Examinando por Autor "Mendigure Fernandez, Julio"
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Ítem Acceso abierto Benefits of telemedicine to facilitate access for people in remote rural and marginal urban areas to specialized health services.(Universidad Privada Norbert Wiener, 2017-07-22) García Meza, Gloria Isabel; Mendigure Fernandez, JulioObjective: To systematize and analyze evidence regarding the benefits of telemedicine to facilitate access to specialized health services for people in remote rural and urban marginal areas. Materials and Methods: This was a systematic review of 10 scientific articles on the benefits of telemedicine for facilitating access to specialized health services for people in remote rural and urban marginal areas. These articles were found in the PubMed, Medline, and Cochrane Plus databases. All the studies were of types and designs: systematic review (04), meta-analysis (01), clinical trial (01), case-control (01), cross-sectional (02), and quasi-experimental (01). Results: Of the total of 10 articles reviewed, 100% (n=10/10) agree and provide evidence that telemedicine offers a health benefit, as it enables specialized care for emergency patients located in remote or hard-to-reach areas, while also facilitating the development and decongestion of small, overcrowded hospitals. Conclusion: The use of telemedicine represents a benefit to the healthcare system by allowing timely and specialized care in emergency situations for patients located in remote or hard-to-reach areas. Therefore, telemedicine facilitates the early management of critically ill patients before the arrival of emergency teams or their transfer in conventional ambulances.Ítem Acceso abierto Benevolence as a strategy to strengthen trust relationships between nursing managers and healthcare staff(Universidad Privada Norbert Wiener, 2017-11-12) Ramírez Chuquizuta, Nery Luz; Mendigure Fernandez, JulioObjective: To systematize available evidence on benevolence as an effective strategy to strengthen trust relationships between nursing managers and healthcare staff. Materials and Methods: This is a systematic review of 10 articles from databases LILACS, SCIELO, MEDLINE, and PUBMED. The search was restricted to full-text articles, and the selected articles were critically reviewed, mainly consisting of descriptive and qualitative reviews from international countries. Results: Of the 10 articles reviewed, 80% (n=8/10) show that benevolence, as emotional support, is an important factor in interpersonal relationships in personnel management within organizations, facilitating trust between nursing professionals. Conclusions: Regarding the benefits for the nursing profession, benevolence is essential in fostering trust within organizations as it facilitates high performance, cooperation, and job satisfaction among workers. Health service managers should not only ensure the provision of good healthcare services but also focus on cultivating interpersonal relationships of trust with their staff and address their emotional well-being, which is facilitated by benevolence.Ítem Acceso abierto Clinical benefits of late umbilical cord clamping in neonates(Universidad Privada Norbert Wiener, 1905-07-09) Lozano Zamora, Clara Estela; Rojas Valle, Rocío Janet; Mendigure Fernandez, JulioObjective: Systematize the clinical benefits of late clamping of the umbilical cord in neonates. Materials and Methods: Systematic Review is made up of 10 scientific articles on the benefits related to late clamping of the umbilical cord in neonates, which were found in the Lilacs, Scielo, Pubmed, Medline and BVS databases. Results: In the review carried out, 90% of the studies reviewed agree that late clamping of the umbilical cord improves the hematological status and adaptation of the newborn without complications. 10% report that there are no significant differences between one practice or another, so the most physiological should be practiced. Conclusions: 100% of the articles reviewed demonstrate the benefits related to late clamping of the umbilical cord in neonates, improving hematological status, thus reducing the risk of neonatal anemia, specifying that early clamping is not associated with neonatal anemia.