scholarly journals Occurrence of adverse events in public hemodialysis units

2019 ◽  
Vol 18 (3) ◽  
pp. 1-34
Author(s):  
Renata de Paula Faria Rocha ◽  
Diana Lúcia Moura Pinho
Keyword(s):  
Adverse Events ◽  
Renal Disease ◽  
Vascular Access ◽  
Chronic Renal Disease ◽  
Federal District ◽  
Public Hospitals ◽  
Calidad De Vida ◽  
Complex Procedure ◽  
La Red

Objetivo: Identificar lo eventos adversos que ocurren en unidades de hemodiálisis de la red pública del Distrito Federal. Métodos: Se trata de un estudio descriptivo con enfoque cuantitativo, realizado en Brasilia/DF. Los datos se recopilaron en tres hospitales públicos de la Secretaría de Salud del DF en el año 2017. Esas unidades, en conjunto, realizaron en el año 2017, 1770 sesiones de hemodiálisis en pacientes con Insuficiencia Renal Crónica por mes. Se analizaron 152 historiales de pacientes para el levantamiento de los registros. Los datos fueron organizados en hoja de Excel, y se utilizó la estadística descriptiva para el análisis. Resultados: Los acontecimientos adversos con mayor número de registros están relacionados con el acceso vascular para hemodiálisis, son: sangramiento, secreción en catéter doble lumen, flujo sanguíneo inadecuado e infección o señales de infección en el acceso vascular. Respecto al responsable del registro, 76,9%de los registros fueron realizados por los técnicos en enfermería, 16,6% por los enfermeros y 6,5% por otros profesionales del equipo de salud. Conclusión: La hemodiálisis es un sector con un gran potencial de riesgo para la ocurrencia de eventos adversos, esto sucede por diversos motivos tales como, tratarse de un procedimiento complejo, con uso de alta tecnología, la característica de cronicidad de la enfermedad renal crónica, el uso alto de medicamentos. Deben adoptarse estrategias para mejorar el funcionamiento de estos accesos vasculares, pues de ellos depende la calidad de la diálisis y consecuentemente la calidad de vida del paciente con enfermedad renal crónica en tratamiento dialítico. Objective: Identify the adverse events occurring in hemodialysis units of the Federal District public network.Methods: This is a descriptive study with a quantitative approach, carried out in Brasília / DF. Data were collected in three public hospitals of the Health's Secretary of the Federal District in the year 2017. These units, together, performed in the year 2017, 1770 hemodialysis sessions in patients with CKD per month. A total of 152 patient charts were analyzed to record adverse events. The data were organized in an Excel spreadsheet, and descriptive statistics were used for the analysis. Results: Adverse events with the highest number of records are related to vascular access to hemodialysis, they are: bleeding, double-catheter secretion lumen, inadequate blood flow, and infection or signs of vascular access infection. As for the person responsible for the registration, 76.9% of the records were made by nursing technicians, 16.6% by nurses and 6.5% by other health team professionals.Conclusion: It is concluded in this study that hemodialysis is a hospital sector with a great risk potential for the occurrence of adverse events, this occurs for several reasons such as: it is a complex procedure, using high technology, chronicity characteristic of chronic renal disease, the high use of medications. Strategies need to be taken in order to optimize the functioning of these vascular accesses, because the quality of dialysis depends on them, consequently the quality of life of the patient with chronic renal disease in dialysis treatment.   Objetivo: Identificar os eventos adversos que ocorrem em unidades de hemodiálise da rede pública do Distrito Federal.Métodos: Trata-se de um estudo descritivo com abordagem quantitativa, realizado em Brasília/DF. Os dados foram coletados em três hospitais públicos da Secretaria de Saúde do DF no ano de 2017. Essas unidades, em conjunto, realizaram no ano de 2017, 1770 sessões de hemodiálise em pacientes com DRC por mês. Foram analisados 152 prontuários de pacientes para levantamento dos registros de eventos adversos. Os dados foram organizados em planilha do Excel, e utilizado estatística descritiva para a análise.Resultados: Os eventos adversos com maior número de registros estão relacionados ao acesso vascular para hemodiálise, são eles: sangramento, secreção em cateter duplo lumen, fluxo sanguíneo inadequado e infecção ou sinais de infecção no acesso vascular. Quanto ao responsável pelo registro, 76,9% dos registros foram realizados pelos técnicos de enfermagem, 16,6% pelos enfermeiros e 6,5% por outros profissionais da equipe de saúde.Conclusão: Conclui-se com este estudo que a hemodiálise é um setor hospitalar com um grande potencial de risco para a ocorrência de eventos adversos, isso ocorre por diversos motivos tais como, se tratar de um procedimento complexo, com uso de alta tecnologia, a característica de cronicidade da doença renal crônica, o alto uso de medicamentos. Estratégias precisam ser tomadas de forma a otimizar o funcionamento desses acessos vasculares, pois deles depende a qualidade da diálise, consequentemente a qualidade de vida do paciente com doença rena crônica em tratamento dialítico.

