This approach can improve outcomes for patients, provide higher quality of care, minimize costs due to the reduction of morbidity and mortality and iatrogenic, and promote safety and reliability standards to health organizations.
The relevance of this research is the synthesis of knowledge on nursing interventions for women with pre-eclampsia and/or eclampsia, which allows the nurse better decision-making in health care, with a view to a reasoned plan of care in the incorporation of research to practical results.
Las principales acciones de enfermería fueron: examen físico, identificación precoz de señales de preeclampsia/eclampsia, seguimiento de exámenes de laboratorio, evaluación fetal, capacitación y entrenamiento de los profesionales.
Pre-eclampsia is diagnosed when 2 / value ≥ 0.3g or more protein in the 24-hour urine associated with increased blood pressure.
Eclampsia is distinguished by the presence of seizures in women whose pregnancy was complicated because of pre-eclampsia, excluding other differential diagnoses, such as epilepsy, meningitis, sepsis, among others.
We identified the need for standardization of care from instruments, protocols and blood pressure measurement technique, early identification and treatment of hypertensive crisis through institutional protocols and review of cases and work processes.
RESULTADOS: La muestra estuvo compuesta de 17 estudios primarios, publicados entre enero de 2000 y diciembre de 2014, agrupados en cuatro categorías: estandarización de la técnica de mensuración de la presión arterial; entrenamientos con simulación; instrumentos para la estandarización de la asistencia y calidad de la asistencia.
It is also noteworthy that about 10% of all pregnancies in the world occur with some kind of hypertensive syndrome, classified as pre-eclampsia, eclampsia, gestational hypertension and chronic hypertension.
According to 2011 data, from the Informatics Department of the Unified Health System (DATASUS), hypertensive disorders caused 325 deaths, representing 20% of the events of maternal deaths and 56% of these occurred during pregnancy.
We conducted searches in the databases: US National Library of Medicine National Institutes of Health (Pub Med), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Latin American and Caribbean Health Sciences (LILACS) and Sci ELO (Scientific Electronic Library Online).
The choice of databases was due to the number of indexed studies of health area, databases that include primary studies, as well as topics related to nursing.
Proteinuria is characterized by the loss of protein in the urine and indicates that, in these cases, there is kidney damage.
For its evaluation, it is necessary to make the collection of urine in 24 hours, to estimate the total loss.
Hypertension can be characterized by pressure values equal to or higher than 140/90 mm Hg, when we do not know the individual baseline values, after at least two measurements under ideal conditions and at different times, at a minimum interval of at least six hours among the measures.