Ítem Acceso abierto Communication with parents and sexual behaviors of adolescents in a public institution(Universidad Privada Norbert Wiener, 2018-04-28) Cisneros Arévalo, Thalia Laura; Palacios Tadeo, Rosmery Hemberken; Mendigure Fernandez, JulioObjective: Determine the relationship between the communication of parents and the sexual behaviors of adolescents in a Public Institution. Methodology: The study design is descriptive, correlational and cross-sectional. The population was 585 adolescents, the sample consisted of 232 adolescents. The technique used was an interview aimed at adolescents and the instrument applied was a questionnaire for each variable: Risky sexual behaviors and Communication between parents and children. Results: Aggressive communication prevails between parents and their adolescent children, represented by 29.4% (37), predisposing the adolescent to have high-risk sexual behavior, followed by a 21.4% (27) with medium-risk sexual behavior; It was also observed that there is passive communication, being represented with 25.4% (32) predisposing the adolescent to have high-risk sexual behavior and 18.3% (23) to medium-risk sexual behavior. From the analysis of the results and choice of the hypothesis using the Spearman correlation statistical test where the P value is 0.703, it is concluded: There is a relationship between parental communication and the sexual behaviors of adolescents.Publicación Acceso abierto COMUNICACIÓN CON LOS PADRES Y LAS CONDUCTAS SEXUALES DE LOS ADOLESCENTES DE UNA INSTITUCIÓN PÚBLICA(Universidad Privada Norbert Wiener, 2018-04-28) Cisneros Arévalo, Thalia Laura; Mendigure Fernandez, JulioObjetivo: Determinar la relación existente entre la comunicación de los padres y las conductas sexuales de los adolescentes de una Institución Pública. Metodología: El diseño de estudio es descriptivo correlacional y de corte transversal. La población fue de 585 adolescentes, la muestra estuvo constituida por 232 adolescentes. La técnica que se utilizó fue entrevista dirigida a los adolescentes y el instrumento que se aplicó fue un cuestionario para cada variable: Conductas sexuales de riesgo y Comunicación entre padres e hijos. Resultados: Prevalece la comunicación agresiva entre los padres y sus hijos adolescentes representado con un 29.4% (37) predisponiendo al adolescente a tener una conducta sexual de alto riesgo, seguida de un 21.4% (27) con una conducta sexual de mediano riesgo; se observó también que existe una comunicación pasiva, siendo representada con un 25.4% (32) predisponiendo al adolescente a tener una conducta sexual de alto riesgo y un 18.3% (23) a una conducta sexual de mediano riesgo. Del análisis de los resultados y elección de la hipótesis mediante la prueba estadística de correlación de Spearman donde el P valor es 0.703, se concluye: Existe relación entre la comunicación de los padres y las conductas sexuales de los adolescentes.Publicación Acceso abierto CUIDADOS EFICACES DE ENFERMERÍA PARA LA CONSERVACIÓN DEL CATÉTER VENOSO PERIFÉRICO EN PACIENTES HOSPITALIZADOS(Universidad Privada Norbert Wiener, 2017) Alfaro Godoy, Rocio Emilia; Mendigure Fernandez, JulioObjetivos: Sistematizar evidencias sobre los cuidados eficaces de enfermería para la conservación del catéter venoso periférico en los pacientes hospitalizados. Materiales y Métodos: Revisión Sistemática; la búsqueda se ha restringido a 10 artículos científicos no mayor de 7 años. Resultados: Del total de artículos revisados sistemáticamente, encontramos que, el 40%, muestra que el uso de Cloruro de Sodio al 0.9% para el lavado y sellado del catéter venoso periférico es una medida eficaz y segura al igual que la solución de heparina; el 40% evidencia que, entre los cuidados eficaces de enfermería para la conservación del catéter venoso periférico es el cambio del catéter venoso periférico según el juicio clínico y el 20% de artículos revisados sistemáticamente muestra, la eficacia del uso de apósitos transparentes para la fijación de catéter venoso periférico y la prevención del desprendimiento o la eliminación accidental en comparación con otro dispositivos. Conclusiones: Los cuidados eficaces de enfermería para la conservación