Ciencias de la Salud
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Item PERCEPCIÓN DE ATENCIÓN A MUJERES EMBARAZADAS QUE ASISTEN A UN CENTRO DE SALUD PÚBLICO(Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de Enfermería, 2024-10-02) Taco Quimbita, Shirley Abigail; Moyano Calero, Willian EudrillirIntroduction: Pregnant women go through several physiological and psychological processes that positively or negatively modify their daily lives, therefore, it is important to comply with prenatal controls to timely identify any type of obstetric risk. However, there are factors that influence the perception and adherence to controls, which constitutes a risk to maternal-fetal well-being. Objective: To identify the perception of care received by pregnant women who attend their prenatal check-ups at a public health center. Methods: Quantitative, observational, cross-sectional and descriptive study. The population consisted of pregnant women from the parish of Picaihua who went to the health center of the same locality for their prenatal check-ups, with a sample of 59 pregnant women, who were selected through a type of intentional non-probabilistic sampling. The information was collected through the questionnaire called "Evaluation of the quality of prenatal care". Results: At a general level, 51% of women feel satisfied with the care received from health personnel. According to demographic characteristics, pregnant women up to 18 years of age (50%), with primary education (53%), of rural origin (90%), with a partner (73%) and (53%) of indigenous ethnicity perceive the care as satisfactory. Conclusions: Perception varies according to certain sociodemographic factors. Differences were observed in the level of satisfaction according to the dimensions evaluated: tangible goods, security and empathy.Item CREACIÓN Y VALIDACIÓN DE UN INSTRUMENTO PARA EL CONTROL DE TRATAMIENTO ANTIHIPERTENSIVO(Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de Enfermería, 2024-05-29) Vargas Lozada, Alicia Nathaly; Pachucho Flores, Ana PamelaIntroduction. Arterial hypertension is a disease in which the force exerted by blood against the walls of the arteries is too high, representing an important risk factor for contracting various cardiovascular diseases, such as: heart disease, cerebrovascular accident, renal failure and other complications in health. Objective: To create a tool that guarantees adequate control of antihypertensive treatment, improving the effectiveness of the pharmacological regimen and patient adherence. Methodology: includes an exhaustive review of specialized literature, validation of its content by five experts and a pilot test composed of 83 subjects, which represents 10% of patients in a public health center in the province of Tungurahua, based on the 2019 Clinical Practice Guide of the Ministry of Health of Ecuador. Results: The tool presents acceptable validity and reliability, as demonstrated by its global Cronbach's alpha coefficient of 0.80, which indicates good reliability. instrument for comprehensive patient control. Furthermore, the study identifies 8 dimensions: medical care, laboratory tests, medication, risk factors, signs of not taking medication, signs of having an overdose, complications and general care. Conclusion: The article presents a valid and reliable tool to control hypertensive treatment.Item Factores de no adherencia terapeutica al tarv(terapia anti retroviral) en pacientes con sindrome de inmunodeficiencia adquirida (VIH/sida)(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Enfermería, 2021-03-01) Paredes Illanes, Lesly Vanesa; Quishpe Jara, Graciela de las Mercedes Lcda. Mg.Introduction: HIV is the acquired immunodeficiency virus for which there is still no cure, but whose most successful treatment is ART, which has achieved a significant reduction in morbidity and mortality from this cause when administered properly and in a timely manner. Objective: To analyse the factors of nonadherence to ART (Anti-Retroviral Therapy) in patients with Acquired Immunodeficiency Syndrome (HIV/AIDS). Methods: A systematic review of scientific articles and publications directly related to the subject of study was carried out, in the period 2015-2020, in databases such as: VHL, LILACS, PUBMED, MEDIGRAPHIC, MEDLINE, ELSEVIER, SCIELO, through descriptors such as: "HIV", "AIDS", "ASSOCIATED FACTORS", "NON-ADHERENCE", "TREATMENT". Results: The articles selected for the development of the systematic review were 41, which were selected from a total of 240 reported in the different databases in the period October-November 2020. Most of the articles agree that the main factors for the lack of adherence to antiretroviral treatment in patients infected with HIV/AIDS are personal and health-related. Conclusions: The factors for non-adherence to ART are varied as they depend on intrinsic and extrinsic elements but they must be addressed because non-adherence to treatment can trigger repercussions such as: a greater number of opportunistic diseases and complications related to the start of treatment, a lesser response to antiretroviral treatment, low life expectancy and a greater risk of the spread of the disease.Item “Factores que inciden en el abandono al tratamiento en pacientes hipertensos que acuden al centro de salud tipo “a” de Mulliquindil Santa Ana del Cantón Salcedo”(Universidad Técnica de Ambato - Facultad de Ciencias de la Salud - Carrera de Enfermería, 2018-10-01) Pilataxi Navarrete, Rocío Paulina; Andrade Coronel Lcda. M.sg., Neida del RocíoHigh blood pressure and non-adherence to therapy are a serious problem for both the patient and the health system and the state in general; in the Santa Ana parish of the Cantón Salcedo it is evident the growing population of hypertensive patients in recent years, which is why it is important to identify hypertensive patients and the influencing factors in the abandonment of antihypertensive