Ciencias de la Salud
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Item Plan de estrategias para disminución del estrés asociado al síndrome metabólico en profesionales de salud(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Enfermeria, 2024-05-01) Villavicencio Lluglla, Erika Katherine; Herrera López, José Luis Lic PhD.Introduction: Work stress is one of the main problems facing today's society, even more so in sectors such as health where there are a series of factors involved such as: irregular hours, night and shift work, physical and psychological burdens related to work. suffering and risk of death of the patient. Objective: identify the main stressors that affect health professionals and determine strategies to reduce stress in health professionals. Method: descriptive bibliographic review developed from databases such as: PubMed, LILACS, Scielo, BVS and Google academic, using Health Sciences and Medical Subject descriptors, whose criteria were: original articles, review articles, related case studies to the topic, published in the period 2019-2023, in Spanish and English and coming from indexed journals. The bibliographic review was developed with 30 bibliographic sources. Result: the main stressors that affect the health of health professionals are intrinsic and extrinsic, the former include critical care environments, rotating shifts, workload and contact with suffering and death, while the second type: being a woman, experience and academic preparation. The main stress coping strategies are coping, resilience, and need satisfaction. Conclusions: Health professionals face stressors daily during the performance of their duties, which is why they apply strategies to cope with these situations and thus avoid affecting physical and mental healthItem Identificación rápida de Staphylococcus Aureus Meticilino Resistente, mediante la Técnica Slidex Mrsa en personal de salud portadores sanos del Hospital Básico Salcedo(Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Centro de Posgrados, 2022-10) Quispe Gallo, José Luis; Brito Zambrano, Johana Susana Med. Esp.Introduction: Staphylococcus aureus is a Gram positive, nosocomial pathogen. MRSA is associated with resistance to multiple antibiotics, which makes its control and treatment difficult, being located in the nostrils of healthy people, in health personnel for being in direct contact with patients. Objective: The presence of methicillin-resistant Staphylococcus aureus was identified from cultures of nasal samples using the Slidex MRSA Technique from healthy carrier patients. Methodology: The present development project is quasi-experimental and crosssectional, since a study was carried out where the identification of MRSA is sought, using the Slidex mrsa technique. In which the percentage of patients who are healthy carriers of resistant microorganisms will be determined. Results: Of the 36 participants, 35 cultures were obtained with bacterial growth in Blood Agar, which represents 97.2%, of this percentage 97.1% were Gram positive arranged in a Staphtype cluster, while 2.9% were Gram negative. The work was only developed with gram positives which were planted in Mannitol Agar to continue with the study, of the 34 cultures planted 6 were mannitol positive representing 17.6%, of all the mannitol positive microorganisms 100% were coagulase positive and For the identification of Mrsa, the traditional procedure was used: sensitivity to Oxacillin by the disc diffusion method, to which 5 samples presented resistance, which represented 83% of the microorganisms that were coagulase positive. These same microorganisms were processed with the Slidex Mrsa Technique and we observed that 100% presented agglutination, allowing the detection of methicillin resistance. Conclusion: The Slidex MRSA rapid identification technique, when compared with traditional identification methods such as oxacillin resistance, allowed to achieve even better results and fasterItem La lactancia materna como un indicador de la normativa ESAMyN(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Enfermería, 2022-10-20) Calapiña Velva, Blanca Esthela; Paredes Garcés, Mónica GuadalupeThe Sanitary Regulations for the certification of Health Establishments of the National Health System as mother and child friendly is an implementation given in Ecuador as an adaptation of the WHO and UNICEF Child Friendly Hospital Initiative that seeks protection, support and encouragement of breastfeeding (1). Goal. Analyze the level of knowledge that health and administrative personnel have about Breastfeeding as an indicator of the ESAMYN Regulations. People/Material and Method. This research has a quantitative, quasi experimental, prospective, descriptive, cross-sectional approach (2). The research was carried out on the health and administrative staff of the Ambato General Teaching Hospital - Ecuador. The population is 258 and the sample is 155 with a confidence level of 95%. The research was carried out in three stages, the first one was to evaluate the level of knowledge, followed by the education of the ESAMyN Regulations and finally the acquired knowledge was reevaluated. The research process was carried out digitally. Results. The level of knowledge of the population (stage 1) of the ESAMyN Regulations was determined, reflecting 79,6% (n=155). The training was carried out virtually for HGDA staff (n=155) (stage 2). The level of knowledge (n=155) was reassessed (stage 3), managing to increase knowledge of the ESAMyN regulations to 94.8%. Discussion. The 155 Health members of the General Hospital who were evaluated, trained and reassessed about breastfeeding