IMPACTO DE LA MUERTE INFANTIL EN RESIDENTES DE PEDIATRIA
Date
Journal Title
Journal ISSN
Volume Title
Publisher
Rev. Méd. La Paz
Abstract
Objetivo. - Establecer la prevalencia de Reacción de estrés agudo y Trastorno de estrés Postraumático (ASR/ TEPT) en residentes de Pediatría expuestos a muerte Infantil. Diseño. - Corte transversal. Lugar. - La Paz: Hospital del Niño Ovidio Aliaga Uría, Hospital Materno Infantil CNS, Hospital del Norte de El Alto, Hospital de la Banca Privada, y Hospital Boliviano Holandés. Santa Cruz: Hospital Mario Ortiz y Hospital Japonés. Cochabamba: Hospital Albina Patiño y Hospital Viedma. Participantes. - Residentes de Pediatría de Primer, Segundo y Tercer año de hospitales de la Paz, Santa Cruz y Cochabamba Medición. - Mediante una encuesta diseñada en base a la CIE-10 (Clasificación Internacional de Enfermedades 10ª Revisión) y DSM-V (Manual diagnóstico y estadístico de trastornos mentales, 5ª edición). Resultados. - De 181 residentes encuestados, sexo femenino 67% y masculino 33%, 85/181 (46.9%.) residentes habían estado expuestos con la muerte de un niño, ninguno había recibido capacitación sobre la muerte infantil. Prevalencia global de ASR fue n=58/181 (32%) y de TEPT n=27/181 (14,9%). La prevalencia fue mayor en residentes de segundo año ASR (39,66 %), TEPT (12.90%) y en mujeres ASR (43.68%) y TEPT (20.69%). Las alteraciones observadas fueron: Problemas de la Concentración 20,44%, Trastornos del Sueño 19,89%, Irritabilidad y Accesos de Ira 14,92 % y la Hipervigilia 9,39%. Conclusión. - La presencia de ASR y TEPT es alta en la Residencia de Pediatría de Hospitales del eje troncal de Bolivia. Por lo que existe mayor riesgo de desarrollar ASR y TEPT después de la muerte de un niño. Alteraciones de Vigilia y Comportamiento debe identificarse y reconocerse para permitir una pronta señalización para un mayor apoyo, incluida la evaluación psicológica o la intervención si es necesario.
Objective.- Establish the prevalence of Acute Stress Reaction and Post Traumatic Stress Disorder (ASR/PTSD) in pediatric residents exposed to infant death. Design.- Cross-section. Place.- La Paz: Ovidio Aliaga Uría Children's Hospital, CNS Maternal and Child Hospital, North El Alto Hospital, Hospital de la Banca Privada, and Bolivian Dutch Hospital. Santa Cruz: Hospital Mario Ortiz and Japanese Hospital. Cochabamba: Albina Patiño Hospital and Viedma Hospital. Participants.- Residents of Pediatrics of First, Second and Third year of hospitals of La Paz, Santa Cruz and Cochabamba Measurement.- Through a survey designed based on the ICD-10 (International Classification of Diseases 10th Revision) and DSM-V (Diagnostic and Statistical Manual of Mental Disorders, 5th edition). Results.- Of 181 residents surveyed, 67% female and 33% male, 85/181 (46.9%) residents had been exposed with the death of a child, none had received training on infant death. Overall prevalence of ASR was n = 58/181 (32%) and of PTSD n = 27/181 (14.9%). The prevalence was higher in second-year residents ASR (39.66%), PTSD (12.90%) and in women ASR (43.68%) and PTSD (20.69%). The observed alterations were: Problems of Concentration 20.44%, Sleep Disorders 19.89%, Irritability and Access of Anger 14.92% and Hypervigilia 9.39%. Conclusion.- The presence of ASR and PTSD is high in the Hospital Pediatrics Residency of the trunk axis of Bolivia. Therefore, there is a greater risk of developing ASR and PTSD after the death of a child. Alterations of Vigil and Behavior should be identified and recognized to allow early signaling for further support, including psychological evaluation or intervention if necessary.
Objective.- Establish the prevalence of Acute Stress Reaction and Post Traumatic Stress Disorder (ASR/PTSD) in pediatric residents exposed to infant death. Design.- Cross-section. Place.- La Paz: Ovidio Aliaga Uría Children's Hospital, CNS Maternal and Child Hospital, North El Alto Hospital, Hospital de la Banca Privada, and Bolivian Dutch Hospital. Santa Cruz: Hospital Mario Ortiz and Japanese Hospital. Cochabamba: Albina Patiño Hospital and Viedma Hospital. Participants.- Residents of Pediatrics of First, Second and Third year of hospitals of La Paz, Santa Cruz and Cochabamba Measurement.- Through a survey designed based on the ICD-10 (International Classification of Diseases 10th Revision) and DSM-V (Diagnostic and Statistical Manual of Mental Disorders, 5th edition). Results.- Of 181 residents surveyed, 67% female and 33% male, 85/181 (46.9%) residents had been exposed with the death of a child, none had received training on infant death. Overall prevalence of ASR was n = 58/181 (32%) and of PTSD n = 27/181 (14.9%). The prevalence was higher in second-year residents ASR (39.66%), PTSD (12.90%) and in women ASR (43.68%) and PTSD (20.69%). The observed alterations were: Problems of Concentration 20.44%, Sleep Disorders 19.89%, Irritability and Access of Anger 14.92% and Hypervigilia 9.39%. Conclusion.- The presence of ASR and PTSD is high in the Hospital Pediatrics Residency of the trunk axis of Bolivia. Therefore, there is a greater risk of developing ASR and PTSD after the death of a child. Alterations of Vigil and Behavior should be identified and recognized to allow early signaling for further support, including psychological evaluation or intervention if necessary.
Description
Vol. 25, No. 1