Piera Orts A. Introducción a los modelos de investigación. Una perspectiva cualitativa. Enferm Cardiol 2002; 25:20-23.

It is not necessary to be an observant expert to see the difficulties that the nurse meet to promote its own space in the research scope. The work in nursing is so hard that is more than sufficient to stop on the attempt of researching. However, there are nurses who dedicate to the research reducing time of their personal time...

Martín Tomé F, García Hernández M, Noheda Recuenco M, Morgado Simón N, Santamaría Fernández MB.  Protocolo de actuación de enfermería en la ablación mediante radiofrecuencia del síndrome de Wolff-Parkinson-White.   Enferm Cardiol 2002; 25:24-29.

Wolff-Parkinson-White Syndrome was described for the first time in 1930 and for a long time it was considered as a pathology of benign condition, that usually didn't need treatment. The advance of the diagnostics and therapeutics techniques has changed the position of medicine about these patients.  Nowadays, radiofrequency catheter ablation of WPW Syndrome has become a very frequent therapeutic procedure that requires a high qualified human team, in which nursery has a very important level of participation. Electrophysiology laboratory should have unless three specialized nurses and an auxiliar person who must know the use of computers, defibrillator, stimulator and the radiofrequency generator.  At the same time, it´s essential for them to know the different kind of introducers, catheters, connector cables and all the reanimation material.  A guideline is an organised definition and description of the actions that must be carried on in a determinate situation, specifying the responsability of each person who participate in it clearly. That´s the reason why having a nursery´s guideline in the ablation of WPW offers us a work methodology for the assessment and application in a systematic and secuential way the Nursery Atention Process.

Sierra Talamantes C, Muñoz Izquierdo A, Peiró Andrés A, Sayas Chuliá V, Zamorano Lluesma M. El tratamiento antitrombótico en cardiología. Una visión de enfermería. Enferm Cardiol 2002; 25:30-35.

Sierra Talamantes C, Muñoz Izquierdo A, Peiró Andrés A, Sayas Chuliá V, Zamorano Lluesma M.

The treatment with non-fragmented heparin is administered in infirmary. At the beginning, the dose is adjusted according to the partient’s weight and, later, according to part-time values of activated thromboplastin (APTT). The patients have reached a therapeutic status of anticoagulation when their APTT is between 50 and 80 sec. It is considered that the values below 50 sec. and above 80 sec. are out of range.  After treating patients with heparin, our main target consisted in identifying which group of patients was affected by side effects and which was not correctly anticoagulated. It was also studied whether these factors had any relation with the simultaneous administration of other associated antithrombotic treatments.  An open monitoring of the process was carried out in 197 patients who had been diagnosed with an acute myocardial infarction or an angina for 72 hours and who had been treated with non-fragmented heparine through intravenous perfusion. The 17,75% of studied patients showed APTT values that were below therapeutical range (Group 1); 21,31% were within range (Group 2) and 60,90% were over the therapeutical range (Group 3). 75% of patients who belong to group 3 had received other antithrombotic treatments. 21,81% presented side effects and it must be highlighted that 79% of these belonged to group 3.   It is, thus, significant the high percentage of patients who belong to Group 3 and their relation with the simultaneous administering of antithrombotic treatments, together with their relation with the appearance of side effects.

Arricivita Verdasco A, Cabrera Figueroa J, Arias Hernández M, Robayna Delgado MC, Díaz Rodríguez L.  Características de la organización de las visitas en las unidades de cuidados críticos de la Comunidad Autónoma de Canarias. Enferm Cardiol 2002; 25:36-40.

Arricivita Verdasco A, Cabrera Figueroa J, Arias Hernández M, Robayna Delgado MC, Díaz Rodríguez L.

Being admitted in a unit of critical care changes the family roles and generates different necessities such as safety and information. Frequently, the patients and their relatives perceive little sensitivity on the part of the professionals who are not able to inform them or can not dedicate an attention that they consider necessary. The institutional regulations of the visits is an important factor that conditions this reality.  Our study tries to know the characteristics of the institutional regulation of the visiting- time in the units of critical care along 22 units of Intensive Care in the Canary Islands.  The collection of data was carried out by means of a questionnaire that allowed us to gather social,   demographic data… and another questions related to information and participation of the family; organization of the visiting-time in each unit.  The analysis of the data was made through the program Design and Analysis of surveys in social investigation and markets (DYANE).  Our study has been able to state that system of attention to the family in our environment does not recognize its role as a care subject; the family is not considered as an object of nursing care and, finally, the function to inform is limited to medical aspects. The information about nursing care is very limited and even non existing in many centers.

Loro Sancho N, Sancho Sánchez MJ, Sancho Sánchez MT, Sierra Talamantes C.   Atención de enfermería en el infarto agudo de miocardío en la unidad de urgencias.  Enferm Cardiol 2002; 25:41-44.

Loro Sancho N, Sancho Sánchez MJ, Sancho Sánchez MT, Sierra Talamantes C.

The application of thrombolitics in the unit of urgencies has meant a change in infirmary care. The target of this study has been to carry out a three year quantitative research of the patients who have had this treatment administered in this unit., making reference to the changes in infirmary care and comparing them with the time of the ‘door-needle’ method. It is a retrospective research of patients who entered the Coronary Unit of Hospital General in Valencia and who were diagnosed with the acute myocardial infarction with a below 24-hour evolution from the beginning of symptoms. The research comprises a period of time between 1st January 1999 and 31st Decembre 2001. The analyses of files in the coronay unit data base was carried out with the SSPS programme. The variables studied were: age, sex and delay in the administering of the medicine.
Results: during the period of research there have been 653 entered patients with acute myocardial infarction. The trombolitic treatment was applied in 321 patients (Group A: 149 patients in the unit of urgencies; Group B: 172 in the coronary unit). The medium and the observable were 25 and 75 of the delay from the beginning of symptoms until the application of the thrombolitic in Group A: 135 (90-240); Group B: 180 (120-303) of patients with thrombolitics in the coronary unit.
Conclusion. The administering of thrombolitics in the unit of urgencies significantly reduces the delays in the application of the treatment of the acute myocardial infarction and it means a change in infirmary care and in the coordination of the welfare chain..

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