El interno de enfermería y percepción en el manejo de una paciente con tumor de ovario: a propósito de un caso.

Abstract

Ovarian tumors are one of the most common gynecological neoplasms, and their diagnosis is often delayed due to their silent progression and nonspecific symptoms. Factors such as obesity, hormonal imbalances, and age significantly increase the risk of developing them. In Ecuador, according to the latest STEPS survey, obesity affects 67.4% of women, making it a critical factor in the prognosis of gynecological diseases. Given this context, this study aimed to describe and interpret nursing interns' perceptions of the comprehensive care provided to a patient diagnosed with ovarian tumor, highlighting the clinical, emotional, and educational approach to obesity and the anxiety associated with the diagnostic and surgical process. To this end, a qualitative, descriptive, and explanatory methodology was employed, based on medical history review, interviews, direct observation, and bibliographical consultation in academic databases such as Scielo, Elsevier, and Redalyc. The case of a 58-year-old patient with multiple comorbidities, including type II obesity, hypertension, and type II diabetes mellitus, who underwent surgery after several previous hospital rejections due to her condition, was analyzed. She presented postoperative complications, requiring follow-up by the nursing intern, who performed interventions such as wound care, comorbidity management, health education, and emotional support. The findings highlight the fundamental role of the nursing intern in the patient's comprehensive recovery, applying a holistic approach based on Hildegard Peplau's theory.