Especialidad en Medicina Familiar y Comunitaria

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Adherencia al Tratamiento en Enfermedades Crónicas de la Población Geriátrica de la Parroquia San Miguelito, Perteneciente al Cantón Pillaro-Provincia Tungurahua.
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-04-01) Padilla Vinueza, Verónica Elizabeth Md.; Morales Solís, Jorge Marcelo Dr.
The adherence to the treatment in the geriatric population world-wide is a controversial topic, it is influenced by different causes, such as associated factors to the patient, medication, environmental factors, physician/patient interaction and lack of family support, are the ones that directly affect the patients with chronic diseases, with continual medication like diabetes and arterial hypertension. The methods to determine the adherence to the treatment were applicable and simple; the Morisky Green Levine was used, four questions were applied to the sample population with yes/no answer; furthermore, it was complemented with the patient´s file, approved by the ethical committee with which the associated factors that influenced on the treatment fulfillment were determined. Within the results, it is established that by means of the Morisky Test and according to the given standards for it, it is possible to determine that the 69,9% of patients is not suitable for the treatment and that only the 30,01% is and according to the associated factors in a familiar stable circle and those who live alone, considering it a factor of risk to the importance for the adherence. In fact, the 21,5% of them live alone and a 78,5% live with their family or at least with a person. About knowing the name of the prescribed medicament, the 26,9% knows it and a great percentage 73,1% does not know anything about the name of the prescribed medicament. Talking about the awareness of the sickness, a high percentage as much as the 81,7% of patients has little or no knowledge of what the sickness is, as well as the complications that can be involved and only the 18,3% of them knows what their sickness is about, but in a rather superficial way, which means they don’t know about its implications.
Asociación de los factores sociodemográficos y culturales al cumplimiento del control prenatal en gestantes indígenas de la comunidad de Salasaca
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-04-01) Moposita Yumiguano, Ana Carolina Md.; Santana Mera. Md. Esp., Lorena Jazmín
Inadequate compliance with prenatal controls carries several risks for the mother-child binomial. Social, demographic and cultural factors determine an adequate adherence to these check-ups; and therefore they represent a key point in the structuring of the maternal and child care service. Material and method: mixed methodology. We worked with 42 pregnant women selected based on the inclusion criteria. A survey, a semi-structured interview and a review of the perinatal MSP sheet 0.51 were carried out to obtain the data. Results: The average age of the participants is 24 years old. More than half of the pregnant women studied (57%) inadequately comply with prenatal control. The factors associated with inadequate compliance with prenatal care were: pregnant adolescent 61.5% (p = 0.018), married marital status 53.3% (p = 0.006), low level of education 38.9% (p = 0.022), live more than 5km from the health center 47.1% (p = 0.016), have a job 50% (p = 0.016), low socioeconomic level 60.0% (p = 0.019). In addition, it is narrated that the customs and traditions that intervene in the fulfillment of the prenatal control are: assistance to the midwife, the performance of the mantle and the maintenance and care of body temperature. Conclusions: The data obtained are a clear reflection of the persistence of marked inequalities in the use and access to pregnancy care services due to demographic, social and cultural determinants and the urgent need to strengthen strategies and policies to address them with the objective of achieve universal coverage in prenatal care
Aspectos socioculturales en la elección del método anticonceptivo en población rural
(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de Posgrados, 2022-03-01) López Pinta, María José; Velastegui Pérez, Mariana Isabel Md. Esp.
The main objective of this study was to determine the sociocultural aspects in the choice of contraceptive method in rural population. Family planning encompasses a series of care in relation to the sexual and reproductive health of the couple, focused on three different moments working with couples or users who are looking for a pregnancy or in turn wish to plan it, the next guiding family planning advice and lastly, support for couples with fertility problems. The methodology used was quantitative, bibliographic and descriptive, in terms of the sample was made up of 140 people, the same ones that are part of the population corresponding to the health unit met the inclusion and exclusion criteria. The results determined that 24.3% of the population does not seek a contraceptive method. 65.7% of those surveyed consider that religious or cultural beliefs did influence when deciding to use a contraceptive method. 62.9% stated that the way their partner participates in the choice of the contraceptive method is by mutual agreement. Regarding the factors of social or family pressure in their environment, 35.8% always or almost always influenced their decision and the customs of the community with 35.1% on the same scale referred to. It is concluded that the decisions are influenced at a medium level by the customs of the community, social and family pressure, as well as religion.