scholarly journals Segurança do paciente em hemodiálise

2018 ◽  
Vol 12 (12) ◽  
pp. 3360
Author(s):  
Renata De Paula Faria Rocha ◽  
Diana Lúcia Moura Pinho
Keyword(s):  
Quality Of Life ◽  
Patient Safety ◽  
Adverse Events ◽  
Renal Disease ◽  
Nursing Care ◽  
Descriptive Study ◽  
Virtual Library ◽  
Calidad De Vida ◽  
Article Analysis

RESUMOObjetivo: analisar a literatura acerca da segurança do paciente em hemodiálise. Método: trata-se de um estudo bibliográfico, descritivo, tipo revisão integrativa, por meio de pesquisa em artigos publicados entre os anos de 2006 a 2016, em português, inglês ou espanhol; coletados nas bases de dados Medline, Lilacs, BDENF e Biblioteca Virtual SciELO e os resultados apresentado em figura. Resultados: compôs-se a amostra deste estudo por seis artigos. Agruparam-se as informações após a análise dos artigos, em três categorias: segurança do paciente em hemodiálise; fatores que afetam a segurança do paciente em hemodiálise e estratégias para a segurança do paciente em hemodiálise. Conclusão: torna-se importante que a equipe da hemodiálise aprofunde os seus conhecimentos acerca da segurança do paciente para atuar, de forma proativa, na prevenção de eventos adversos garantindo, assim, a segurança do paciente e uma melhor qualidade de vida ao paciente com doença renal crônica em tratamento hemodialítico. Descritores: Segurança do Paciente; Enfermagem; Diálise Renal; Cuidados de Enfermagem; Enfermagem em Nefrologia; Avaliação em Enfermagem.ABSTRACT Objective: to analyze the literature on the safety of patients on hemodialysis. Method: this is a bibliographical, descriptive study, of integrative review type, through research in articles published between the years 2006 to 2016, in Portuguese, English or Spanish; collected in the databases Medline, Lilacs, BDENF and SciELO Virtual Library and the results presented in figure. Results: the sample of this study was composed by six articles. The information after article analysis was grouped into three categories: patient safety on hemodialysis; factors that affect patient safety on hemodialysis and strategies for patient safety on hemodialysis. Conclusion: it is important that the hemodialysis team deepens their knowledge about patient safety to proactively act in the prevention of adverse events, thus ensuring patient safety and a better quality of life for patients with illness renal disease on hemodialysis. Descriptors: Patient Safety; Nursing; Renal Dyalisis; Nursing Care; Nephrology Nursing; Nursing Assessment.RESUMEN Objetivo: analizar la literatura acerca de la seguridad del paciente en hemodiálisis. Método: se trata de un estudio bibliográfico y descriptivo, revisión de tipo integrador, a través de los artículos de investigación publicados entre 2006 a 2016, en portugués, Inglés o Español; recogidos en las bases de datos Medline, Lilacs, BDENF y Biblioteca Virtual SciELO y los resultados presentados en figura. Resultados: se compuso la muestra de este estudio por seis artículos. Se agruparon las informaciones después del análisis de los artículos, en tres categorías: seguridad del paciente en hemodiálisis; factores que afectan la seguridad del paciente en hemodiálisis y estrategias para la seguridad del paciente en hemodiálisis. Conclusión: es importante que el equipo de la hemodiálisis profundice sus conocimientos acerca de la seguridad del paciente para actuar de forma proactiva en la prevención de eventos adversos garantizando así la seguridad del paciente y una mejor calidad de vida al paciente con enfermedad renal crónica en tratamiento hemodialítico. Descriptores: Seguridad del Paciente; Enfermería; Diálisis Renal; Atención de Enfermería; Enfermería en Nefrología; Evaluación en Enfermería.