del catéter venoso periférico son el uso de cloruro de sodio al 0.9% para el lavado y sellado del catéter venoso periférico, el cambio de catéter venoso periférico según el juicio clínico y el uso de apósitos transparentes para la fijación del catéter venoso periférico.Publicación Acceso abierto EFECTIVIDAD DE PROTECTORES CUTÁNEOS EN LA PREVENCIÓN DE LESIONES DE LA PIEL PERIOSTOMAL EN PACIENTES COLOSTOMIZADOS(Universidad Privada Norbert Wiener, 2017) Vargas Gastelú, Claudia Rudy; Mendigure Fernandez, JulioRevisión Sistemática observacional y retrospectivo, que sintetiza los resultados de múltiples investigaciones primarias De los 10 artículos científicos, sobre Eficacia de protectores cutáneos en la prevención de lesiones de la piel periestomal 100% (n=10/10) de estos, evidencian que los protectores cutáneos son eficaces en la prevención y regeneradores de las lesiones de la piel periestomal y/o perilesional; reduciendo la presencia de eritema, dermatitis, enrojecimiento y denudación de la piel, contribuyendo en el control del dolor y comodidad del paciente.Publicación Acceso abierto EFECTIVIDAD DEL HIDROCOLOIDE EN EL MANEJO DE ULCERAS POR PRESIÓN(Universidad Privada Norbert Wiener, 2017) Muchaypiña Canales, Gladys Leticia; Mendigure Fernandez, JulioSe evidencia que el 60% (n=06/10) el uso de Hidrocoloide es efectivo en el manejo de las ulceras por presión; ya que los apósitos favorecen una eficaz epitelización y cicatrización en las heridas, muestra ventaja frente a la curación tradicional, por ser un tratamiento de tecnología avanzada, alcanzando un costo-beneficio adecuado. Por otro lado, el 40% (n=04/10) de estudios realizan una comparación con otros apósitos, donde los datos estadístico no fueron suficientes para afirmar la efectividad de los hidrocoloides.Publicación Acceso abierto EFECTIVIDAD DEL PROGRAMA DE ATENCIÓN DOMICILIARIA EN EL CUIDADO DE ÚLCERAS(Universidad Privada Norbert Wiener, 2017-08-05) Franco Valdez, Yohanna Ivette; Mendigure Fernandez, JulioEn la selección definitiva se eligieron 10 artículos, encontramos con un 30% (03) encontramos a Brasil, 20% (02) corresponden a España y Chile, mientras que con un 10% (01) encontramos a, Argentina, Costa rica y México respectivamente. Han sido estudiados en su mayoría las Revisiones sistemáticas, con un 30%, un 10% de Meta análisis y 10% estudio clínico experimental, principalmente en los países de España, Brasil y Costa rica. Entre los estudios cuantitativos descriptivos encontramos a los países de Brasil y Chile, con un 20%, con un 10% tenemos a estudios cuantitativo transversales perteneciente a Brasil, con un 10% tenemos el estudio de cohorte perteneciente a México y un descriptivo observacional perteneciente a España. Donde del total de artículos analizados el 100% afirma que los cuidados en ulceras por presión son efectivos en atención domiciliariaÍtem Acceso abierto Effective care to prevent hypotension during hemodialysis session(Universidad Privada Norbert Wiener, 1905-07-09) Armas Rincón, Jacqueline Marisabel; Cahuana Limaco, Kandy; Mendigure Fernandez, JulioObjective: Systematize the available evidence on effective care to prevent hypotension during hemodialysis. Material and method: This is a Systematic Review of 10 articles in the SCIELO, LILACS, MEDLINE, CINAH database, whose search has been restricted to articles with full text, the selected articles were included the most important according to level of evidence and were They excluded the least relevant ones. Results: Nursing care, which according to research studies, is most effective in controlling hypotension during hemodialysis is; decrease or cancel the ultrafiltration (UF) rate, place the patient in the Trendelenburg or supine position, infuse 0.9% saline solution of 100-200 ml or more if necessary. Conclusion: The 10 articles reviewed, 60% (n=06/10) of them, show that the use of decreasing ultrafiltration profiles significantly reduces the number of arterial hypotensionÍtem Acceso abierto Effective interventions to prevent urinary tract infections associated with the use of urinary catheters in hospitalized patients(Universidad Privada Norbert Wiener, 2017) Sotomayor Yauri, Adolfo Oriol; Huerta Valencia, Rosa