Atención integral de Salud a mujeres adultas con malnutrición por exceso. centro de salud la Vicentina, Tungurahua, 2016
(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Dirección de Posgrado, 2016-11-01) Martínez Muñoz, Carmita Geomara Dra.; Díaz Curbelo Dra. Esp.,Aliucha
Introduction: Obesity is a chronic disease of multifactorial etiology. Methodology: A descriptive study was conducted - transversal with the aim of characterizing the comprehensive health care that adult women receive with overweight who were treated at the Health Center La Vicentina, canton Ambato, Tungurahua province, 2016. The sample consisted of 94 adult women aged 20 to 64 who presented excess malnutrition and stratified randomly selected. Results and Discussion: 52.12% are overweight patients and 34.04% belong to the group of 20-39 years. The 48.94% are married women, 60.63% are women with secondary school level, the mestizo self-identification with 88.30%, 11.70% showed adequate medical care and inadequate with 88.30%, being groups with 44.66% overweight and obese women with grade 1 with 24.46% which bring the big number of cases with inadequate monitoring. Conclusions and Recommendations: It is concluded that the highest prevalence of excess malnutrition was in overweight women and in the group of 20-39 years. Comprehensive medical care received in most women with excess malnutrition, studied, was inadequate. The guide comprehensive care proposal will favor the monitoring, control and evolution of these patients.
"Autopercepción y percepción familiar de la calidad de vida del adulto mayor. ER12, la Victoria, 2015-2016"
(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Dirección de Posgrado, 2016-11-01) Borja Tapia, Patricia Elisabeth Dra.; Creagh Bandera. Idalberto Dr Esp.,
Nowadays the whole world is experiencing a new phenomenon, which is the phenomenon of demographic transition, where the population of the elderly has increased considerably, according to the World Health Organization that in the year 2000 there were approximately 600 million Old adults, a figure that would double by 2025, all this has been achieved thanks to technological and scientific advances that have reduced mortality rates and increasing life expectancy, so there are more vulnerable individuals, with their own requirements And with little social consideration what would determine their quality of life. Ecuador is also experiencing this process without being the exception the Parish Victoria. In this context the present study whose general objective was performed. Determine the quality of life of the elderly from self-perception and the perception of the family in the ER 12 Victory in 2015-2016. A qualitative and quantitative approach was maintained, it was a descriptive study cross-sectional descriptive study yielded information as older adults perceive their quality of life and how they perceive their families. We worked with 70 older adults and 70 family, using the instrument WHOQOL-BREF developed by OMS with 26 questions, which describes the quality of life in relation to social, biological, physical and psychological determinants studied during 2016. SPSS20program was used with frequency measurements, standard deviation, and chi square. Results: the average age was 70 years. The 60% (42) of seniors reported perceive their quality of life as average and 40% (28) perceived as bad, while 57.1% refer families (40 ) for average quality of life and 41.5% (29) low. According satisfaction with their health 30% will answered satisfactorily, however little dissatisfied 34.3% and 25.7% very dissatisfied, the best results were men, married primary school level and living with their partners.
Calidad de vida y depresión en los adultos mayores del sector rural, parroquia Juan Benigno Vela.
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-04-01) Salvador Aguilar, Andrea Daniela Md.; Vela Chasiluisa, Mayra Alexandra Dra. Esp.
In this context, the research seeks to demonstrate the relationship between depression and quality of life in the elderly in the rural parish of Juan Benigno Vela, depression is a mood disorder that interferes with the quality of life of 65-year-olds henceforth, depressive levels and dimensions of quality of life are investigated, and thus, assess at what level older adults are, from their own perspective (1). The elderly deserve a dignified life; however, this is not always the case, there are certain diseases such as depression that empower this group of people, affecting certain spheres such as social, physical and psychological (2). Therefore, the cause that affects the quality of life must be reversed, and thus restore health so that the person feels life positively (3). This research provides information on the relationship between depression and quality of life, which in the future will allow effective interventions that contribute to the health field.
