Nursing care for patients with cervical endometriosis in the gynecology service of a national hospital in Huánuco

Maruja Amelia Torres Zarate, Sofía Dora Vivanco Hilarioa
In: Salud Integral y Comunitaria · 2024 · vol. 2 , pp. 63 · doi:10.62486/agsalud202463 · W4393021646
article OA: hybrid CC0
🔓 Open OA copy Full text JSON View on OpenAlex View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-11 ⓘ

This case study describes nursing care activities using the nursing process for a patient with cervical endometriosis, identifying eight nursing diagnoses and improving bleeding management.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by claude@2026-06, 2026-06-11 · read from full text ⓘ

This paper describes nursing care for a single 39-year-old patient with cervical endometriosis in the gynecology service of a national hospital in Huánuco, using a qualitative single-case design guided by the nursing care process (PAE) and Marjory Gordon’s assessment framework. The authors identified eight nursing diagnoses, prioritizing acute pain related to a biological harmful agent with findings including pain behaviors and a VAS score of 8/10, and they report nursing interventions that improved the bleeding process. A stated limitation is that the results remained indefinite regarding hemorrhage complications due to only a few hours of intervention and evaluation. This paper is centrally about endometriosis — it focuses specifically on nursing activities for cervical endometriosis in a gynecology hospital setting.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

Introduction: Endometriosis is the abnormal expansion of endometrial glands and stroma in other areas of the body, these can cause hemorrhage, inflammation and fibrosis. The main complication is decreased fertility, between 50% to 75% of women. Objective: Determine the nursing activities for a patient with cervical endometriosis. Methodology: Qualitative publication, with a single clinical case design based on the nursing care process (PAE) method, Marjory Gordon's assessment guide was applied to a 39-year-old patient who presented with pain in the lower abdomen, postcoital bleeding and pruritus. Results: Eight nursing diagnoses were identified, prioritizing (00132) Acute pain r/c biological harmful agent m/p analgic position, expression of pain, moaning, defensive behavior and VAS 8/10. The interventions carried out improved the bleeding process; Given the problem of hemorrhage complication, the results are still indefinite due to the few hours of intervention and evaluation. Conclusion: The clinical characteristics of the patient corresponding to cervical endometriosis and the risk factors that increase the possible complication were identified. It is important to apply preventive actions against the risk of bleeding caused by endometriosis. This entire process framed in the PAE that identified main problems and risks allowed the development of a personalized care plan to provide adequate, timely care that covers basic needs, improving the skills of the nursing professional using the NANDA I, NOC, NIC, and the collaboration problems of Linda Carpenito's Area Model.
Full text 14,100 characters · extracted from oa-html · 2 sections · click to expand

Introduction

Endometriosis is the abnormal expansion of endometrial glands and stroma in other areas of the body, these can cause hemorrhage, inflammation and fibrosis. The main complication is decreased fertility, between 50% to 75% of women. Objective: Determine the nursing activities for a patient with cervical endometriosis. Methodology: Qualitative publication, with a single clinical case design based on the nursing care process (PAE) method, Marjory Gordon's assessment guide was applied to a 39-year-old patient who presented with pain in the lower abdomen, postcoital bleeding and pruritus. Results: Eight nursing diagnoses were identified, prioritizing (00132) Acute pain r/c biological harmful agent m/p analgic position, expression of pain, moaning, defensive behavior and VAS 8/10. The interventions carried out improved the bleeding process; Given the problem of hemorrhage complication, the results are still indefinite due to the few hours of intervention and evaluation. Conclusion: The clinical characteristics of the patient corresponding to cervical endometriosis and the risk factors that increase the possible complication were identified. It is important to apply preventive actions against the risk of bleeding caused by endometriosis. This entire process framed in the PAE that identified main problems and risks allowed the development of a personalized care plan to provide adequate, timely care that covers basic needs, improving the skills of the nursing professional using the NANDA I, NOC, NIC, and the collaboration problems of Linda Carpenito's Area Model.