Yannet; Mendigure Fernandez, JulioObjective: To systematize available evidence on effective interventions for preventing urinary tract infections associated with the use of Foley catheters in hospitalized patients. Materials and Methods: Systematic review, observational, and retrospective, limited to full-text articles, and critically evaluated using the Grade system to assess the quality and strength of evidence. Results: A total of 10 articles were selected, with 30% from Colombia, 20% from Spain, 40% from Brazil, and 10% from Portugal. Most of the studies were systematic reviews (60%), with case-control studies from Spain and Colombia. The remaining 10% were descriptive, comparative, and case-control studies. 60% (n=6/10) of the studies indicated that the most effective intervention was the implementation and application of protocols for catheter installation, considering materials, biosafety measures, and proper application procedures. 40% (n=4/10) found that prolonged use and improper handling of the Foley catheter increased urinary tract infection incidence. Conclusions: Effective interventions for preventing urinary tract infections associated with Foley catheter use include the implementation and application of protocols for catheter installation, considering biosafety measures, appropriate materials, and catheter removal timelines.Ítem Acceso abierto Effective nursing care for peripheral venous catheter preservation in hospitalized patients(Universidad Privada Norbert Wiener, 1905-07-09) Alfaro Godoy, Rocio Emilia; Camarena Parias, Miryan; Mendigure Fernandez, JulioObjectives: Systematize evidence on effective nursing care for the conservation of the peripheral venous catheter in hospitalized patients. Materials and Methods: Systematic Review; The search has been restricted to 10 scientific articles no older than 7 years. Results: Of the total number of articles systematically reviewed, we found that 40% show that the use of 0.9% Sodium Chloride for washing and sealing the peripheral venous catheter is an effective and safe measure, just like heparin solution; 40% evidence that, among effective nursing care for the conservation of the peripheral venous catheter, is the change of the peripheral venous catheter according to clinical judgment and 20% of articles reviewed systematically show the effectiveness of the use of transparent dressings for fixation of peripheral venous catheter and prevention of dislodgement or accidental removal compared to other devices. Conclusions: Effective nursing care for the conservation of the peripheral venous catheter is the use of 0.9% sodium chloride for washing and sealing the peripheral venous catheter, changing the peripheral venous catheter according to clinical judgment and the use of transparent dressings. for fixation of the peripheral venous catheter.Ítem Acceso abierto Effectiveness of coaching for strengthening nursing leadership(Universidad Privada Norbert Wiener, 2018-01-27) Gutiérrez Villagra, Milagros Erika; Mendigure Fernandez, JulioSystematic, observational, retrospective review. Population of 10 articles in database, full text, no older than 10 years, grade system was used to determine strength and quality of evidence; 40% of articles come from the US, 10% from Australia and the United Kingdom, 20% from Brazil and Peru. 100% of articles agree that the Coaching strategy contributes to strengthening leadership in nurse managers, with transformational leadership predominating. Strengthening leadership favors respect and satisfactory interpersonal relationships with collaborators; self-knowledge, positive attitudinal changes, security, trust, resilience and emotional maturity, contributing to greater commitment, management capacity, communication, decision making, conflict resolution, improving work performance and achievement of institutional objectives.