Calidad de vida y funcionalidad familiar en pacientes con hipertensión arterial
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-04-01) Carrillo Bayas, Gabriela Patricia Md.; Edwin Patricio , Llerena Guachambala Dr. Esp.
Hypertension is a chronic, polygenic and multifactorial disease, which is defined as uncontrolled if the blood pressure values are ≥ 140/90 mmHg in all patients between 18 and 60 years and if the systolic blood pressure is ≥150 mmHg in patients> 60 years. Because there are hypertensive patients who do not meet the blood pressure goals and therefore have a higher risk of complications, previous research has determined that when a person suffers from some type of chronic disease, the evolution and response to treatment depends on the functioning family, we have seen the need to investigate this association. When talking about health we have to consider it as a process where the active participation of the individual, the family and the community is necessary. In 1976 a group of WHO experts defined family health as the health of all members in terms of effective family functioning. Communication, affectivity, development, adaptability, emotional, financial and information support are essential functions that have a positive effect on health recovery.
Capacidad funcional del ddulto mayor relacionado con el abandono familiar. La Calera centro, Latacunga
(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Dirección de Posgrado, 2016-11-01) Villarroel Vargas, Jenny Fernanda Md; Miranda Vázquez Dra. Esp., Josefa Margarita
Population aging is inevitable, it is estimated that between 2000 and 2050 the aging population rise from 11 to 22 %, thereby increasing the various diseases or disorders own age among other difficulties. The aim of the study was to establish the relationship between functional capacity of the elderly with family abandonment in neighborhood La Calera Center, Latacunga.A descriptive study of crosscut population was composed of 70 adults over the community who prior informed consent is applied scales for assessing the capability it works Index modified Katz and scale Lawton and Brody modified and the survey was conducted abandonment assess family and socio-demographic aspects of the population. For statistical analysis Pearson Chi square was used with a significance level of 0.05. In the study, the predominant age group was between 65 to 74 years (elderly) with 59% of the population and the long-lived category with 3%. The average age is 73.96, a minimum age is 65 years and maximum of 91 years, female gender predominance . neglect in 75.7 % of seniors reported and had significance with regard to functional capacity. Significant results were in the relationship between AVD and AIVD with geriatric age p: 0.001 and p: 0.002 respectively , as well as the AIVD with the occupation being x2 : 38.939 p : 0,000 other significant result was the family abandonment and family structure p : 0,002.Se can conclude that there was significant relationship between functional capacity , family structure and abandonment.
Causas de abandono precoz de la lactancia materna en mujeres de Picaihua
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-04-01) Mantilla Pazmiño, Cristina Anahí Md.; Llerena Cepeda, María de Lourdes Mg.
Breastfeeding is the first way of mammals’ feeding, including humans. This practice has been transformed according to the past of the years and also with the historical circumstances that have marked humanity, but especially the female gender because they are the principal managers of this practice. However, breastfeeding is decreasing in its rates and, therefore, children’s malnutrition under 2 years is increasing in our country. The breastfeeding’s abandonment occurs for different factors and causes that do not only originate in the mother, but also in her family environment, her community and the society too. The reasons are biological, economic and social. When it is preparing family and comprehensive doctors, it is necessary to know the culture of the population and how their worldview can become a protective or harmful factor for the most important and natural practice since the beginning of a human being's life: breastfeeding. For this reason, an observational phenomenological study will be carried out, through a semi-structured interview with open-ended questions, where we will be analyzed the the possible causes of breastfeeding’s abandonment in the women of Picaihua. This tool will be applied to women that are pregnant and also for the ones who are in the breastfeeding time, both have to achieve the inclusion criteria. We were found several factors to interfere in the breastfeeding’ cessation: unwanted pregnancies, misinterpretation terms, lack of advice from health staff in a prenatal pregnancy, natal and during the first two months pregnancy, unplanned pregnancies, teenager pregnancies, myths and beliefs about the family, society pressures, inadequate intergenetic periods, hypogalactia perception, among others.
