Enfermería
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Item INSTRUMENTO PARA LA VALORACIÓN DE LA ACTUACIÓN DE LOS PROFESIONALES DE ENFERMERÍA EN LA ATENCIÓN PRIMARIA EN SALUD DE LA DIABETES MELLITUS(Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de Enfermería, 2024-10-04) Ruiz Jinez, Anderson Steeven; López Pérez, Grace PamelaIntroduction: According to the WHO, diabetes is a chronic disease that occurs when the pancreas does not produce enough insulin or the body does not effectively use the insulin it produces. Objective: Design an instrument that allows for the assessment of nursing performance in Diabetes Mellitus in primary care. Method: Research with a quantitative approach, experimental, descriptive and transversal design. Development of an instrument to determine its reliability and content validity. The sample used for the evaluation of internal reliability was made up of 10 patients diagnosed with diabetes mellitus who are treated in the health centers of zone 3 belonging to the Pelileo Canton, Province of Tungurahua, who agreed to collaborate with the research, to check the understanding of the questions and the operation of the instrument. Internal consistency was determined through the calculation of Cronbach's Alpha coefficient. Results: Expert professionals in the subject of diabetes mellitus assessed the pertinence, relevance and clarity of the 20 items divided into 4 dimensions, qualifying them as applicable. The internal consistency of Cronbach's Alpha was 0.97; which demonstrates that the formulation of the items is reasonable, satisfactorily defined and is suitable in the presence of the questionnaire. Conclusions. The results obtained to evaluate the instrument and the application of the pilot test were adequate. This instrument is valid and reliable, which justifies its use in the research field. The instrument is easy and quick to apply, allowing us to know the perception of patients with Diabetes Mellitus about the care received by the nursing staff in the PHC.Item INSTRUMENTO PARA LA VALORACIÓN DE LA ACTUACIÓN DE LOS PROFESIONALES DE ENFERMERÍA EN LA ATENCIÓN PRIMARIA EN SALUD: HIPERTENSIÓN ARTERIAL(Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de Enfermería, 2024-10-02) Tutasig Vargas, Maritza Elizabeth; López Pérez, Grace PamelaIntroduction: Blood hypertension (HTA) is a disorder in which blood vessels persistently have high blood pressure and affects more than 1280 million adults in the world. Objective: Design and measure the reliability of an instrument to evaluate the performance of nursing professionals in primary health care: arterial hypertension Method: Quantitative approach, experimental design, descriptive and transversal. Development of an instrument to determine its reliability and validity of content. The sample used for the evaluation of internal reliability was composed of 10 patients diagnosed with arterial hypertension who are treated in health centers in zone 3 belonging to the province of Cotopaxi of Salcedo canton who agreed to collaborate with the investigation, check the comprehension of the questions and the operation of the instrument. Internal consistency was determined by calculating Cronbach’s Alpha coefficient. Results: Experts on the topic of arterial hypertension evaluated the relevance, relevance, and clarity of the 20 items divided into 4 dimensions, qualifying them as applicable. The internal consistency of Cronbach’s Alpha was 0.96, which shows that the formulation of the items is reasonable, satisfactorily defined and is adequate in the presence of the questionnaire. Conclusions. The results obtained to evaluate the instrument and the application of the pilot were adequate. This instrument is valid and reliable, which justifies its use in research. The instrument is easy and quick to apply, allowing to know the perception of hypertensive patients about the care received by the nursing staff in the PHC.Item Vivencias de una paciente con síndrome antifosfolipídico obstétrico(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Enfermería, 2022-10-13) Núñez Paredes, Cristina Nataly; Analuisa Jiménez, Eulalia IsabelObstetric antiphospholipid syndrome is one of the main preventable causes of recurrent abortions, where different kinds of conflicts are acquired. The objective of this study was to know the main experiences of a patient with this syndrome to contribute with appropriate health care, which contributes to nursing expertise. This was based on qualitative research and a phenomenological approach with a narrative history of a life episode design, in which, through a type of sampling purposeful was selected to work with a single participant, to whom a semi-structured interview was applied, obtaining information that was transcribed and categorized, with content analysis and data triangulation. Consequently, this is how discouraging experiences were evidenced