scholarly journals QUALIDADE DE VIDA DE PACIENTES COM DOENÇA RENAL CRÔNICA

2018 ◽  
Vol 9 (2) ◽  
Author(s):  
Raquel De Sousa Sales Santos ◽  
Ana Hélia De Lima Sardinha
Keyword(s):  
Quality Of Life ◽  
Kidney Disease ◽  
Renal Disease ◽  
Chronic Renal Disease ◽  
Short Form ◽  
Descriptive Study ◽  
Calidad De Vida ◽  
Quantitative Descriptive ◽  
Educación Primaria

Objetivo: avaliar a Qualidade de Vida dos pacientes com Doença Renal Crônica Terminal em tratamento hemodialítico. Metodologia: estudo descritivo quantitativo, com questionários para os aspectos sociodemográficos e de saúde e o Kidney Disease and Quality of Life Short-Form. Resultados: pacientes na faixa etária 31-50 anos, sexo feminino, pardos, casados, 1-4 filhos, ensino fundamental incompleto, 06-10 anos de hemodiálise e comorbidades como hipertensão, cardiopatia e diabetes. Menores escores nas dimensões: papel profissional, função física, sobrecarga da doença renal e saúde geral. Discussão: A qualidade de vida dos pacientes sofreu alterações. Conclusão: Identificou-se aspectos que requerem atenção da equipe multiprofis-sional de saúde.Descritores: Qualidade de Vida, Insuficiência Renal Crônica, Diálise Renal.QUALITY OF LIFE OF PATIENTS WITH CHRONIC RENAL DISEASE ABSTRACTObjective: to evaluate the Quality of Life of patients with Terminal Chronic Kidney Disease under hemodialysis treatment. Methodology: quantitative descriptive study, with questionnaires for sociodemographic and health aspects and Kidney Disease and Quality of Life Short-Form. Results: patients aged 31-50 years, female, brown, married, 1-4 children, incomplete elementary school, 6-10 years of hemodialysis and comorbidities: hypertension, cardiopathy and diabetes. Lower scores on the dimensions: professional role, physical function, renal disease overload and general health. Discussion: Patients’ quality of life has changed. Conclusion: It was identified aspects that require greater attention from the multiprofessional health team.Descriptors: Quality of Life, Renal Insufficiency Chronic, Renal Dialysis.CALIDAD DE VIDA DE LOS PACIENTES CON ENFERMEDAD RENAL CRÓNICA RESUMENObjetivo: evaluar la calidad de vida de los pacientes con enfermedad renal crónica terminal en tratamiento de hemodiálisis. Metodología: estudio descriptivo cuantitativo con cuestionarios concernientes a los aspectos demográficos, de salud y el Kidney Disease and Quality of Life Short-Form. Deducciones: los pacientes de edad entre 31-50 años, género femenino, pardos, casados, tienen 1-4 hijos, la educación primaria incompleta, 06-10 años conviviendo de forma simultánea con la hemodiálisis y las enfermedades como hipertensión, problemas cardíacos y diabetes. Las valoraciones más bajas en las dimensiones: función profesional, la función física, la sobrecarga de la enfermedad renal y la salud general. Discusión: la calidad de vida de los pacientes ha cambiado. Conclusión: se ha identificado los aspectos que demandan la atención del equipo de salud multidisciplinario.Descriptores: Calidad de Vida, Insuficiencia Renal Crónica, Diálisis Renal.