Competencias Profesionales en la Identificación y manejo de Factores de Riesgo Preconcepcional en Adolescentes, Saquisilí, 2015 – 2016
(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Dirección de Posgrado, 2016-11-01) Becquer Humberto Dr., Suárez Coba; Orlando Jesús , Castro Hayes Dr. Esp
Objective: To establish the relationship between professional skills of health personnel in the identification and management of preconceptional risk factors in adolescents Saquisilí. Method: qualitative and quantitative, cross-sectional study field, medical professionals and midwives in units of the first level of care; data were obtained from a survey of professionals and documentary review of medical records, involving 32 professionals, paragraph testing hypotheses Chi square with a significance of p <0.05 was used as a statistician. Results: There is statistical significance by associating knowledge with the identification of preconception risk (p = 0.029) and the self management (p <0.05 - Chi-square = 15,909), statistically significant association was found to associate professional skills with identification of preconceptional risk (p <0.000) and the self management (p = 0.02), 75% of participants do not have clinical skills and not favorable for the identification and risk management preconceptional attitude, 62.5 % expressed self-preparation on this issue, however the results did not show it. In proposing the need for the algorithm care paragraph problem solution investigated, 90.6% necessary consider. Conclusions: More than half of professionals have less than five years of experience with medical / midwife relationship five, the most professionals have knowledge level of the middle and lower showed no have clinical skills and unfavorable attitude to identify and manage risk, existing dependence on level of knowledge, high level of knowledge about prevention and self-preparation referred by professionals but almost entirely failed to identify the risk in adolescents handled, there is a direct relationship between the level of professional skills the identification and management of preconceptional risk in adolescents.
Conductas alimentarias en población indígena y su relación con la desnutrición crónica en niños menores de 5 años de la parroquia Juan Benigno Vela.
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-04-01) Vargas Calle, Andrea Maritza Md.; Corella Galarza, Cristian Alexander Md. Esp
Worldwide, in developing countries, 25% of the population under 5 years of age has malnutrition problems (1). Malnutrition increases the risk of infant morbidity and mortality (2). According to UNICEF (2015) (2), 42.3% prevail in indigenous children with growth retardation, unlike other racial groups (3). Objective: To determine the eating behaviors of the indigenous population related to chronic malnutrition in children older than 1 year and younger than 5 years of age in the Parish of Juan Benigno Vela. Methods: It is a cross-sectional study with a mixed design. Data from 30 chronically malnourished children were collected. A semi-structured interview was carried out with the parents or caregivers, on the eating habits and knowledge of breastfeeding, ablactation, among others. Results: 53.3% of caregivers are between 20 and 29 years of age, the majority female and correspond to the mother of the child. 66.7% self-identified as XVII indigenous. The degree of chronic malnutrition according to the IMCI growth curve, it was recorded that 76.7% were in the -2 percentile and 23.3% in the -3 percentile. All the children received exclusive breastfeeding. 73.3% do not know what are the benefits of exclusive breastfeeding. 86.7% of children were breastfed for more than one year of age. Ablactation or the start of complementary feeding was performed between 6 to 8 months of age with 73.3% and the majority began ablactation with "soup", liquid type, of the family diet. Keywords (5): Eating behaviors, chronic malnutrition, child malnutrition, indigenous, under 5 years of age, parents or caregivers.
Conocimiento sobre tratamiento y complicaciones con Influencia en la meta de control de la presión arterial en personas adultas hipertensas del subcentro de salud la Vicentina 2016.