References

1. Acho-Mego, S. C., Salvador Pichilingüe, J., Díaz-Herrera, J. A., & Paredes-Salas, J. R. (2018). Hemorragia de la segunda mitad del embarazo en un hospital nacional de Lima. Revista Peruana de Ginecología y Obstetricia, 112(23). http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S2304-5132200011000400006 2. American Cáncer Society [ACS]. (2023). Cirugía para el cáncer de endometrio. American Cáncer Society [ACS]. https://www.cancer.org/es/cancer/cancer-de-endometrio/tratamiento/cirugia.html 3. Butcher, H., Bulecheck, G., Dochterman, J. M., & Wagner, C. (2018). Clasificación de Intervenciones de Enfermería (NIC) (Elsevier (ed.); 7th ed.). Elsevier. https://www.elsevier.com/books/clasificacion-de-intervenciones-de-enfermeria-nic/butcher/978-84-9113-404-6 4. Butcher, H. K., Bulechek, G. M., Dochterman, J. M., & Wagner, C. (2019). Clasificación de intervenciones de enfermería (NIC) (7th Editio). Elsevier. https://cercabib.ub.edu/iii/encore/record/C__Rb2693537__SGIGA 361301__P0,7__Orightresult__U__X1?lang=cat 5. Callejo Mora, A. (2021). Dismenorrea: qué es, síntomas, tratamiento e información. CUIDATE Plus. https://cuidateplus.marca.com/enfermedades/ginecologicas/dismenorrea.html 6. Carvajal Cabrera, J. A., & Barriga Cosmelli, M. I. (2021). Manual de Obstetricia y Ginecología (Pontificia Universidad Católica de Chile - Escuela de Medicina - Facultad de Medicina (ed.); 12th ed.). https://medicina.uc.cl/publicacion/manual-obstetricia-y-ginecologia/ 7. Chapron, C., Marcellin, L., Borghese, B., & Santulli, P. (2019). Rethinking mechanisms, diagnosis and management of endometriosis. Nature Reviews. Endocrinology, 15(11), 666–682. https://doi.org/10.1038/S41574-019-0245-Z 8. Chiva de Agustín, L., & Alcázar Zambrano, J. L. (2022). Endometriosis: Síntomas, diagnóstico y tratamiento. Clínica Universidad de Navarra. https://www.cun.es/enfermedades-tratamientos/enfermedades/endometriosis 9. Chong, J. Y. (2020, July). Hemorragia intracerebral: Enfermedades cerebrales, medulares y nerviosas. Manual MSD Versión Para Público General. https://www.msdmanuals.com/es-pe/hogar/enfermedades-cerebrales,-medulares-y-nerviosas/accidente-cerebrovascular-acv/hemorragia-intracerebral 10. Cornejo Sánchez, L. L. (2020). Percepción del paciente sobre Cuidado Humanizado a la luz de Watson - Servicio de Cirugía H.R.D. “Las Mercedes”, Chiclayo - 2019. [Tesis de Licenciatura] [Universidad Señor de Sipán]. https://repositorio.uss.edu.pe/bitstream/handle/20.500.12802/6536/Cornejo Sánchez Leslie Lucía.pdf?sequence=1&isAllowed=y 11. Durón González, R., & Bolaños Morera, P. (2018). Endometriosis. Medicina Legal de Costa Rica Edición Virtual, 35(1). https://www.scielo.sa.cr/pdf/mlcr/v35n1/1409-0015-mlcr-35-01-23.pdf 12. Eisenberg, I. W., Bissett, P. G., Zeynep Enkavi, A., Li, J., MacKinnon, D. P., Marsch, L. A., & Poldrack, R. A. (2019). Uncovering the structure of self-regulation through data-driven ontology discovery. Nature Communications 2019 10:1, 10(1), 1–13. https://doi.org/10.1038/s41467-019-10301-1 13. Félix-Sifuentes, D. J. (2018). Choque hipovolémico, un nuevo enfoque de manejo. Revista Mexicana de Anestesiología, 41(1), 169–174. www.medigraphic.org.mx 14. Franco Campos, H. L. (2019). Proceso de atención de enfermería aplicado a paciente post operada de cesárea por expulsivo prolongado y macrosomía fetal del Servicio de Gineco Obstetricia de un hospital de Huacho, 2018. [Tesis de Segunda Especialidad] [Universidad Peruana Unión]. https://repositorio.upeu.edu.pe/bitstream/handle/20.500.12840/2087/Haydee_Trabajo_Academico_2019.pdf?sequence=1&isAllowed=y 15. García del Águila, J. L. (2021). Calidad de vida de los pacxientes con endometriosis que acuden al Hospital Huaral de noviembre a diciembre del 2021. [Universidad Peruana Cayetano Heredia]. https://repositorio.upch.edu.pe/bitstream/handle/20.500.12866/10072/Calidad_GarciadelAguila_Jose.pdf?sequence=1&isAllowed=y 16. Gómez Martínez, N., Morillo Cano, J. R., Pilatuña Tirado, C. B., Gómez Martínez, N., Morillo Cano, J. R., & Pilatuña Tirado, C. B. (2021). El cuidado enfermero en pacientes con atonía uterina atendidas en el Hospital