scholarly journals Fisioterapia Nefrológica: Mejora De La Calidad De Vida Mediante Un Programa De Acondicionamiento Físico En Pacientes Con Enfermedad Renal Crónica En Una Unidad De Hemodiálisis En Mexico

2017 ◽  
Vol 13 (24) ◽  
pp. 405
Author(s):  
Itzel Yeyetzin González Ovando ◽  
Genaro Vega Malagón
Keyword(s):  
Quality Of Life ◽  
Renal Disease ◽  
Chronic Renal Disease ◽  
Physical Conditioning ◽  
Fitness Program ◽  
Calidad De Vida ◽  
Physiotherapy Program ◽  
Hemodialysis Unit ◽  
Prospective Longitudinal

Objective: To analyze the improvement of the quality of life in the physical sphere through an effective physiotherapy program of physical conditioning in patients with Chronic Renal Disease in the Hemodialysis Unit in México. Methodology: Prospective longitudinal comparative study, pre and post treatment, in which the efficacy of a physiotherapeutic intervention and treatment and its impact on the quality of life during 20 weeks in a group of 25 patients with chronic renal disease undergoing hemodialysis were quantified. To evaluate the efficacy of the treatment, the study was divided into 5 stages and the KDQOL-SFTM questionnaire. Results: Results: In the physical sphere measured by the applied KDQOLSF ™ instrument, the best results have been obtained, since statistically significant differences (p <0.05) were found between the variables of the decrease in difficulty in bending and bending M 2.28 DE (0.842) versus M 2.64 DE (0.700) P 0.047, loads and transfers M 2.08 D.E (0.953) versus M 2.48 D.E (0.714) P 0.015, and decrease in difficulty in bathing and dressing (MV) M 2.56 D.E. (0.711) versus M 2.88 D.E (0.331) P 0.029, variables analyzed in the pre and post physiotherapeutic intervention, respectively. Conclusion: All patients showed a significant improvement in strengthresistance thanks to the physical-fitness program intradiálisis, increased the functional capacity and improved the physical sphere component of the quality of life of patients with Chronic Renal Disease.

scholarly journals Health-related quality of life in patients undergoing hemodialysis

2018 ◽  
Vol 75 (3) ◽  
pp. 246-252
Author(s):  
Gora Miljanovic ◽  
Milan Marjanovic ◽  
Sonja Radakovic ◽  
Miljojko Janosevic ◽  
Tatjana Mraovic ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Renal Disease ◽  
Sexual Activity ◽  
Chronic Renal Disease ◽  
World Health ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Normal Controls

Background/Aim. Chronic renal disease is one of the growing problems all over the world. Health-related quality of life (HRQoL) is an important indicator for those with a chronic disease, such as chronic renal disease, because it may serve as predictor of mortality and hospitalization. The aim of this study was to assess HRQoL in patients on chronic maintenance hemodialysis (HD), and compare it with patients suffering from hypertension (HTA), and normal controls of the same age and gender (C). Methods. The study enrolled 224 males and females older than 18 years: 67 in the HD group, 78 in the HTA group, and 79 in the C group. HRQoL was assessed in all groups using 15-D questionnaire. Results. Significantly higher level of education was recorded in the HD group compared to other two groups. In the HD group there were significantly less employed persons (9%) and significantly more retired (67.2%). All groups were similar regarding an average monthly income and marital status. We found significantly lower total HRQoL score in patients in the HD group, compared to normal controls (0.78 ? 0.16 vs. 0.89 ? 0.10 in the HTA and 0.95 ? 0.06 in the C group) as well as specific scores in almost all investigated domains, except in speech, eating and mental functions. Patients in the HD and HTA groups had similar self-reported quality of life in additional 3 domains: hearing, elimination and distress, while the HD group reported significantly lower scores in remaining 9 domains: mobility, vision, breathing, sleeping, usual activities, discomfort and symptoms, depression, vitality and sexual activity. Patients in the HTA group had significantly lower scores than normal controls in 8 domains (hearing, sleeping, elimination, usual activities, discomfort and symptoms, depression, distress and vitality) as well as in total quality of life, while in remaining 4 domains there was no significant difference (mobility, vision, breathing, sexual activity). Conclusion. Both investigated chronic diseases lead to impairment of HRQoL, which is substantially stronger in hemodialysis than in hypertension. Considering the relationship between depression and HRQoL measures, it may be useful to treat depression of HD patients in order to improve their quality of life.