as an indicator of the ESAMyN Regulations in their first stay indicate that 79.6% do know the ESAMyN regulations, but not having been trained. The following results are obtained; the main stimulus for milk production is the child's suction, which corresponds to 25.81%, adequate nutrition corresponds to 10,97% and 7,74% responded that increased fluid intake and stimulation of the breasts and the child's sucking improves milk production, question 6 the right time to cut the umbilical cord is to wait until the cord stops beating before in 62,6%, wait at least 2 minutes in 21.9%. After the training, the health personnel increased their perception, going from 7,74% of little importance to 21.29% after the training, about moderately important, a step from 32.26% to 36.13% was evident, and about the perception of very important, a step from 46,45% to 56.13% is evident. Conclusions. The level of knowledge of the ESAMyN Regulations is low (79,6%), it rose thanks to the training (94,8%), the dissemination of the guidelines of the ESAMyN Regulations must be constant so that the HGDA staff knows the regulations in a clear and efficient way will be able to provide better quality care and warmth.Item Estresores que afectan el normal desarrollo de las funciones asistenciales en el personal de salud(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Enfermería, 2022-10-12) Zurita Valle, Kevin Josué; Herrera López, José LuisIntroduction: Labor stressors are those related to the working conditions that come from the relationship between the worker and his work functions, leading to psychological disorders or physical damage within the health personnel, which can lead to absenteeism or lack of performance. job functions. Objective: To identify the stressors that affect the normal development of care functions in nursing staff. Methodology: a descriptive design, quantitative cross-sectional approach was used, 101 nurses who work in different services of the Ambato General Hospital were inquired through the Occupational Stress Questionnaire for Nursing. Results: the main results show that 96% correspond to the female gender, married (58%) and range from 31 to 40 years; services with the highest participation: surgical center (25%), neonatology (15%) and ICU (13%) with a working time of less than 1 year. 61% cannot perform their nursing tasks and do not share feelings with other colleagues, 70% presented psychological stressors related to the death and suffering of a patient, finally 58% of nurses ever presented social stressors referring to criticism from a doctor. Conclusion: Considering the stressors mentioned, it was identified that the main sources of absenteeism of health personnel are closely linked to psychological stressors linked to the death of a patient, fear of making mistakes in their care and the controversy of lack of personnel or help to other services, hindering the normal development of the function in health care.Item Efectos percibidos por el personal de salud luego de cumplir el esquema de vacunación contra el covid-19(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Enfermería, 2022-10-12) Pullupaxi Unaucho, Mayra Lisseth; Cusme Torres, Nadihezka AmandaObjective: Know the effects perceived by health personnel after completing the vaccination schedule against COVID-19. Methodology: quantitative study, non experimental descriptive design with a cross-sectional approach, a sample of 40 participants was obtained, a sample of 40 participants was obtained, who corresponded to the health personnel of the Salcedo Type B Health Center, the questionnaire was applied as an instrument, which consisted of 16 questions formulated according to the variables of the investigation. Results: Most of the health personnel were female (67.5%),between 20 and 30 years old (40%); the majority had another occupation (40%), doctors(22.5%), nurses (12.5%); marital status married (52.5%). The vaccines with which they met the schedule, for the most part, were with Pfizer-BioNTech and AstraZeneca-Oxford,and in the minority with Sinovac/CoronaVac. Positive impact on health (82.5%). Good experience with the COVID-19 vaccination schedule (65%). Perceived effects: headaches (some 32.5%); joint pain (a lot 15%), muscle pain (a little 25%), tiredness (a little 22.5%), hours of sleep affected (some 17.5%); general discomfort (some 30%), rash (none 97.5%); urticaria (none 92.5%). They did not present other symptoms (85%). Conclusions: in compliance with the vaccination schedule against COVID-19, Pfizer, and AstraZeneca were the predominant vaccines, the health personnel had a good experience, and the perceived effects were: headaches, joint pain, muscle pain, tiredness, affected sleep hours, and general malaise; Regarding other symptoms, the following were reported: fever, sore throat, swollen glands, pain in the injected arm, and bone pain.Item La impulsividad y su relación con la ansiedad en personal de salud(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Psicología Clínica, 2022-09-01) Guillín Parreño, Gabriela Salomé; Flores Hernández, Verónica Fernanda, Psl Cl. Mg.Impulsivity is the inhibition of performing a behavior and anxiety is defined as a state of concern, anguish, etc., that is generated by a stimulus. These terms are important to study in health personnel, they got affected by different situations so they have been developed. Therefore, it is intended to identify the relationship between the types of impulsivity with anxiety levels in health personnel. This investigation is quantitative, correlational, non-experimental, transversal, documentary, bibliographic field. It consists of 122 participants, 