Ciencias de la Salud
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Item APOYO SOCIAL PERCIBIDO POR EL PACIENTE EN RECUPERACIÓN DOMICILIARIA(Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de Enfermería, 2024-10-03) Chasi Morocho, Karen Dayana; Chasillacta Amores, Fabiola BeatrizIntroduction: Within the surgical area, numerous activities are carried out that can generate certain levels of stress in health personnel. In this case, the nursing staff who is affected directly or indirectly in the performance of their daily functions due to the fact that it demands great responsibility in terms of surgical practice to maintain a balance between the well-being of the patient and their own. Objective: analyze the social support perceived by the patient in home recovery; Methods: A quantitative, non-experimental design, cross-sectional and descriptive research was developed, which consisted of patients discharged from the Hospital Municipal Nuestra Señora de La Merced inthe quarter August -October 2023, to whom the MOS questionnaire of social support was applied; Results: Female gender predominated in the study by 51%, with ages ranging from 18 to 30 years in 36%; in the whole sample predominates the MEDIUM range with 63% in social support index, 65% in emotional support, 63% in material support, 60% in positive social interaction and 42% in affective support; Conclusions: The support given to people during their recovery at home influences the progress of recovery, therefore, consideration and understanding in them is important; a large percentage of respondents receive good support from their family and friends in their recovery process at home.Item Intervenciones de enfermería basadas en la teoría de las necesidades de Maslow(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Enfermería, 2022-10-20) Pilatuña Amán, Jomayra Elizabeth; Cusme Torres, Nadihezka AmandaNursing Interventions are actions to implement a correct patient care plan, controlling their clinical status. According to Maslow's Theory of Motivation there are five basic needs: physiological, safety and protection, love and belonging, self-esteem and selfactualization. The aim of this study was to evaluate nursing interventions based on Maslow's theory of needs. An evaluation instrument with 14 questions and 5 response options on a nominal scale was developed. Seven questions on physiological needs, four on security and three on self-actualization. The survey was applied to 42 health professionals, 25 Nursing graduates, 12 Rotating Nursing Interns and 5 Nursing Auxiliaries in the Internal Medicine Area at Hospital General Docente Ambato of Ministerio de Salud Publica del Ecuador. The average age of the participants was 29.43 years old, in a range of 22 to 44 years, 23.80% men and 76.19% women. The most relevant results indicate that nursing interventions related to physiological needs are mostly applied "Very Often", preponderating breathing and feeding. Nursing interventions related to protection needs are mostly applied "Very Often" both in physical and emotional protection. Nursing interventions related to self-realization needs are mostly applied "Very Often" for recreation and respect; and “Sometimes” in helping to make decisions. The nursing professional at the physiological level ensures the survival of the individual and at the security and protection level seeks the physical and emotional safety of the patient. The following levels within the pyramid of needs continue to be important to the patient as an individual, but could have less importance in the patient-nurse relationship.Item Experiencia familiar en el cuidado de un paciente con carcinoma gástrico(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Enfermería, 2022-10-12) Caiza Chango, Pamela Mireya; Quenorán Almeida, Verónica SofiaThe family experience in the care of a patient with gastric carcinoma is of great importance because it explores the experience of caregivers, which makes it possible to understand the integrality of the process of this disease, from a different perspective than that known by the staff. of health. Objectives: To categorize the lived experience of caregivers of patients with gastric carcinoma. Methodology: This research is of a qualitative phenomenological type, with a field and cross-sectional design. 7 relatives participated. For the data collection technique, the semi-structured interview divided by categories was used, with an approximate duration of 15 minutes during 3 continuous sessions, a prior informed consent signature was requested. Results: It manifests itself through 5 important categories: a sad event, facing a new path, coping with cancer, dealing with cancer symptoms, organizing to care, transformations of my life to overcome emotional burden and spiritual management. It was shown that female caregivers have little knowledge about activities related to feeding, cleaning, medication administration and pain management. Conclusion: A life of total dedication is manifested despite the lack of knowledge about the disease towards their relatives, informal caregivers together with the health area are responsible for ensuring the well-being and comfort in the patient, allowing trust between caregivers. informal, nurse and patient accepting their reality, which is why a care plan is proposed for the orientation of the caregiver.Item Relación médico paciente afectada por burnout en el personal de salud en el centro de salud Quero(2021-04-01) Aguaguiña Medina , Susana Elizabeth Md.; Villarroe, Jenny Md. Esp.This research work is aimed at assessing