Especialidad en Medicina Familiar y Comunitaria
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Item Funcionalidad familiar y su influencia en el consumo de substancias psicoactivas en adolescentes de la parroquia Quisapincha(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de Posgrados, 2022-03-01) Achachi Meléndez, Darío Xavier Md.; Dávalos Barzola, Cindy Grace Dra. Esp.The consumption of substances at the level of the population of Latin America has undergone changes, over the years the percentage of consumption has increased now, the consumption of psychoactive substances by women being greater, the consumption of marijuana increased notably, mainly in countries Like Peru, Bolivia and Ecuador, in adolescents, as they are modifying their behavior, the consumption of these substances achieves an addictive effect 10 times more. In Quisapincha there is great consumption of alcohol by the adolescent population, in addition there is great migration of the economically productive population, leaving families broken and dysfunctional. It is of interest to relate family functionality to the consumption of psychoactive substances in adolescents of the Quisapincha parish. Carrying out a descriptive, cross-sectional observational study. (1) Applying the FF SIL test to determine family functionality and the ASSIST test to determine the risk of consumption of psychoactive substances. In a sample of 105 adolescents, it was determined that family dysfunction is not related to the incidence of consumption {x2 (1, N = 105) = 1.414, p <0.234}, but functionality is a protective factor for substance use OR: 0.579. Conclusions: the consumption of psychoactive substances in the adolescent population is constantly growing, it was not possible to determine whether family functionality has a statistical relationship with substance use, but family functionality was a protective factor for substance use. equal incidence in both mestizo and indigenous populations. Recommendations An adequate intervention in the health system can improve the use and quality of preventive clinical services, it is important to control each priority population.Item Factores de Riesgo Intrafamiliares Relacionados con el consumo de Alcohol. Población del EU 06. Pujilí, 2015 – 2016.(Universidad Técnica de Ambato.- Facultad de Ciencias de la Salud .- Dirección de Posgrado, 2016-11-01) Nery Hermelinda Md, Balseca Guamán; Leticia, Remón Ramírez Dra. Esp.EXECUTIVE SUMMARY This research work aims to identify risk factors related to domestic alcohol consumption in the population of the EU 06. Pujilí, with the sample to 106 consumers of alcohol, a study was conducted Relational observational level, the information was obtained by applying the test Use Disorders Identification test (AUDIT) and evaluation of Family Functioning (FF SILL), after an analysis of the results obtained by calculating the Pearson Chi-square for verification of the hypothesis, approving the Alternatively, assuming that the intra-family factors influence alcohol consumption. We designed an educational strategy. The family doctor through the longitudinal nature of the attention given has the opportunity to observe all members of the family, all that puts it in a very advantageous to perform counseling or family intervention position.Item 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 MargaritaPopulation 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.Item Impacto de Estrategia Educativa que Influye sobre Factores Socioculturales en Aceptación de Métodos Anticonceptivos, Santa Rosa de Pichul, 2015-2016(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Dirección de Posgrado, 2016-11-01) Silvana Paola Md., Parra Robalino; Misladys Dra. Esp., Baldemira Álvarez,Family planning consists of several methods used by couples or individuals with an active sexuality which aims to prevent pregnancy, also includes the voluntary choice of some form of contraception. Despite the implementation of the Strategy of Information, Education and Communication and the wide availability and accessibility of different control methods existing fertility in women of childbearing age in the community of Santa Rosa de Pichul, low uptake was observed to use contraception so an educational strategy was implemented to raise the level of information this objective is to evaluate the impact of the educational strategy followed in Primary Health Care influencing sociocultural factors for acceptance of contraceptive use Santa Rosa de Pichul, 2015-2016. The Methodology. Of this investigation is qualitative and quantitative research; mode field of analytical type, quasi-experimental, longitudinal prospective pre-post design with one group. Study universe: women of childbearing age (15-49 years) from the community of Santa Rosa de Pichul 2015-2016. The results were factors that influenced the acceptance of contraceptive use were age, marital status, occupation, education level, marriage, number of children and mainly cultural group; The level of information rose by 63.5% and acceptance increased by 22.3%. The conclusions are individual, social and cultural factors are related to the low level of contraceptive information, negatively influencing the acceptance of using them. The cultural group is the main influential factor in this acceptance, the impact of the strategy was positive because it raised the level of information and increased acceptance of contraceptive useItem Salud Familiar y Funcionalidad del Adulto Mayor del sector EU 23. Latacunga. 