47 men and 75 women. The Beck Anxiety Inventory and the Barratt Impulsivity Scale BIS-11 were applied. The results demonstrated a statistically positive correlation between the types of cognitive, motor and unplanned impulsivity with anxiety levels. It was found that 91.80% present cognitive impulsivity, 41.80% motor impulsivity and 71.30% unplanned impulsivity. In the levels of anxiety, it was found that 29.5% present minimal and moderate anxiety, 22.1% mild anxiety and 18.9% severe anxiety. In relation to gender, it was evidenced that men had a higher score in motor impulsivity and women in cognitive and unplanned impulsivity.Item Evaluación de la psicomotricidad en niños menores de 3 años durante la teleeducación en tiempos de confinamiento(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Enfermería, 2022-03-01) Arias Solis, Viviana del Rocío; Benavidcs Rovalino, Esther del Rocío Lic. Mg.Objective: To determine the psychomotor skills in children under 3 years of age, dtiring tele-education in times of confinement through the Denver test. The research was of a basic type with a quantitative approach and a sirnplc cohort; Thc Dcnvcr Test was iniplementetl, and it was alst› carried tout indiViÜLl:Illy ft›r each child. The test consiste of 55 items, and elassiJies children depending on their failures: normal, doubtJul and abnormal. One hundred participants were included in the study population. As a result, childrcn from 0 to 3 ycars old in thc pcrsonal social arca, 95’% had nomial dcvcloprnciit and 5% presentecl delay; in the area of fine mottx’ sl‹i11s, 5 l % reach adequate develtipirent and 49% present a delay; within the gross inotor area, 34% present retardation and 66% achieve adequate development; In the language area, 58'/» have a normal development and 42% present delay. lu conclusion, the pandeinic caused by Covid-19 is associated with an increase in ris1‹ factors for the adequate development of psychomotor skills. Mediation has been achieved with technology and the possibilities of realizing an inclusive and personalized approach in virtiial education.Item Estrategia de prevención para disminuir el riesgo cardiovascular en personal de salud con síndrome de burnout(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-09-01) Álvarez Córdova, Verónica Maribel Md.; Flores Hernández, Verónica Fernanda Ps. Cl. Mg.The purpose of this research work is established to meet the need to generate a prevention strategy for the reduction of cardiovascular risk in health personnel with diagnosed burnout syndrome. The objective is to achieve a method to minimize the cardiovascular risk factors of health personnel who present burnout through a process based on six phases with the respective analysis after its development. It is worth mentioning that there are few studies analyzing cardiovascular risk factors in personal health with burnout syndrome. Reason for which, the investigative work proposes a document review that will serve as a basis for the planning of a strategy in relation to the development of the work activities of the health personnel, since it has been detected as an important demonstration in the generation of labor stress for several years. Needs that require changes in healthy habits, but not considering them, could affect various levels and sub-levels of health. The proposal therefore seeks to be a tool within the area of occupational health and promotion, to provide direct assistance for decision-making with the aim of forwarding any health unit to reduce cardiovascular risk and burnout syndrome, through the improvement of working conditions and practices that promote a better lifestyle.Item Empatía en la atención al paciente por parte del personal de salud durante la emergencia sanitaria por covid 19 en el centro de salud Quero tipo C(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Enfermería, 2021-03-01) Freire Caluña, Lizbeth Alexandra; Costales Coronel, Blanca Georgina Lic. Mg.Item Estados emocionales y su relación con el insomnio en el personal de salud durante pandemia(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Enfermería, 2021-03-01) Vaca Palacios, Diana Patricia; Mayorga Ortiz, Diego Javier Psi.Cli. Mst.Introduction: The preventive quarantine, due to the coronavirus pandemic (COVID-19), has generated excessive fear in society, resulting from the lack of knowledge about the situation that people are facing. One of the most vulnerable groups in this context is health personnel, who are subjected to long hours of work and high levels of stress, which triggers depressive and anxious symptomatology and a decrease in the quality of sleep. Objective: to relate negative emotional states to insomnia in health personnel during the pandemic at Quero Type C Health Center, as well as to determine negative emotional states and to identify the presence of insomnia. Method: a quantitative, descriptive, cross-sectional and correlational research was carried out, with a census sample of 68 members of the health personnel, to whom two instruments were applied: the Depression, Anxiety and Stress Scale (DASS-21) to assess negative emotional states, and the Index Insomnia Severity Test (IIS) for quality of sleep. Results: Among the main results it was possible to show that there is a significant correlation between insomnia and negative emotional states, as well as high percentages in the anxiety variable (41.2%). Conclusions: it is important that the government of each country can assess the impact of the pandemic not only on health personnel but also on the general population, only in this way quality interventions that improve lifestyle can be provided..