Cumplimiento de las intervenciones de enfermería en pacientes con crisis hipertensiva de un hospital de Guayaquil. Mayo 2022- abril 2023.

Abstract

Hypertensive crises are a frequent complication of arterial hypertension. They are classified into hypertensive urgencies and hypertensive emergencies. Objective: To determine the compliance with nursing interventions in patients with hypertensive crises in the emergency and internal medicine areas of the General Hospital of the North IESS Ceibos. Methodology: Descriptive, quantitative, prospective, cross-sectional study. Population: 100 nursing professionals were subjected to direct observation to evaluate compliance with nursing interventions. Results: Nursing activities in respiratory control in patients with hypertensive crises were fulfilled in 95.16%, nursing interventions related to tissue perfusion control were fulfilled in 93.82%, nursing activities in interventions related to drug control administered during hypertensive crises were fulfilled in 94.33%, being those with the highest compliance, and finally, nursing interventions related to neurological control were fulfilled in 90.76%, being those with the lowest compliance. The overall compliance with nursing interventions was 93.51%. Conclusion: The nursing staff at the General Hospital of the North IESS Ceibos is mostly composed of women with job stability and ages between 31 and 40 years. There was a high compliance with respiratory and medication control interventions, while neurological control interventions had lower compliance due to the poor condition of hospital beds. It is necessary to reinforce compliance with interventions related to the evaluation of tissue perfusion and the observation of friction injuries caused by oxygen devices. The transmission of information between areas should also improve to ensure patient safety.