2016(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud- Centro de posgrado, 2016-11-01) López Guerrero,Ana Abigaíl Md.; Neto Mullo Dr. Esp,Becker SantiagoNowadays, the technological advances have allowed reducing the birth rate and mortality, as well as improving social conditions, the older population is growing, and its health care is becoming a problem of public health and social security. According to the year 2025, there will be approximately 600 million older adults, increased longevity has requirements that cannot be ignored. The present research aimed to explore the dimensions of family health affected according to the functional status of older adults, in order to have better elements that guarantee a successful aging. It was remained a qualitative and quantitative approach, relational and transversal research based on the theory of decoupling of Cumming and Henry, applied to 55 families with seniors US 23 sector - Latacunga. Collection techniques are observation, interview, family files, clinical files, geriatric test, FF-SIL and family of risk features list. The data were processed in Excel, tabulated in SPSS and statistically significant with chi2. It concludes that family health that predominates is family dysfunction with a level of extreme criticality in more than a half, identifying risks of critical economy, low educational level, disability, negligence in care or abuse and poor hygiene. The categories of operation affected more harmony and adaptability. The functionality of the older adults determined by implemented activities over are dependent, in basic activities most are independent, the cognitive deterioration is moderate and there is a high social risk. It is recommended to improve the homes with optimal family relationships to develop functional status and increase the self-care of the elderly and improving family health.Item Salud Familiar y Funcionalidad del Adulto Mayor del sector EU 23. Latacunga. 2016(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Dirección de Posgrado, 2016-11-01) Ana Abigaíl Md., López Guerrero; Becker Santiago , Neto Mullo Dr. EspNowadays, the technological advances have allowed reducing the birth rate and mortality, as well as improving social conditions, the older population is growing, and its health care is becoming a problem of public health and social security. According to the year 2025, there will be approximately 600 million older adults, increased longevity has requirements that cannot be ignored. The present research aimed to explore the dimensions of family health affected according to the functional status of older adults, in order to have better elements that guarantee a successful aging. It was remained a qualitative and quantitative approach, relational and transversal research based on the theory of decoupling of Cumming and Henry, applied to 55 families with seniors US 23 sector - Latacunga. Collection techniques are observation, interview, family files, clinical files, geriatric test, FF-SIL and family of risk features list. The data were processed in Excel, tabulated in SPSS and statistically significant with chi2. It concludes that family health that predominates is family dysfunction with a level of extreme criticality in more than a half, identifying risks of critical economy, low educational level, disability, negligence in care or abuse and poor hygiene. The categories of operation affected more harmony and adaptability. The functionality of the older adults determined by implemented activities over are dependent, in basic activities most are independent, the cognitive deterioration is moderate and there is a high social risk. It is recommended to improve the homes with optimal family relationships to develop functional status and increase the self-care of the elderly and improving family health.Item Síndrome de fragilidad en el adulto mayor y su repercusión en la salud familiar, Parroquia Cunchibamba 2015 - 2016(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Dirección de Posgrado, 2016-11-01) Garcés Jerez, Katherine Elizabeth Md.; Linares Valdés Dra Esp, HortensiaIntroduction: Ecuador presents, currently, an accelerated aging process, a phenomenon that causes health problems among older adults, including the fragility that is a relatively new concept in geriatrics. The frailty syndrome is a pre disabled state, a state of vulnerability, or is detected and thus can address the situation to delay adverse events or overlooked and the elderly can cross the thin line separates fragility of disability. Objective: To identify frailty syndrome in the elderly and their impact on family health. Methods: Cross-sectional, descriptive, observational, with mixed approach of a total population of 200 adults over 65 years of sectors served by postgradistas of Family and Community Medicine, parish Cunchibamba, Study 2015/2016 period. Results: The frequency of frailty in the elderly was 163 (81.5%), the age range of 71-90 years predominated with 48.5%, 59.6% were women. It was classified according to the degree of functional impairment, mild weakness in 71 (43.5%), moderate 57 (34.9%), severe 35 (21.4%). Among the sociodemographic characteristics, marital status married 87 (53.4%), the level of instruction illiterate - incomplete primary 102 (62.5%) and employee work status 86 (52.8%) had significant percentages in different degrees of fragility. factors associated with the frail elderly, polypharmacy, hospitalization, depression, cognitive level and comorbidities with statistically significant results were identified. The family impact before the event frail old man, was coded by level of impairment, mild 47 (29.0%), moderate 49 (30.0%) and severe 21 (13.0%). Conclusions: A high level of fragility was identified in the elderly, with moderate impact on family health, mainly affecting the economic area, without underestimating the socio-psychological areas and family functioning.Item Satisfacción de los usuarios con la atención de los Postgradistas de Medicina Familiar y Comunitaria. Unidades Docentes Asistenciales. Provincia de Tungurahua. año 2015(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Dirección de Posgrado, 2016-11-01) Paola Alejandra Md., Silva Gutiérrez; Aida Fabiola , Aguilar Salazar Dra. Msc.The main objective of this research is to assess user satisfaction regarding the care provided by the Family and Community Medicine resident in the health care where the graduate faculty develops in Tungurahua province in 2015. This study has a qualitative metodology that can define variables, care provided by the Family and Community Medicine resident as an independent variable, and the satisfaction of users of health services as dependent, for which was evident the difficulties generated through the use statistical instruments, such as the survey, which was administered to 475 household who attend the various health units, it was determinate that there is a significant percentage of dissatisfaction based on the previous analysis intends to carry out new strategies of trainings and workshops in order to minimize this percentage