where the protagonists were ignorance and fear, highlights the importance of the intervention of the nursing professional in women who want to get pregnant, after a history of fetal deaths.Item Cuidados de enfermería en pacientes crónicos en el área de emergencia: una revisión sistemática(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Enfermería, 2022-03-01) Navas Valdez, María Fernanda; Herrera López, José Luis Lic. Mg.Introduction: The care of patients for chronic diseases is more prevalent due to the increase in the older adult population, hand in hand with the change in consumption habits and activity that enhances the appearance of these diseases. In this sense, it is of interest to know the protocols and recommended procedures in the emergency area for this type of disease. Objective: To describe nursing care in chronic patients who are cared for in the emergency area, through a systemic review of the bibliography. Method: Systemic review of the literature by selecting academic articles with the PRISMA method. Results: 14 publications were selected according to the search keywords and inclusion and exclusion criteria considered for their selection. Conclusions: The existence of protocols and methods guarantees the adequate operation in the emergency units. Prioritization of diagnoses is required for their care, which are generally related to complications of the chronic disease itself that can be prevented. In some cases, the nurse must prioritize the attention of the most emerging diagnoses according to the patient's conditionItem Rol de enfermería en el cuidado y atención del parto humanizado(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Enfermería, 2021-05-01) Vaca Molina, Kimberly Alejandra; Jiménez Peralta, Ana Lucía Lcda. Mg.Introduction: Childbirth is a physiological process that is considered the most important moment in the life of the woman and her family, so she expects to feel accompanied and protected, therefore it is necessary to emphasize the role of nursing in this process since she from her humanistic side will provide her unconditional support even more in times of COVID-19 pandemic. Methodology: A systematic review of articles and scientific publications directly related to the topic of study was carried out in the period 2015-2020. In order to obtain information, databases such as: SCIELO, LATINDES, SCOPUS, PUBMED, SCIENCEDIRECT were reviewed. Result: The bibliographic review of the articles selected and analyzed showed that the accompaniment by the nurse during labor is fundamental, taking into account the situation currently being experienced with Covid-19 because the mother goes through episodes of anguish and fear that the newborn may be a carrier of the virus. Conclusion: After conducting a literature review on the role of nursing in the care and attention of humanized childbirth, it is concluded that professionals in the nursing area are essential for the management of pregnant women at the time of delivery, however, in the context of the pandemic, more rigorous measures have been taken to ensure that humanized childbirth is carried out safeguarding the welfare of the maternalfetal binomial.Item "Cuidados de enfermería en paciente de influenza h1n1 adquirida en el embarazo y su efecto con el tratamiento farmacológico(Universidad Técnica de Ambato - Facultad de Ciencias de la Salud - Carrera de Enfermería, 2019-04-01) López Dávila, Viviana Abigail; Chisag Guamán, María Marlene Lcda. Mg.The purpose of this clinical case study sought to examine the evolution of the patient with influence H1N1 acquired in pregnancy, by collecting data structured to identify the main critical points instruments and establish opportunities for improvement by using a clinical guide for the patient with H1N1 more influence fetal death in pregnancy. In this paper the case of a patient, female 20 years, been single with no medical history of importance coursing 32.2 weeks pregnancy occurs, I present a picture of two weeks of cough with expectoration in low blood count quantity and temperature rise unquantified, his picture is exacerbated, so go to the medical center, by the severity of the patient is admitted to the Hospital of medical Specialties Basic Tungurahua for medical treatment and perform diagnostic studies. H1N1 confirmed prescribed antiviral administered following the pathology shows a stillbirth. Through the survey of the patient data is obtained about the patient's exposure to risk factors such as age, pregnancy, weak immune system, measures sanitary, lack of immunization against the virus, transmission by contact, the same as to relate the literature could be the triggers of the disease. In the analysis of clinical case the descriptive method that allowed describing each of the rooms that was evolving pathology is used, the Documentary-Bibliographic method for detecting and deepen different aspects of it.