the involvement in the doctor-patient relationship, influenced by Burnout syndrome in the Quero health center, Tungurahua Province, July 2020. The research maintains a qualitative approach through field modality and a descriptive study; using a period cross sectional design. Data collection was carried out using statistical instruments, such as interviews with health personnel, and surveys applied to patients receiving medical care in the health unit. A sample was used with a total of 20 people who work in the health area, including doctors, nutritionists and nurses who constituted the study population and, in turn, 20 surveys carried out on patients who came to consultation with professionals at those who applied the interview.Item “Percepción de los familiares del paciente hospitalizado en la unidad de cuidados intensivos ante la intervención de enfermería durante la crisis circunstancial en el hospital general Ambato, periodo octubre 2018 – enero 2019”(Universidad Técnica de Ambato - Facultad de Ciencias de la Salud - Carrera de Enfermería, 2019-03-01) Revelo Burgos, Dayana Amarely; Peñafiel Paucar, Miriam del Rocío Lic. Mg.Family plays a very important role in patient recovery. Despite this, it is rarely considered as an important recovery component in nursing practices. As such, we decided to carry out the current research with the objective of determining the perception of relatives regarding patient care provided by nursing staff at the Intensive Care Unit of Ambato General Hospital. The research project uses a quantitative methodology, non-experimental field research design, with a cross-sectional type of descriptive research, the study population was made up of family members identified in the period established by the project with a total of 32 participants included by close relatives such as: parents, mothers, spouses, children; through the application of a structured interview, which was carried out in the Intensive Care Unit of the Ambato General Hospital. Finally, it was concluded that the relatives of the patients consider a very good nursing care, in the three dimensions studied, the quality of attention, emotional support and finally the level of communication between the nursing staff and the relatives, however there are aspects to improve, such as: the nursing staff must first identify their relatives so that they know and establish good communication with the staff in charge of their patient during the hospital stay.Item “El síndrome de Cushing y su influencia en la calidad de vida”(Universidad Técnica de Ambato - Facultad de Ciencias de la Salud - Carrera de Enfermería, 2018-10-01) Rugel Moposita, Jessica Estefanía; Guallichico Maura, Martha Lucia, Mg.Lcda.Cushing's syndrome is a relatively rare pathology, whose true incidence is unknown worldwide. This pathology is caused when the body is exposed to very high levels of cortisol for a prolonged period. Therefore, the clinical case of a 44-year-old female patient with clear manifestations of Cushing's syndrome is presented and the study is carried out to determine the critical points that led the patient to develop this syndrome. The development of the clinical case involved a bibliographic-documentary, analytical and descriptive methodology to analyze the case through the review of the clinical history and an interview with the patient to obtain available and unavailable information with which it could be concluded that the Risk factors for the development of Cushing's Syndrome were age, sex and corticosteroid intake due to secondary pathology. The design of a nursing care guide aimed at the patient was proposed, considering that it is necessary to guide this type of people on the appropriate way to cope with the pathology, since the clinical picture can be controlled and adequately treated with compliance with medical treatment and necessary care in the home and thus avoid an increase in morbidity and mortality in this human group.Item “Cuidados de enfermería en paciente pediátrico con obstrucción intestinal mecánica y su influencia en la calidad de vida”(Universidad Técnica de Ambato - Facultad de Ciencias de la Salud - Carrera de Enfermería, 2018-02-01) Mullo Coque, Diego José; Fernández Nieto, Miriam Ivonne Lcda. Mg.Introduction: Mechanical intestinal obstructions in pediatric patients are infrequent because of their etiology, but the delay in diagnosis and treatment can lead to complications and death. Objectives: To analyze the complications of a mechanical intestinal obstruction in relation to nursing care through a bibliographical review and clinical history. Methodology: Descriptive and field, which allowed to establish contact with the patient's reality, performing direct interview, documentation, books, scientific articles. Results: This analysis was carried out with the purpose of identifying the influence of the nursing team in the prevention and promotion of health in nursing care in the patient with Mechanical Intestinal Obstruction. During the development of this work it was possible to appreciate a patient who does not have a good quality of life, several risk factors and some critical points were identified. Conclusions: The critical points that were found in the present clinical case were established, where care in the family declines due to a lack of adequate education in the care of the patient, so a guide for the management of the patient with mechanical intestinal obstruction which is based on the NANDA, NIC, NOC taxonomy.Item “análisis de “desnutrición crónica tipo kwashiorkor enfocado en los cuidados de enfermería”(Universidad