Aproximación a las necesidades de confort en enfermos críticos desde la Teoría de Kolcaba

  1. Mª Dolores González Baz 1
  2. Mª Nieves Moro Tejedor 2
  3. Mª Isabel Durango Limárquez 1
  4. Jesús Ledesma Fajardo 3
  5. Enrique Pacheco del Cerro 4
  1. 1 Departamento Apoyo a la Práctica Basada en la Evidencia, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón. Departamento de Enfermería. Universidad Complutense de Madrid (Madrid, España)
  2. 2 Unidad de Apoyo a la Investigación en Enfermería, Hospital General Universitario Gregorio Marañón, Escuela de Enfermería de Cruz Roja Española, Universidad Autónoma de Madrid, Instituto de Investigación Sanitaria Gregorio Marañón (Madrid, España)
  3. 3 Departamento de Críticos, Hospital General Universitario Gregorio Marañón (Madrid, España)
  4. 4 Departamento de Enfermería. Universidad Complutense de Madrid. Unidad de Apoyo a la Investigación, Hospital Clínico San Carlos (Madrid, España)
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Revista:
Ética de los cuidados: Humanización en salud

ISSN: 1988-7973

Año de publicación: 2023

Número: 16

Tipo: Artículo

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Otras publicaciones en: Ética de los cuidados: Humanización en salud

Resumen

Objetivo principal: Describir las necesidades de confort en enfermos críticos basadas en la Teoría del Confort de Kolcaba. Metodología: revisión narrativa bibliográfica. Resultados principales: El impacto de la enfermedad crítica sobre la condición física y el entorno desconocido afectan negativamente al confort. Esta situación de vulnerabilidad y dependencia requiere la identificación individualizada de las necesidades desde una visión holística, incluyendo aspectos físicos, psicológicos, espirituales, sociales, y ambientales. Actualmente estos aspectos son considerados factores de riesgo modificables relacionados con el delirio y el Síndrome post-UCI, y las recomendaciones para prevenir y reducir su incidencia van encaminadas principalmente a mejorar los niveles de analgesia y reducir la sedación, lo cual supone un importante cambio de paradigma en cuidados críticos. Conclusión principal: La teoría de Kolcaba permitiría identificar individualmente las necesidades de confort, desde la perspectiva del paciente crítico, pudiendo constituir una herramienta para la planificación y evaluación de los cuidados.

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Fuente de los datos: Dialnet