General Puyo. Dilemas Contemporáneos: Educación, Política y Valores, 8(3). https://doi.org/10.46377/DILEMAS.V8I3.2674 17. Guerrero Hernandez, L., Huamán Sialer, C., & Manrique Rosas, C. (2017). Carga laboral y actitud del profesional de enfermería hacia el familiar del paciente hospitalizado en la Unidad de Cuidados Intensivos Adultos de una clínica privada. [Tesis de Especialidad] [Universidad Peruana Cayetano Heredia]. https://repositorio.upch.edu.pe/bitstream/handle/20.500.12866/718/Carga_GuerreroHernandez_Leidy.pdf?sequence=1&isAllowed=y 18. Hoshiai M. Laparoscopy evaluation of the onset and progression of endometriosis. Am J Obstet Gynecol. 2018. 19. Herdman, H., Kamitsuru, S., & Takáo Lopes, C. (2022). Listado de Diagnósticos NANDA Actualizado 2021-2023. Enfermería Actual: Actualización En Enfermería. https://enfermeriaactual.com/listado-de-diagnosticos-nanda/ 20. Herdman, T. H., & Kamitsuru, S. (2020). Diagnósticos Enfermeros: Definiciones y Casificación. NANDA Internacional. https://s67d378623b10162d.jimcontent.com/download/version/1479845861/module/8986438569/name/NANDA 2015-201717.pdf 21. Horne, A. W., & Saunders, P. T. K. (2019). SnapShot: Endometriosis. Cell, 179(7), 1677-1677.e1. https://doi.org/10.1016/J.CELL.2019.11.033 22. Hospital Universitario Son Dureta. Diagnóstico del dolor y recomendaciones para su tratamiento. Protocolos clínico asistenciales. 2008. http://www.elcomprimido.com/FARHSD/PROTOCOLOSHSDPRINCIPAL.htm. 23. Johnson, M., Bulechek, G., Butcher, H., McCloskey Dochterman, J., Maas, M., Moorhead, S., & Swanson, E. (2020). Interrelaciones NANDA, NOC y NIC: Diagnósticos enfermeros, resultados e intervenciones. http://www.untumbes.edu.pe/vcs/biblioteca/document/varioslibros/0880. Interrelaciones. Nanda%2C Noc y Nic. Diagnósticos enfermeros%2C resultados e intervenciones.pdf 24. Juall Carpenito, L. (2017). Manual de Diagnósticos de Enfermería (Amolca (ed.); 15va ed.). Wolters Kluwer. https://www.edicionesjournal.com/Papel/9788416781492/Manual+De+Diagnósticos+Enfermeros+Ed+15o 25. Kobayashi, H., Kawahara, N., Ogawa, K., & Yoshimoto, C. (2020). A Relationship Between Endometriosis and Obstetric Complications. Reproductive Sciences (Thousand Oaks, Calif.), 27(3), 771–778. https://doi.org/10.1007/S43032-019-00118-0 26. Lendinez Romero, I. (2021). Importancia del microambiente oxidativo en las alteraciones de los mecanismos de adhesión celular relacionados con el desarrollo de endometriosis. Papel de la exposición inadvertida a sustancias químicas con actividad hormonal. [[Tesis Doctoral] Universidad de Granada]. http://hdl.handle.net/10481/68182 27. Liu, J. (2022, April). Endometriosis. Ginecología y Obstetricia - Manual MSD Versión Para Profesionales. https://www.msdmanuals.com/es-pe/professional/ginecología-y-obstetricia/endometriosis/endometriosis 28. López Monsalvo, A., & Adame Pinacho, R. (2019). Endometriosis. In Revista Mexicana de Salud Publica y Social. 29. Martínez Arias, P., Sanz Pozo, B., & López Freire, J. A. (2018). Endometriosis complicada. Medicina General y de Familia, 7(6), 267–269. https://doi.org/10.24038/MGYF.2018.074 30. Mayo Clinic. (2022). Endometriosis: Diagnóstico y tratamiento. Mayo Clinic. https://www.mayoclinic.org/es-es/diseases-conditions/endometriosis/diagnosis-treatment/drc-20354661 31. Mayo Clinic. (2023). Histerectomía abdominal. Mayo Clinic. https://www.mayoclinic.org/es-es/tests-procedures/abdominal-hysterectomy/about/pac-20384559 32. MINSA. (2018, September 14). Minsa: el embarazo adolescente incrementa el riesgo de mortalidad materna y del niño por nacer | Gobierno del Perú. Ministerio de Salud - Perú. https://www.gob.pe/institucion/minsa/noticias/19292-minsa-el-embarazo-adolescente-incrementa-el-riesgo-de-mortalidad-materna-y-del-nino-por-nacer 33. Moorhead, S., Swanson, E., Johnson, M., & Maas, M. L. (2019). Clasificación de resultados de enfermería (NOC) : medición de resultados en salud. (6th ed.). Elsevier. 