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Browsing by Author "Ortiz Guillén, Yady Cristina"

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    Guía uso de equipo presión positiva en la espiración (PEP), para eliminación de secreciones en pacientes hospitalizados con patologías respiratorias
    (2025-03-18) Ortiz Guillén, Yady Cristina; Moscoso Cordova, Grace Veronica; Universidad Técnica de Ambato / Facultad de Ciencias de Salud / Centro de Posgrados
    Introduction: It has been demonstrated that positive pressure devices help eliminate secretions in patients with respiratory pathologies when there is an increase in mucus production, which can lead to complications in the airways. Inadequate management of secretions can result in obstructive atelectasis and lung injury. Objective: The main objective of this study is to determine the effects of applying the guidelines for the use of positive expiratory pressure (PEP) devices for the removal of secretions in hospitalized patients with respiratory pathologies, as well as to evaluate pulmonary volumes through pre-test and post-test spirometry. Materials and Methods: This is an analytical, observational longitudinal study with a qualitative and quantitative approach, conducted at the Municipal Hospital of Women and Children in Cuenca, from October 2023 to February 2024, adhering to the inclusion and exclusion criteria, during which the efficacy of the PEP device in the elimination of secretions was assessed. Results: PEP reduces dyspnea, facilitates the clearing of pulmonary secretions, and improves pulmonary ventilation. This, in turn, reduces hospitalization times and enhances the pulmonary capacity of individuals with respiratory pathologies, allowing for an improved quality of life. In the analysis of the pre-test and post-test of FEF2575 using the Student’s t-test, there was an observed increase in FEF2575 values in the post-test compared to the pre-test, indicating that the intervention had a significant, positive impact on pulmonary function in the treated patients. Conclusions: The results showed a significant reduction in the average amount of secretions, decreasing from 16.32 ml to 7.63 ml after the intervention, demonstrating the effectiveness of the treatment for the removal of secretions.

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