Proceso de atención de enfermería en paciente con nefritis lúpica basado en los modelos de marjory gordon y nola pender

Abstract

Lupus nephritis is inflammation of the renal parenchyma, associated with a chronic autoimmune disease known as systemic lupus erythematosus (SLE) that can cause irreversible damage to our organs, such as the skin, joints, lungs, heart, kidneys and nervous system, their etiology includes genetic and environmental factors. Lupus nephritis (NL) is a common and serious complication of SLE. NL is a common and serious complication of SLE, its prevalence is 1.4 to 21.9% and the incidence is 7.4 to 159.4 cases per 100,000 people, according to a review in the database of Medline and Cochrane. NL predominates in female patients in a 10: 1 gender-based relationship with men, the percentage of affected men increases with age according to the LES 2015 clinical guideline, although in a study in the Hospital de Camagüey Cuba the ratio of the total of admitted patients was 6 out of 10 affected were women, instead in a study in the nephrology service of the Saturnino Lora Provincial Teaching Hospital of Santiago de Cuba, from January 2013 to December 2017, environmental and hormonal factors are recognized as influential in development, the latter being one of the points of further study, since it is corroborated in the epidemiology of this disease, because it is more frequent in women of reproductive age a, observing ranges between 7 in 1 to 15 in 1 in the woman: man relationship. The present study was the analysis of a clinician in a 30-year-old female lupus nephritis patient who enters the outpatient area with a pathological personal history of SLE diagnosed 12 years ago in treatment without a surgical history. gyneco-obstetricians: deeds 0, amenorrhea at age 13 with cycles: regular, number of sexual partners 2, using the contraceptive method with mesigyna which is suspended two months later due to an exacerbation of lupus, toxic habits: does not refer. The objective was to determine the nursing care process in patients with lupus nephritis at Teófilo Dávila Hospital, based on Marjory Gordon's functional patterns and Nola Pender's health promotion theory. In relation to the PEA, the following altered patterns were found: perception of health, nutritional metabolic and cognitive-perceptive, as for Marjory Gordon's theory, it contributes positively to the quality of life, for this information is collected: subjective data, objectives, as well as the review of the medical history, trying to avoid assumptions or make subjective interpretations, it is also important to promote healthy life behaviors as explained in the Nola Pender model.