scholarly journals Effects of Oral L-Carnitine Supplementation on Lipid Profile, Anemia, and Quality of Life in Chronic Renal Disease Patients under Hemodialysis: A Randomized, Double-Blinded, Placebo-Controlled Trial

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Afsoon Emami Naini ◽  
Mahnaz Moradi ◽  
Mojgan Mortazavi ◽  
Asghar Amini Harandi ◽  
Mehdi Hadizadeh ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Renal Disease ◽  
Chronic Renal Disease ◽  
Controlled Trial ◽  
The Body ◽  
Maintenance Hemodialysis ◽  
Carnitine Supplementation ◽  
Double Blinded ◽  
Esrd Patients

In patients on maintenance hemodialysis several factors reduce the body stored carnitine which could lead to dyslipidemia, anemia, and general health in these patients. We evaluated the effect of oral L-carnitine supplementation on lipid profiles, anemia, and quality of life (QOL) in hemodialysis patients. In a randomized, double-blinded, placebo-controlled trial, end-stage renal disease (ESRD) patients on hemodialysis received either L-carnitine 1 g/d (n=24) or placebo (27 patients) for 16 weeks. At the end of the study, there was a significant decrease in triglyceride (-31.1±38.7 mg/dL,P=0.001) and a significant increase in HDL (3.7±2.8 mg/dL,P<0.001) levels in the carnitine group. Decrease in total cholesterol (−6.6±16.0 mg/dL,P=0.075) and increase in hemoglobin (0.7±1.7 g/dL,P=0.081) concentrations in the carnitine group were not significant. There was no statistically significant changes in LDL in any group (P>0.05). Erythropoietin dose was significantly decreased in both the carnitine (-4750±5772 mg,P=0.001) and the placebo group (-2000±4296 mg,P<0.05). No improvement was observed in QOL scores of two groups. In ESRD patients under maintenance hemodialysis, oral L-carnitine supplementation may reduce triglyceride and cholesterol and increase HDL and hemoglobin and subsequently reduce needed erythropoietin dose without effect on QOL.

scholarly journals La influencia de la carretera Mexicali-San Felipe en la calidad de vida de sus inmediacionesThe influence of highway Mexicali-San Felipe in the quality of life of their environs

2015 ◽  
Vol 23 (46) ◽  
Author(s):  
Alejandro Mungaray Moctezuma ◽  
Leonel Gabriel García Gómez
Keyword(s):  
Social Benefits ◽  
Socioeconomic Conditions ◽  
The Road ◽  
Calidad De Vida ◽  
Ex Post ◽  
Secondary Network ◽  
Federal Highway ◽  
Key Factor ◽  
La Red

