Estudio de la atención de enfermería en cáncer de mama en mujeres atendidas en el Hospital Solca del Chimborazo 2004-2005

Abstract

The study population: managerial staff (2), personal physician (9) and nursing (10) and patients with breast cancer of that institution (10). The information is obtained through surveys and direct observation of parameters of interest related to the study variables. Results: Most patients use the diagnostic means of breast cancer, histopathological examinations, X-rays and other different means of diagnosis. Doctors are specialists, which guarantees the quality of care. Coordination between doctors and paramedics is said to be good. The physical plant is considered to be not the best. It is said that most nurses claim to know about caring for breast cancer patients. Three of the 10 nurses are on the floor, the rest of their contract, some degree of ignorance of contract nursing services. It complies with nursing procedures regarding the assessment of the patient in the first contact, help in the psychological field is only occasional. In the case of outpatients of patients with high medicine, it is observed that very few nurses who education about home care and usually are not informed about the side effects of treatment, the same the patient nursing evaluation at discharge Of the hospital is Partial only.Nursing activities focus on the fulfillment of their activities within the hospital. In most cases, the conditions of the patients are recorded in the discharge plan. Care of injuries and exercises are the main care of nurses, it is noteworthy that almost no one of the nurses is concerned with the psychological or spiritual support that distorts the current conceptions of nursing that promote this type of care. It is agreed that patients suffering from cancer have as main problems the effectiveness, pain, sleep, intestinal and urinary problems, lack of energy and difficulty in relating. The factors of trust, respect and communication, both of physicians - patient and between patient - nurse in general is good. It is stated that the nursing and medical staff of SOLCA de Chimborazo is highly qualified. Information on the subject is provided through community meetings within the life plan program, monitoring is partial, which impedes its impact assessment. The coverage is said to have been 20-40, because no real intensive prevention campaign is planned. The patients do not have habits of consumption of drugs, cigarettes or alcohol, they are of limited economic resources and they belong mainly to the urban sector