Evaluación del uso racional de gastroprotectores en adultos mayores del área de cirugía y medicina interna del Hospital General Docente de Riobamba

Abstract

The objective of this research was to evaluate the rational use of gastroprotectors in the elderly's in the area of surgery, and internal medicine of the hospital General Docente of Riobamba, in the period September-December 2019. This was a retrospective, quantitative, explanatory, descriptive, and non-experimental research, for which a total of 460 clinical histories were reviewed, reaching an inclusion and exclusion criteria, a sample of 170 medical records of patients who received pharmacological gastroprotective treatment were checked. The data was classified and tabulated in an Excel program version 2019, which facilitated the creation of tables and graphs for the results to be compared with other applied studies. The first result showed that the female gender had a higher prevalence on average of both areas (56.49%), as well as the elderly's (60-74 years old), The most frequent pathologies in the surgery area, were cholelithiasis (25.6%), prostate hyperplasia (19.5%), and acute appendicitis (15.9%). In the area of internal medicine: Arterial hypertension (23.7%), Diabetes Mellitus (22.1%), and upper gastrointestinal bleeding (6.8%). DRPs (drug-related problems) were also identified with the use of gastroprotectors, based on the Third Consensus of Granada, the most prevalent being the medication interactions in the internal medicine (90.21%), and in the surgery area (85.98%). The staff was trained: 16 doctors from the clinical area, 8 doctors, and 4 interns from the surgery area, who responded to the survey satisfactorily in most of the cases. Finally, it was concluded that there was a rational use of gastroprotectors in the elderly’s in the area of internal medicine in 59.3%, and in the area of surgery in 60.81%, thanks to the good handling of guides and good clinical practices. However, it is recommended the teamwork between the health staff in order to improve the rational use of it.