Técnica de Ambato - Facultad de Ciencias de la Salud - Carrera de Enfermería, 2017-09-01) Martínez Gavilanes, Tatiana Maribel; Herrera López, José Luis Lic. Mg.The investigation of this case is carried out since the first cause of Infant Mortality is: Disorders related to short duration of gestation and with low birth weight, not classified elsewhere; And the Kwashiorkor disorder is within this first level. (INEC 2013) In this paper we present the case of a pediatric patient, male, 1 year old, 7 months old, Christian, mestizo, resident in Ambato, regular socioeconomic condition. Who has had Kwashiorkor disease for about 1 month. This disease began with postprandial vomiting, which is associated with skin lesions as an allergic process, presenting 7 days later edema in the lower limbs without fovea that only appeared at night, after 48 hours later it has diarrhea Liquid, yellowish and odorless. Throughout the investigation it was possible to show several risk factors that presents as is the environment, intra-family relationships and energetically the inadequate way of managing the preschool child. Most of the data presented in this study were obtained through an interview with the patient's mother and through the Clinical History, through the different actions such as the creation of the guide for the care of the patients. Patients who have developed this pathology; It will be possible to contribute to the maintenance of a balanced lifestyle by applying the different actions proposed throughout the guide.Item “VIH más enfermedades añadidas orientadas con la atención de enfermería”(2017-09-01) Paredes Rodríguez, Gabriela Alexandra; Gavilanes Fray, Verónica del Pilar Lcdo. Esp.HIV / AIDS is a major medical, political and social concern, it is considered a public health problem, the number of cases has increased, the majority of the population that 15-49 years of age, which is a major health issue, the MSP plans to intensify HIV prevention among young people, transgender people, persons deprived of their liberty and sex workers in addition to eliminating stigma And discrimination based on sexual orientation, sex work, gender status, or living with HIV, the present case analysis presents a 36-year-old male, unmarried, childless patient who has been diagnosed with HIV A year ago, for which he has been admitted for 4 times to health care homes, the last time he was admitted to the REGIONAL TEACHING AMBATO hospital because of a referral from the center E salud THE MILAGROSA MEDAL for anemia, dehydration, oral candidiasis and HIV already diagnosed for which treatment was received, control after two days was discharged and receives control by external consultation. At present his state of health is in balance, attends periodically to the health center for their respective controls, there have been some health problems that have been treated and are response to the deficiency of his immune system, his emotional state is In constant changes because he does not have the support he needs. AIDS is the final stage of a chronic, transmissible progressive disease of viral cause in which a very diverse relationship is established between the host and the virus as the immunodeficiency progresses and the higher the virus replication will appear opportunistic diseases. During the investigation it was evidenced that the patient has an emotional state deteriorated by the disease that presents, in which different critical points were identified, risk factors that contributed to the appearance of new inconveniences that deteriorate their health day by day through the bibliographic review From different sources, interview and analysis of the clinical history, it has been possible to improve their average life style and the realization of a guide that presents the care that the patient must take. The guide designed for patients with HIV in which hierarchizes the needs they present, while helping to establish a balanced lifestyle, the development of a scientific article that will help identify the most frequent opportunistic diseases or infections in patients with HIV positive.Item Calidad de vida de paciente con Hipertensión arterial más Hipotiroidismo enfocado a los cuidados de enfermería(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Carrera Enfermería, 2016-10-01) Soria Salinas, Alba Adriana; Herrera López, José Luis Lic. Mg.Hypertension obviously affect the quality of life of the sufferer to be this slow disease progression. Hypothyroidism triggers a hormonal imbalance that affects the patient who suffers, involving multiple health effects imbalanced. In this case an elderly patient, female, 69 years of age it suffering from Hypertension 8 years, Hypothyroidism 6 years ago, Diabetes Mellitushace 11 years, which is treated and control is presented, which affect to maintain a proper balance in their lifestyle, while causing further complications. During the investigation it became clear that the patient has emotional physical condition deteriorated by disease presented, in which different critical points identified risk factors that contributed to further complications that impair daily health by literature review appears different sources, interviews and analysis of clinical history, has managed to improve their lifestyle Mediate making a guide that presents the care they should take the patient based on the NIC and NOC activities. The guide designed for patients with hypertension and hypothyroidism in which prioritizes the needs presented, while helping to establish a balanced lifestyle to help improve the effects they present.