Especialidad en Medicina Familiar y Comunitaria
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Item Grados de retinopatía en pacientes con diagnóstico de hipertensión arterial en el primer nivel de atención(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de Posgrados, 2022-03-01) Mantilla Alvear, Andrés Esteban Md.; Oviedo Guarderas, Nelson Edmundo Dr. Esp.Item Determinantes socioculturales relacionados con el desarrollo de depresión en el adulto mayor con diabetes mellitus tipo 2 y/o hipertensión arterial(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-04-01) Molina Vargas, Lucía del Rocío Md.; Cárdenas Naranjo, Vicente Hernán Dr. Esp.In Primary Health Care, the Family Physician is the fundamental pillar in the comprehensive care of the individual, family and community in all stages of life. Faced with the increase in older adults worldwide, the WHO affirms that this age group currently represents 11% of the world population and projects that by 2050 they will represent 22% of the total population in the world. Aging is proportional to the appearance of non-communicable chronic diseases in the elderly, generating a real public health problem. Therefore, it has been seen the need to carry out the present investigation in this age group, whose objective was to establish the relationship between sociocultural determinants and depression in the elderly with type 2 diabetes mellitus and/or hypertension in the central and southern Zumbalica neighborhood in 2020. The research had a cross-sectional, analytical, observational quantitative approach. Universe of 103 older adults with type 2 diabetes mellitus and/or hypertension residing in the central and southern Zumbalica neighborhood. Sample represented by 100 older adults who met the inclusion criteria. A survey was applied which included questions on the sociocultural aspect, the Batalla, Morisky Green tests and the Yesavage geriatric depression scale. The results were that 81% of the older adults studied have depression; being is more frequent in older adults with DM and HTA together. The determinants that are strongly related to depression were sex, marital status, educational instruction, occupation, coexistence, adequate knowledge of the disease and adherence to treatment. In conclusion, sociocultural determinants have a positive relationship in the development of depression in the elderly with DM and / or HTA.Item 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.Item Estrés emocional factor de riesgo para el desarrollo de enfermedades crónicas: caso de estudio parroquia Tanicuchi - Ecuador(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-04-01) Acosta Gavilánez, Roberto Iván Md.; López Guerrero. Md Esp., Ana AbigailThe research focused on determining whether emotional stress is a risk factor for the appearance of chronic diseases in the age group between 25 and 65 years old belonging to the Tanicuchi parish in the Lasso neighborhood. The methodology applied in the present investigation has a qualitative approach and a quantitative approach, in addition, it had an inductive and analytical investigation and also had a descriptive scope. For the research, the population registered in the Lasso Health Center was considered, patients between 25 to 65 years old who belong to the Tanicuchi parish, on the other hand, the sample was determined based on the research needs, it was determined to 98 patients from 25 to 65 years old belonging to the Tanicuchi parish. The relationship between chronic diseases and the presence of the stressor is obtained as a result, considering a p value of 0.890, a significance value greater than 0.05, to conclude, it is concluded that there is no significant value between the study variables, thus understanding that emotional stress is not a risk factor for the development of chronic diseases.