El presente estudio argumenta que la modernización de la Carretera Federal No. 5 Mexicali-San Felipe ha impactado en el bienestar social de diez localidades aledañas. A pesar de que la obra no ha sido culminada en toda la extensión del tramo carretero, se estiman los Índices de Marginación Urbana (IMU) en su situación ex-ante (2000) y ex -post (2010). Se observa que las dos localidades conectadas directamente con el tramo carretero han disminuido su situación de marginación en forma considerable, al igual que otras cinco  interconectadas a través de la red secundaria. Las tres restantes no se han beneficiado debido a su poca accesibilidad dentro de la red secundaria. Se concluye que la accesibilidad es el factor clave que permite mejorar sus condiciones socioeconómicas a través del tiempo. AbstractThis study argues that the modernization of the Federal Highway No. 5 Mexicali-San Felipe has impacted over social benefits of ten localities. Despite that the works have not been concluded in all the extension of the highway, the Urban Marginal Index are estimated at their ex-before (2000) and ex-post (2010). It is observed that the two localities that connect directly with the road have decreased their marginalized situationconsiderably, as well as the other five localities interconnected through the secondary network. The remaining three has not been benefited because of its poor accessibility within the secondary network. It can be concluded that the accessibility is the key factor that improves their socioeconomic conditions over time.

scholarly journals IMPACT OF STIGMA ON THE QUALITY OF LIFE OF ADULTS WITH HIV/AIDS: A SYSTEMATIC REVIEW

2021 ◽  
Vol 4 (1) ◽  
pp. 23-38
Author(s):  
Carolina Lombó Fragueiro ◽  
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Calidad De Vida ◽  
Salud Mental ◽  
El Estigma ◽  
La Red ◽  
Sobre Todo ◽  
Hiv Aids

Introducción: Este trabajo se llevó a cabo con la finalidad de averiguar si existía un agravamiento de las consecuencias del VIH tras la percepción de estigma. Metodología: Se realizó una revisión sistemáticacuyoscriterios de inclusión fueron(1) que los trabajos versaran sobre VIH/SIDA; (2) que se tratara de artículos científicos; (3) que el idioma de publicación fuera español o inglés. Los criterios de exclusión aplicados fueron (1) que los artículos incluyeran población infantojuvenil; (2) que se trataran de artículos de caso único.Resultados: La muestra total estuvo compuesta por 18267 participantes, la mayoría de ellos mujeres (65%), con una media de edad de 39’3 años, procedentes de Áfricay Asia, casados o con pareja estable y con un nivel educativo y socioeconómico bajo. El estigma se analizó a través de administración de pruebas en el 55% de los artículos y la calidad de vida, en el 44%. Se encontraron repercusiones psicológicas y sociales (53%) entre las que destacó el trastorno depresivo y la reducción de la red de apoyo;laborales y económicas (21%);físicas (18%) y sexuales (15%). Discusión:La mayoría de los resultados mostraron que el estigma sí que generaba repercusiones, las cualesafectaban, sobre todo, a la salud mental y a la red social de esta población, lo que reflejó la necesidad de fomentar el apoyo y el tratamiento psicológico. De igual manera, se encontró una posible relación entre el sexo, la región y el nivel de educaciónyel riesgo de contraer VIH.

Assessment of Quality of Life in Chronic Renal Disease Patients Undergoing Hemodialysis at Public Hospital, Lahore

2019 ◽  
Vol 1 (2) ◽  
Author(s):  
Mahrukh Ali ◽  
Maryam Naveed ◽  
Mehmoona Khan ◽  
Muhammad Arif Khan
Keyword(s):  
Quality Of Life ◽  
Renal Disease ◽  
Chronic Renal Disease ◽  
Sampling Technique ◽  
Sociodemographic Factors ◽  
Cross Sectional Study ◽  
Middle Aged ◽  
Aged Patients ◽  
Cross Sectional

Quality of life of chronic renal disease patients is affected by several factors, depending on stage of disease, type of treatment and sociodemographic factors Objective: To assess the quality of life undergoing hemodialysis patients Methods: A cross-sectional study was carried out at Sir Ganga Ram Hospital, Lahore during February to May-2019. Patients suffering from chronic renal disease were included in the study and uncooperative patients were excluded in the study. Total 100 samples of chronic renal disease patients were selected through non-probability convenient sampling technique. Patients were assessed through pre-tested questionnaire. SPSS version 21.0 was used for data analysis Results: According to results 39% patients reported that they were suffering from depression, 47% patients of chronic renal disease were unemployed, 28% patients were malnourished and 98% patients were having 3 or more dialysis sessions per week. Also only 26% patients thought that quality of life of older patients is better while 74% considered it poor. Only 77% patients thought that quality of life of middle aged patients is better while 23% patients considered that quality of life of middle aged patients was poor. 42% patients thought that quality of life of young aged patients is better while 58%considered it poor. Conclusions: Malnutrition, unemployment and hypertension are the factors affecting the quality of life in patients undergoing hemodialysis in this study. The quality of life of middle aged patients was comparatively better. 