(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Dirección de Posgrado, 2016-11-01) Castillo Borja, Gabriela Fernanda Md.; Torres Torres Dr., Johny Mauricio
Arterial Hypertension (AHT) is a multicausal disease that requires multiple interventions to control it. An observational, descriptive, cross-sectional study was conducted to determine the influence of knowledge on treatment and complications of hypertension in the control of hypertensive adults who attended the outpatient Health Center Vicentina during 2015, from different sociodemographic such as sex, age, educational level and socioeconomic status. There was a predominance of females with 70%, those over 65 years of age with 56.20% and primary schooling 56,20% and low socioeconomic status 51,20%. The 73.80% of the population had knowledge about treatment and complications of hypertension and 61,25 % did meet the goal of control. It is concluded that existed in the patients studied showed significant frequencies influence of knowledge about treatment and complications of hypertension in meeting the goal of control. It is recommended that additional research in the future be conducted with emphasis on risk factors and other relations with hypertensive patients such as the body mass index and stages of the disease to analyze meeting the goal of control of the disease. The application of the proposed guide of prevention of hypertension to be presented in health centers of primary care.
Conocimiento y autoexploración mamaria como prevención de cáncer de mama en mujeres que asisten al primer nivel de atención
(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de Posgrados, 2022-03-01) Quishpe Molina, María del Carmen Md.; Iza Anguisaca, Freddy Bayardo Dr.
Knowledge and breast self-examination is a procedure that allows the identification of different pathologies in women, so self-examination or early detection strategies reduce morbidity and mortality around this disease. The research to determine the knowledge about breast self-examination in women from 20 to 60 years of age during the period January-December 2020. The methodology applied in this study is observational, descriptive and cross-sectional with pretest - posttest and a control group. The sample population is made up of 195 women who attend the Alaquez health center, to whom a questionnaire and observation sheet are applied, whose purpose is to collect through a survey; sociodemographic characteristics, the level of knowledge on the subject and determine the components to design the strategy. The data obtained will be processed in Excel 2010 spreadsheets, Windows 7 version, and Pearson's confirmation will be performed using the IBM SPSS Statistics 21 program, where the relationship will be determined: the low level of knowledge about breast self-examination can be a result. for an incorrect application as a technique to determine breast cancer in women who attend xvi the Aláquez Health Center belonging to the Latacunga Canton, Cotopaxi Province during the period January - December 2020.
Conocimientos sobre infecciones de transmisión sexual y acciones preventivas realizadas por adolescentes del sector dos. Saquisilí. 2015 – 2016
(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Dirección de Posgrado, 2016-11-01) Salazar Hidalgo, Byron Segundo Dr.; Lozano Heredia, Rebeca Dra. Esp.
Knowledge about sexually transmitted infections and preventive actions taken by adolescents in the sector both. Sexually Transmitted Infections currently is a public health problem, especially in the adolescent stage due to conditions such as lack of knowledge that endanger their health by unhealthy sexual behaviors. Objective: To determine knowledge of STIs and preventive actions by teenagers Saquisilí sector 2. Method: The study is qualitative quantitative, descriptive method of cross section. The sample consisted of 138 adolescents aged 10 to 19 years, was used as instrument a questionnaire. Results: Of 100% (138) adolescents; only 66.5% adolescents know about STIs and ways of contagion; information obtained from teachers and some of their parents, 88.7% know how to prevent using condoms followed by checkups (75%) and related to the couple (65%). Conclusion: The highest percentage of adolescents have average knowledge about STIs and their preventive actions, statistical Chi square test shows that there is a statistically significant relationship between the level of knowledge and preventive practices.
Conocimientos Sobre Riesgo Cardiovascular en las Mujeres de 30 a 60 Años de la Parroquia Izamba
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-04-01) Cuenca Yaguana, Soraya Paulina Dra.; Torres Torres, Johny Dr. Esp.