34. NANDA diagnósticos enfermeros: definiciones y clasificación 2018-2020. (2019). In Biblioteca San Juan de Dios (11th ed.). Elsevier España S.L.U. https://bibliosjd.org/2019/11/04/nanda-2018-2020-nueva-edicion/#.X6MXzGhKjcc 35. NICHD. (2020). ¿Cuáles son los tratamientos para la endometriosis? NICHD Español. https://espanol.nichd.nih.gov/salud/temas/endometri/informacion/tratamientos 36. Olivé Ferrer, M. del C., & Isla Pera, M. del P. (2019). El modelo Watson para un cambio de paradigma en los cuidados enfermeros. Enfermería Profesión, 38(2), 128. http://diposit.ub.edu/dspace/bitstream/2445/65766/1/647485.pdf 37. OMS. (2021, March 31). Endometriosis. Organización Mundial de La Salud. https://www.who.int/es/news-room/fact-sheets/detail/endometriosis 38. Orenga Villanueva, E. (2018). Modelo Humanístico de Jean Watson: implicaciones en la práctica del cuidado [Universidad Internacional de Cataluña]. https://repositori.uic.es/bitstream/handle/20.500.12328/917/TFG_Esther Orenga Villanueva_2018.pdf?sequence=7&isAllowed=y 39. Palacios Pabón, A. M. (2019). Cuidado Humanizado a la paciente Gineco-Obstetra del Hospital San Vicente de Paúl, según la Teoria de Watson. [Tesis de Licenciatura] [Universidad Técnica del Norte]. http://repositorio.utn.edu.ec/bitstream/123456789/9502/2/06 ENF 1075 TRABAJO GRADO.pdf 40. Peiris, A. N., Chaljub, E., & Medlock, D. (2018). Endometriosis. JAMA, 320(24), 2608. https://doi.org/10.1001/JAMA.2018.17953 41. Pesut, D. J., & Herman, J. (2019). Razonamiento clínico: el arte y la ciencia del pensamiento crítico y creativo. 42. Rev electronica Anestesia. Guía básica de fármacos y dolor. Vol 8 (2): 293. 2018. URL http://anestesiar.org/2013/guia-basica-de-farmacos-y-dolor/. 43. Rivera Chavez, Noemi. Perfil epidemiológico en mujeres con endometriosis atendidas en una clínica privada de Lima - Perú 2020 44. Rolla, E. (2019). Endometriosis: Advances and controversies in classification, pathogenesis, diagnosis, and treatment: [Version 1; peer review: 4 approved]. F1000Research, 8. https://doi.org/10.12688/F1000RESEARCH.14817.1/DOI 45. Shafrir, A. L., Farland, L. V., Shah, D. K., Harris, H. R., Kvaskoff, M., Zondervan, K., & Missmer, S. A. (2018). Risk for and consequences of endometriosis: A critical epidemiologic review. Best Practice & Research. Clinical Obstetrics & Gynaecology, 51, 1–15. https://doi.org/10.1016/J.BPOBGYN.2018.06.001 46. Szuba, A., Jiménez-Armenteros, F. M., Argote-Camacho, A., & Capitán-Vallvey, J. M. (2019). Técnicas quirúrgicas para el control de la hemorragia. Cirugía Andaluza, 30(01). https://www.asacirujanos.com/admin/upfiles/revista/2019/Cir_Andal_vol30_n1_21.pdf 47. Taylor, H. S., Kotlyar, A. M., & Flores, V. A. (2021). Endometriosis is a chronic systemic disease: clinical challenges and novel innovations. Lancet (London, England), 397(10276), 839–852. https://doi.org/10.1016/S0140-6736(21)00389-5 48. Troyano, J. M. (2018, January 23). Endometriosis. CinfaSalud. https://cinfasalud.cinfa.com/p-/endometriosis/ 49. Ulett, N. M. (2019). Actualización en los puntos clave de la endometriosis. Revista Medica Sinergia, 4(5), 35–43. https://doi.org/10.31434/RMS.V4I5.191 50. Wasson, M. (2018, July 24). Endometriosis. Mayo Clinic. https://www.mayoclinic.org/es-es/diseases-conditions/endometriosis/symptoms-causes/syc-20354656 51. Yovich, J. L. (2020). The History of Endometriosis Preceding Sampson. Med J Obstet Gynecol, 8(1), 1131. https://www.pivet.com.au/wp-content/uploads/2020/08/2020-The-history-of-endometriosis-preceding-Sampson..pdf 52. Yovich, J., Rowlands, P., Lingham, S., Sillender, M., & Srinivasan, S. (2020). Pathogenesis of endometriosis: Look no further than John Sampson. RBMO, 40(1). https://www.pivet.com.au/wp-content/uploads/2020/08/2020-Pathogenesis-of-endometriosis-Look-no-further-than-John-Sampson.pdf Downloads Published Issue Section License Copyright (c) 2024 Maruja Amelia Torres Zarate , Sofía Dora Vivanco Hilario (Author) This work is licensed under a Creative Commons Attribution 4.0 International License. The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-html ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Outcome instruments

VAS-pain

Condition tags

endometriosis

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (20)

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
License: CC0 · commercial use OK