Examinando por Autor "Carbajal Huamán, Shirley Celine"

Mostrando 1 - 3 de 3

Acceso abierto
Effectiveness of peritoneal dialysis compared to hemodialysis in improving survival in patients with chronic kidney failure.
(Universidad Privada Norbert Wiener, 2017-12-03) Carbajal Huamán, Shirley Celine; Vasquez Cabanillas, Leyla Nisely; Pretell Aguilar, Rosa Maria
Objective: To systematize the available evidence on the effectiveness of peritoneal dialysis compared to hemodialysis in improving the survival of patients with chronic kidney disease (CKD). Materials and Methods: This study is a systematic review, observational, and retrospective design that synthesizes the results of multiple investigations. They are an essential part of Evidence-Based Nursing (EBN), due to their rigorous methodology, identifying relevant studies to answer specific clinical practice questions. The search was restricted to full-text articles, and the selected articles underwent critical reading, using the Grade system to assign the strength of recommendations. Twelve scientific articles were reviewed, of which 64% (08) were from Spain, 22% (02) from Ecuador, 7% (01) from Argentina, and 7% (01) from Mexico; all studies were systematic reviews, making up 100% (12) of the total. Results: It was found that 64% (07) of the studies show that peritoneal dialysis is more effective than hemodialysis in improving the survival of patients with chronic kidney disease. Additionally, 14.5% (02) show that both are effective in improving survival. Furthermore, 14.5% (02) show that patients treated with hemodialysis had better survival than those treated with peritoneal dialysis. Finally, 7% (01) of the studies did not allow the effectiveness of either treatment to be determined. Conclusions: Peritoneal dialysis is more effective than hemodialysis in improving the survival of patients with chronic kidney disease. Peritoneal dialysis is a more efficient alternative than hemodialysis, being a renal replacement therapy with greater survival rates, as well as better cost-benefit and cost-utility.
Acceso abierto
Effectiveness of peritoneal dialysis compared to hemodialysis in improving survival in patients with chronic kidney failure.
(Universidad Privada Norbert Wiener, 2017-12-03) Carbajal Huamán, Shirley Celine; Vasquez Cabanillas, Leyla Nisely; Pretell Aguilar, Rosa Maria
Objective: To systematize the available evidence on the effectiveness of peritoneal dialysis compared to hemodialysis in improving the survival of patients with chronic kidney disease (CKD). Materials and Methods: This study is a systematic review, observational, and retrospective design that synthesizes the results of multiple investigations. They are an essential part of Evidence-Based Nursing (EBN), due to their rigorous methodology, identifying relevant studies to answer specific clinical practice questions. The search was restricted to full-text articles, and the selected articles underwent critical reading, using the Grade system to assign the strength of recommendations. Twelve scientific articles were reviewed, of which 64% (08) were from Spain, 22% (02) from Ecuador, 7% (01) from Argentina, and 7% (01) from Mexico; all studies were systematic reviews, making up 100% (12) of the total. Results: It was found that 64% (07) of the studies show that peritoneal dialysis is more effective than hemodialysis in improving the survival of patients with chronic kidney disease. Additionally, 14.5% (02) show that both are effective in improving survival. Furthermore, 14.5% (02) show that patients treated with hemodialysis had better survival than those treated with peritoneal dialysis. Finally, 7% (01) of the studies did not allow the effectiveness of either treatment to be determined. Conclusions: Peritoneal dialysis is more effective than hemodialysis in improving the survival of patients with chronic kidney disease. Peritoneal dialysis is a more efficient alternative than hemodialysis, being a renal replacement therapy with greater survival rates, as well as better cost-benefit and cost-utility.
Acceso abierto
Efficacy of Bedside Water Swallow Test in Detecting Aspiration in Stroke Patients
(Universidad Privada Norbert Wiener, 2020-02-08) Carbajal Huamán, Shirley Celine; Aldana Puse, Lorena Milagros; Gamarra Bustillos, Carlos
Objective: Systematize evidence on the effectiveness of the bedside water swallow test to detect aspiration in patients with stroke. MATERIAL AND METHOD: The study has a systematic, observational and retrospective review design; of articles with full text, which identified their grade or quality of evidence according to the Grade System. Likewise, the sample was made up of 10 articles obtained from the following databases Pubmed, Medline, Embase, Cochrane Library, Dialnet, Scielo, and Lilacs. Results: Of which 50% correspond to systematic review design and 50% randomized clinical studies, corresponding to the countries of China 20%, United States 10%, Taiwan 10%, Singapore 10%, Canada 10%, Iran 10% , Greece 10%, Egypt 10% and Spain 10%. Of the 10 articles reviewed, 100% demonstrate that the bedside water swallow test is effective in detecting aspiration in stroke patients. Conclusions: 100% showed that the bedside water swallowing test is effective in detecting aspiration in patients with stroke, due to its diagnostic accuracy it achieves high sensitivity (positive diagnostic test) and specificity (negative diagnostic test). ; It is a clinical detection that is carried out due to the presence of swallowing difficulties or dysphagia; Because they are treated promptly and effectively, they raise the professional image of nursing due to their ability in aspiration management; Likewise, it contributes greatly by being highly accurate and reliable.