scholarly journals Bioética y calidad de atención en adolescentes atendidas en ginecología de hospitales públicos

2017 ◽  
Vol 1 (6) ◽  
Author(s):  
Mabel Sánchez Rodríguez ◽  
Milton Espinoza Lucas ◽  
Miladis Placencia López
Keyword(s):  
Health Personnel ◽  
The Elderly ◽  
Public Hospitals ◽  
Vulnerable Groups ◽  
Level Of Service ◽  
Calidad De Vida ◽  
Palabras Clave ◽  
The Disabled ◽  
Los Grupos

Los grupos vulnerables del país son: adultos mayores, embarazadas, discapacitados y otros no adolescentes,  razonable por su grado de riesgo , una de las etapas biológicas trascendental es la adolescencia, la fisiología cambia y las definiciones de personalidad se encuentran en proceso .Entonces constituye una etapa vulnerable si no existen condiciones adecuadas de orientación sexual y provisión de condiciones que permitan reconocer riesgos y aplicar estrategias destinadas a disminuir   detrimentos en su calidad de vida. Los niveles de atención del sistema de salud ecuatoriano ameritan un personal de salud laborando en   instituciones aplicando   principios bioéticos en la atención a usuarios, el  estudio plantea como objetivo determinar si el personal de enfermería   aplica principios bioéticos   en la   atención   a   adolescentes atendidas del área ginecológica del hospital básico  Jipijapa , se realizó una encuesta a adolescentes y entrevista al personal de salud , se evaluó el nivel de satisfacción de servicios , se identificó los principales dilemas bioéticos que las enfermeras  enfrentan en sus actividades y se estableció la no existencia protocolos en caso de suscitarse dilemas  bioéticos. Los resultados mostraron que el personal de enfermería conoce misión ,visión de los servicios que presta, existen buenas relaciones interpersonales, sin embargo no manejan protocolos al presentarse problemas bioéticos , existe respeto al paciente y familiares .Las adolescentes consideran que las enfermeras no brindan trato individualizado, ni humanístico en algunos casos a pesar satisfacer sus necesidades inmediatas en gran medida y consideran que deben tener capacitaciones para mejorar el trato a pacientes. Palabras clave: cuidados a adolescentes, principios bioéticos, protocolos de atención    Bioethics and quality of care in gynecology adolescents treated in public hospitals Abstract  Vulnerable groups in the country are: the elderly, pregnant women, the disabled and others not teenagers, reasonable by their degree of risk, one of the crucial biological stages of adolescence, physiology changes and the definitions of personality are in .then process is a vulnerable stage if there  are  no  adequate  conditions of  sexual  orientation  and  providing conditions that  allow recognize risks and implement strategies to reduce detriment to their quality of life. The levels of health care system merit Ecuadorian health personnel working in institutions applying bioethical principles in the customer first, the study therefore seeks to determine whether nurses bioethical principles applied in the care of adolescents met the gynecological area Jipijapa basic hospital, a survey was conducted to teenagers and interview health personnel, the level of service satisfaction was evaluated, the principal bioethical dilemmas identified that nurses face in their activities and nonexistence was established protocols should arise bioethical dilemmas. The results showed that the nurses called mission, vision of the services provided, there are good relationships, but no protocols to handle bioethical problems occur, there is respect for patients and relatives .The teens believe that nurses do not provide individualized treatment nor humanistic in some cases even their immediate needs greatly and they believe they should have training to improve the treatment of patients.  Key words: Adolescent care, bioethical principles , care protocols

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