Proceso de atención de enfermería en el cuidado de una paciente con sindrome de hellp

Abstract

Introduction: The Nursing Care Process aims to solve the needs that are altered in a patient, this objective is achieved through the application of specific nursing interventions, achieving the recovery of the same, this article focuses on the nursing care process implementation in a case of hellp syndrome. This syndrome is related to preeclampsia, it is a complication of pregnancy and the puerperium that threatens the life of the mother and the fetus. The worldwide incidence in the literature varies from 4% to 12% in patients with preeclampsia, it is also responsible for between 1-24% of maternal deaths. In Latin America, 27.6% of patients with eclampsia get to present this syndrome. The hellp syndrome can be differentiated by following these defining characteristics: hemolysis, alteration of red blood cell morphology, elevated total bilirubin, decreased hemoglobin and hematocrit, and serum haptoglobin. Elevation of liver enzymes; transaminase ≥ 70 U / L, and a decrease in platelet count. Objective: To analyze the nursing care process in the patient with hellp syndrome by assessing Marjory Gordon's theory to avoid complications of this pathology. Methodology: This research is analytical and descriptive, applying the selective review of scientific articles, as well as the study of the clinical history of the selected patient with the objective of collecting the necessary information for the present study. A 28-year-old female patient hospitalized in the Teofilo Davila General Hospital Gynecology area was chosen, with a pregnancy diagnosis of 38.4 weeks gestation and Hellp syndrome for this work.