The objective of this project is to determine the knowledge that women between the ages of 30 and 60 in the Izamba parish have about cardiovascular risk. It is known that in Ecuador cardiovascular diseases represent the first cause of death in women even before cancer. These diseases affect all social status, both developed and underdeveloped countries, with women being the gender most affected by their vulnerability, especially during the menopause stage, where protective factors such as estrogens, are declining, thus favoring the development of these pathologies. It is known that the most significant risk factors for the development of these diseases are led by sedentary lifestyle and obesity. We worked with a qualitative approach, based on phenomenological design, which will allow conducting the research in a more flexible way, allowing to find the subjective aspect of the problem to be investigated. For this, in the first instance, a filiation data sheet was filled out, later a semi-structured interview was carried out, with an estimated application time between 20 to 35 minutes to women of the Izamba Parish who met the inclusion and exclusion criteria, the Data will be obtained under home visits or a place where there is privacy in a comfortable and quiet place where there are no possible interruptions to proceed with the interview. Subsequently, the interview was transcribed and the data placed in an Excel matrix, which allowed us to organize and correlate the information. Given this, it was confirmed that knowledge is related to cardiovascular risk in women between 30 and 60 years of the Izamba parish.
Conocimientos sobresexualidad y su influencia en el embarazo de adolescentes. EU23. Latacunga. 2015-2016
(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Dirección de Posgrado, 2016-11-01) García Macías, Carmina Alexandra Dra.; Miranda Vázquez, Dra. Esp, Josefa Margarita
Objective: To identify the level of knowledge about sexuality and its influence in the adolescent pregnancy Methodology: descriptive, correlational, qualitative - quantitative field study. The universe was constituted by 80 adolescents 15 to 19 years of EU 23 Latacunga who were applied a survey; the data were processed by the SPSS program and entered into an Excel database; the analysis was carried out using the Pearson Chi-square with a level of significance of p<0.05. Results: 62.5% of adolescents have no knowledge about sexuality without gender predominance. 41.2% have little knowledge about contraception. They began their sexual life (71.2%) and did not use contraception at first intercourse (62.5%) as it was an unplanned meeting, 43.8%. Currently it has sex (68.8%) and do not use contraception (60.1%). They know the risk of pregnancy (72.5%).Religion influences the group that has not started sex life. 56.2% of parents are high school graduates, 25% are divorced. Communication, affection and support of parents were not related to knowledge about sexuality. 84.8% have as a source of information to the Internet. Conclusions: Adolescents who do not have knowledge about sexuality predominate; the behavior is the same for both sexes. There is no good knowledge about contraceptive methods, much of adolescents have not used in the first sexual relationship prevailing unplanned meeting, all nearly currently have sex, even though they know the risk of becoming pregnant prevail which are not protected.
Conocimientos, actitudes y prácticas sexuales en adolescentes para la prevención de infecciones de transmisión sexual Unidad Educativa “Darío Guevara”, 2016
(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Dirección de Posgrado, 2016-11-01) Cindy Grace Dra., Dávalos Barzola; . Patricio Aníbal , Bedoya Vaca Dr Esp
During the stage of adolescence Sexually Transmitted Infections are a public health problem due to situations that threaten their sexual and reproductive health as well as the practice of unhealthy behaviors. Objective: Determine the level of knowledge, attitudes and sexual practices of adolescents for prevention of sexually transmitted infections in the educational unit "Dario Guevara". Method: The research approach is qualitative quantitative descriptive method of cross section. The sample consisted of 170 elementary school students enrolled in the ninth, tenth and eleventh grade respectively, a questionnaire was used as instrument. Results: 100% (170) students; only 58.24% of students have average knowledge about STIs and forms of contagion; information obtained through media and with one of their parents, 35.9% never prevented by using condoms. Conclusion: The highest percentage of students have average knowledge about STIs and preventive practices through statistical test Chi Square there is a statistically significant relationship between the level of knowledge and preventive practice.
Conocimientos, actitudes y prácticas sobre la doble protección anticonceptiva en estudiantes de la carrera de medicina de la Universidad Técnica de Ambato
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-04-01) Aveiga Flores, Maricela Elizabeth Md.; Castro Acosta, Norma del Carmen Dra. Esp.
