peripheral intravascular vessels have a low occurrence rate, which some authors list as between 1 and 2 %, in central intravascular vessels, their occurrence is usually higher. Phlebitis is one of the complications most frequently associated with the use of peripheral intravascualr catheters.
Monserrat Carballo, Montserrat Llinas, M. Feijoo
Phlebitis in Peripheral Catheters (II). A Study
The study group consisted of 121 patients, 37 or 30.5% women and 84 or 69.4% men, checked into the Internal Medicine and Infectious Diseases Hospitalization Unit who bore a total of 215 peripheral venous catheters. The authors of this study detected a high level occurrence of phlebitis in patients using peripheral venous catheters, with a low average duration time, during the period in which the authors carried out their study.
Jesús S. Rivas Doblado, José Luis Artes León, Fco. Javier Arjona Barcia, David Carmona Heredia, Fco. Javier Soriano Vilanova, Fco. Manuel Mejías Montaño, Antonio Medina Fernández
How to Reduce the Occurrence of Traumatic Phlebitis
The authors carried out an analytic study on 2572 patients to reduce the occurrence of phlebitis having a traumatic cause. The authors conclude that the use of extensions after three way valves, or infusion systems and a venous catheter, considerably reduces the risk of traumatic phlebitis occurring. Furthermore, their use reduces 1. the bother patients incur, 2. the amount of work nursing professionals have derived by the appearance of traumatic phlebitis and 3. the cost of health care.
Magda Boltá, Mireya Urrea AyalPhlebitis in children
The authors' objectives are to determine the occurrence of phlebitis in patients hospitalized in the General Pediatrics Unit and to define the possible factors associated to its development. The authors carried out a prospective study in the "Sant Joan de Deu" Hospital in Barcelona during the month of July and from the 15th of September until the 15th of October in 2002. A one variant and two variant analysis using the chi squared method as the basis for estimating which associations took place. There were 153 patients admitted having 201 peripheral veins canalized; occurrence of phlebitis was 8.4%; a venous cord (53%) was the most frequent clinical sign. In cases of phlebitis, the back of a patient's hands (64.7%) was the main spot to make an insertion using a 22G "Vasocán" catheter (70.6%). Phlebitis appeared 2 days after insertion; the high number of antibiotics administered increased the risk of phlebitis (p>0.05).
Conclusion: Phlebitis is a frequent problem in pediatrics patients having endo-venous treatment, susceptible to prevention by means of the implementation of control measures and a program of continuous vigilance.
Fernando Lema Garrido, Mariano Moya Merino, Cristóbal Jordán LópezAneurysm in the aorta. Diagnostic confirmation by means of a helicoidal CAT Scan
A helicoidal radiological CAT Scan, which produces reconstructions in varying planes and makes use of an injected contrasting liquid, confirms a diagnosis of an abdominal aorta aneurysm in the shortest time possible, whether this aneurysm is broken or dried, in order to facilitate a patient's treatment to the highest degree.
José Verdú Soriano, Pablo López Casanova, Gemma Fuentes Pagés, Joan-Enric Torra I BouPrevention of Pressure Ulcers in Heels
Heels are, for all assistance levels, one of the most frequent locations for the development of pressure ulcers (PU). In this study we deal to investigate in order to determine in patients at risk in an Internal Medicine Unit, the PU incidence on heels, after applying a specific prevention protocol. This protocol particularly designed for pressure ulcers on heels included a combined application of special hydrocellular dressings specially shaped for heels (Allevyn¸ Heel) , hyper-oxygenated fatty acids (Mepentol®) and special surfaces for pressure management (Aerocare®); afterwards, we attempted a comparison of our results with those form previous similar studies. We designed a prospective study which lasted from May 1-2002 until June 30-2003, with a sample of 100 patients without PU included in the study when admitted to the unit. The cumulated incidence established for PU in heels is a 4% which means an incidence rate of 2.06 PU in heels per 1000 persons/day. After observing the results we may affirm that applying the protocol is, under a clinical point of view, as effective as other measures used in previous studies. If we focus on the cost-benefit, the protocol studied represents an option with an excellent cost-efficiency relationship.
Anna Cabestany Queraltó, Montse Magriñà RoviraFollowing Breast Cancer Surgery, Which Treatments are Necessary?
This essay received first prize in the Third Nursing Conferences organized by the Sanitary Consortium of the Alt Penedés County in Catalonia. In a very clear, simple way, this essay deals with those questions which most concern women who have undergone an axillary extirpation. The authors describe their everyday experiences in health education for women who have undergone this surgery.