treatment in these patients. The present is a quantitative, cross-sectional, descriptive and field study in which two data collection instruments were applied, the first one "Abandonment of antihypertensive treatment" to identify abandonment of antihypertensive treatment and the second "Instrument to evaluate the factors that influence in the adherence to pharmacological and non-pharmacological treatments in patients with risk factors for cardiovascular disease "for which we worked with a sample of 120 hypertensive patients. The results showed that 100% of the sample partially abandoned the antihypertensive treatment taking into account that the therapy includes pharmacological and non-pharmacological treatment, that is, a large part of the hypertensive population does not modify their lifestyles, specifically to adopt a healthy diet and the realization of physical activity. In the same way, several factors affect such abandonment as socioeconomic factors, with income that does not allow them to access the diet and the indicated pharmacological treatment.Item Factores que Influyen sobre la Adherencia Terapéutica en la Hipertensión Arterial, Parroquia San Andrés(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Dirección de Posgrado, 2016-11-01) Mayra Alexandra Md., Chiluiza Ramírez; Salvador, Vidal Revé Dr. Esp.Background: The lack of adherence in hypertensive patients represent a high health costs, as the asymptomatic nature of hypertensive disease. Objective. To determine the factors influencing adherence in patients with hypertension Parish San Andrés del Píllaro Canton. January-August 2015. Materials and methods. Cross-sectional study in which a population of 110 hypertensive patients (65.5% female, predominant age group 50 to 59 years) dispensarizados by family and hypertensive tab and treated at the Health Center of San Andrés was used. the Martin-Bayarre-Grau (MBG) questionnaire was used to assess the level of adherence, and an interview to assess the various associated factors based on the 2004 WHO report. Results. Adherents total 45% according Morinsky-Green, total 13.6% according MBG adherents, not adherents 48.2% and 38.2% Little adherents. Adherence according showed significant dependence between variables such as education level (p = 0.000), satisfaction with care received from the doctor (p = 0.000), medical indications given clearly and in writing (p = 0.000). Availability of the drug (p = 0.049). Conclusion. The study population has low levels of adherence associated with low education, low knowledge of pathology, protective factors are the level of satisfaction with medical care, poor grip level also was linked to oblivion by the patient, often taking medication and the number of medicines for treatmentItem Factores que influyen sobre la adherencia terapéutica en la hipertensión arterial, Parroquia San Andrés(Universidad Técnica de Ambato.- Facultad de Ciencias de la Salud .- Dirección de Posgrado, 2016-11-01) Chiluiza Ramírez, Mayra Alexandra Md.; Salvador Dr. Esp, Vidal RevéBackground: The lack of adherence in hypertensive patients represent a high health costs, as the asymptomatic nature of hypertensive disease. Objective. To determine the factors influencing adherence in patients with hypertension Parish San Andrés del Píllaro Canton. January-August 2015. Materials and methods. Cross-sectional study in which a population of 110 hypertensive patients (65.5% female, predominant age group 50 to 59 years) dispensarizados by family and hypertensive tab and treated at the Health Center of San Andrés was used. the Martin-Bayarre-Grau (MBG) questionnaire was used to assess the level of adherence, and an interview to assess the various associated factors based on the 2004 WHO report. Results. Adherents total 45% according Morinsky-Green, total 13.6% according MBG adherents, not adherents 48.2% and 38.2% Little adherents. Adherence according showed significant dependence between variables such as education level (p = 0.000), satisfaction with care received from the doctor (p = 0.000), medical indications given clearly and in writing (p = 0.000). Availability of the drug (p = 0.049). Conclusion. The study population has low levels of adherence associated with low education, low knowledge of pathology, protective factors are the level of satisfaction with medical care, poor grip level also was linked to oblivion by the patient, often taking medication and the number of medicines for treatmentItem Evaluación de la dherencia terapéutica y factores influyentes en pacientes hipertensos, sector Er05, San Marcos, 2016(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Dirección de Posgrado, 2016-11-01) Cañar Jiménez, Miryan Janeth Md.,; Castell-Florit Caballero Dr. Esp, AbelHypertension (HTA) has a high prevalence in the Ecuadorian population. Treatment includes pharmacological and non-pharmacological alternatives. Is an important public health problem, despite advances in detection, treatment and control, many patients have difficulty adhering to treatment, considering that one of the main causes lies in the personal, family, drug-related and with health services. A cross-sectional, descriptive study was conducted with 69 hypertensive patients in the Health Center San Marcos period 2015-2016. people older than 35 years were included with previous diagnosis of hypertension composed of 46 women (66.7%) and 23 men (33.3%) a survey through which information no pharmacological and pharmacological treatment was applied was obtained patients on adherence to treatment; a scale to assess the degree of adherence of patients was used. The results achieved: 4 patients with total adherence, 63 and 2 partial adhesion without adhesion, alternative hypothesis is approved by Chi square (X2), where the personal, family and health systems influence adherence. Implementing the educational strategy a culture of compliance to treatment it will be created over time.