One of the main reasons to use contraceptive methods is to avoid an unplanned pregnancy, very few take into consideration that they also need to prevent a Sexually Transmitted Infection. The use of double contraceptive protection is a form of safe sex, since through it an unplanned pregnancy can be avoided simultaneously, and a Sexually Transmitted Infection can be prevented. The objective of this research is: To determine the knowledge, attitudes and practices about contraception and how they influence the use of double contraceptive protection in students of the Medical School of the Technical University of Ambato. A study was carried out with a mixed approach: quantitative and qualitative, cross-sectional, field, the collection of information was carried out through an ethnographic survey applied to 230 students of the first, sixth and tenth semesters of the Medicine career. To determine the existence or not of independence, Pearson's Chi-square (x2) statistic was applied, the values of p <0.05 were considered significant. The results allow us to affirm that the level of knowledge about contraception possessed by medical students does not condition the preference or frequency of use of the double protection method. Regarding attitudes, these do not influence the use of double contraceptive protection; These results are maintained in all semesters of the study participants. While the practices on contraception and Sexually Transmitted Infection of first-semester medical students determine the preference or frequency of use of the double protection method. These results are not presented in the sixth and tenth semesters. Therefore, it can be concluded that knowledge and attitudes do not influence the use of double protection, while practices determine the preference or frequency of use of double contraceptive protection in first-semester students, but not in students. sixth semester and tenth semester.
Cumplimiento de la guía de hipertensión arterial del ministerio de salud pública como indicador de calidad en el primer nivel
(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de Posgrados, 2022-03-01) Moposita Flores, Silvia Yolanda Md.; Cruz Castillo, Yessenia Magaly Md. Esp.
The purpose of thisresearch wasto analyze compliance with the Hypertension Clinical Practice Guideline (HTN) as an indicator of quality at the first level by the health personnel of the Quisapincha Health Center. Chronic arterial hypertension is a highly prevalent pathology that requires optimal control. The methodology used was based on the quantitative and qualitative approach, in the bibliographic, field and correlational modality. The study population consisted of 150 patients diagnosed with hypertension. For the collection of data, the electronic medical records of the Health Care Registration Platform (PRAS) were used, according to the recommendations established by the Clinical Practice Guide for Arterial Hypertension, the information collection instrument called Data Sheet was designed. observation; In addition, a structured interview was applied to health professionals, it was carried out with the data obtained from January to December 2020. The results obtained determined that the calculation of cardiovascular risk was only carried out in 4.7% of the patients, a Timely control to improve blood pressure figures and prevent possible future complications. Follow-up laboratory tests every six months were not performed in 68% of patients. It is concluded that the quality of care in patients with hypertension is medium low, which is why the need to implement a monitoring and control program for patients with chronic arterial hypertension through the planning of education, awareness and compliance activities is raised. of the recommendations established in the clinical practice guide
Deterioro cognitivo en el adulto mayor y su relación con la funcionalidad familiar
(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de Posgrados, 2022-03-01) Bustamante Yánez, Diego Fernando Md.; Patricio, Rodrigo Maldonado Dr. Esp.
Introduction: Aging produces physiological changes that produce symptoms, which are organized into geriatric syndromes, one of the main ones is cognitive impairment, which can produce functional limitations, making older adults dependent on caregivers and generally This responsibility falls on the family group, leading to problems that alter family functionality. Objective: To determine cognitive impairment in the elderly and its relationship with family functionality. Methodology: An investigation was carried out with a quantitative and qualitative approach, with a cross-sectional. epidemiological design. 65 years or more who belong to the Pataín neighborhood of the Panzaleo Parish. The sample was determined, by nonprobabilistic convenience sampling, as it was a small population, in this sense, the sample was 141 participants older than 65 years of age or older who meet the inclusion and exclusion criteria, at Two instruments were applied, the first for the assessment of cognitive impairment Photo test and the perception test of family functioning (FF-SIL), for the assessment of family functionality. Results: It was determined that cognitive impairment in older adults is 30%, dementia in 2%, dysfunctional families and severely dysfunctional families in 36% and 11% respectively, in addition there is a statistically significant association with a p <0.005 between cognitive impairment and alterations in family functionality, on the other hand, it was found that there are demographic factors such as educational level and age that are associated with cognitive impairment. Conclusion: Cognitive alterations in the elderly are underdiagnosed, which determine problems of family functionality. Timely diagnosis as well as proper management, where health personnel participate in the whole with the family, are valid strategies to maintain an older adult and a functional family