Cumplimiento de los registros de enfermería en mujeres preeclámpticas en un hospital de la ciudad de Guayaquil.

Abstract

Nursing records are a source of support, on the activities that are carried out on pregnant women. The objective is to determine compliance with nursing records in preeclamptic women. Methodology: Level: Descriptive, Method: Quantitative. Design: according to the time. Retrospective and transversal. Population: 60 preeclamptic pregnant women. Technique: Indirect observation. Instrument: indirect observation matrix. Results: Ages between 31 to 40 years old 41.7%, followed by 20 to 30 years old 33.3%. The personal history of arterial hypertension represented 56.7%, while diabetes mellitus was 26.7%, likewise the relatives, hypertension prevailed in 50% and diabetes mellitus 33.3%, with a number of controls of 3 to 5 in 25.0%, the presentation of preeclampsia occurred between weeks 34 to 39 (46.7%), with a BMI in obesity grade 1 (41.7%) and overweight (25%). NANDA diagnoses determined that 41.6% are obese, 25% overweight, 16.7% risk of electrolyte imbalance and 16.7% excess liquid volume. Regarding compliance with nursing records, it is observed that the management of arterial hypertension, monitoring of vital signs, management of medication, administration of intravenous therapy, electronic fetal monitoring: antepartum, intrapartum care: high risk delivery, prenatal care, while the management of water balance 91.7% while the management of pain and control of nausea and vomiting was 83.3%. Conclusions: Nursing record compliance was determined in 95.8%.