Ítem Acceso abierto Effectiveness of mechanical washing compared to manual washing of contaminated surgical instruments(Universidad Privada Norbert Wiener, 2017) Calderón Salas, Cecilia Maritza; Coaquira Justo, Gloria Lidia; Mendigure Fernandez, JulioObjectives: To evaluate the evidence on the effectiveness of the mechanical washing method compared to manual washing of contaminated surgical instruments. Materials and Methods: This is a systematic review of 10 full-text articles, which were selected and critically reviewed. To identify their evidence grade, they were extracted from databases such as Scielo, Lilacs, Cochrane Plus, books, PubMed, and projects, published in the last 10 years. Results: Of the 10 articles analyzed, 100% affirm that cleaning contaminated instruments is the primary step in ensuring the effectiveness of sterilization. 90% of the articles demonstrate that mechanical washing is effective in eliminating microbial load, as it is a complete and standardized process. 80% improve cleaning effectiveness, 70% minimize risks of exposure to pathogenic microorganisms for staff, and manual washing is required for delicate and complex instruments. Conclusion: Mechanical washing is the most effective method compared to manual washing.Ítem Acceso abierto Efficacy of zinc in the treatment of acute diarrheal diseases in children.(Universidad Privada Norbert Wiener, 2018-01-27) Aguirre Gonzáles, Aída; Mendigure Fernandez, JulioObjective: To systematize the available evidence on the efficacy of zinc in children with acute diarrhea. Materials and Methods: This is a systematic review of 10 articles published in indexed journals over the past 10 years, available in the following databases: SciELO, Dialnet, Medline, and NCBI. A total of 10 articles were selected for final review, with 30% originating from Pakistan and 10% each from Ethiopia, India, Switzerland, Bolivia, Brazil, and Spain. Results: All (100%) of the reviewed articles demonstrate that the addition of zinc to the standard diarrhea management protocol reduced the duration of illness and the frequency of bowel movements. Additionally, 30% of the articles report a reduction in fecal output with zinc supplementation. However, 20% of the studies indicate that zinc supplementation increased vomiting, and another 20% highlight improved immune response in children receiving zinc. Conclusion: Zinc supplementation supports the recovery of children with diarrhea according to the reviewed scientific evidence.Publicación Acceso abierto EFICACIA DEL REPROCESAMIENTO DE LOS DISPOSITIVOS MEDICOS DE UN SOLO USO(Universidad Privada Norbert Wiener, 2017) Enciso Luque, Doris Angelica; Mendigure Fernandez, JulioDe los artículos revisados, el 44.44 % coinciden que el reprocesamiento de los dispositivos médicos de un solo uso es eficaz hasta el cuarto reproceso sin alterar su funcionalidad, los cambios en las propiedades mecánicas y estructurales fueron más evidentes a partir del quinto reproceso. Respecto a los dispositivos médicos de un solo uso que fueron sometidos a contaminación desafío, el 66,67% de los artículos revisados demostraron ausencia de crecimiento bacteriano. Los resultados microbiológicos en lo que se refiere al instrumental de cirugía laparoscópica, pinzas de alta resolución, catéteres cardiacos, piezas de mano de alta rotación y los bisturí eléctrico; resultó negativo en todos los casos.Ítem Acceso abierto Factors associated with adverse events in the surgical center(Universidad Privada Norbert Wiener, 2017-07-22) Gonzales Flores, Jhon Dany; Rosas Aparcana, Karol Guliana; Mendigure Fernandez, JulioObjective: To systematize the evidence on the factors associated with adverse events in the surgical center. Materials and Methods: A review of 10 scientific articles on the factors associated with adverse events in surgical centers was conducted. These articles were found in the following databases: LILACS, PubMed, Medline, and Cochrane Plus, published in the last 10 years. Results: Of the 100% of articles included in the systematic review, 50% of the studies report that the factors associated with surgical adverse events include patient age (20%), patient safety compliance (10%), comorbidity (10%), incorrect use of medical devices (5%), prolonged operative time (5%), and difficulty in teamwork. These studies agree that patient age is one of the most important factors related to adverse events in surgical centers. Conclusion: The factors associated with surgical adverse events include non-operative errors and errors in surgical technique. However, non-operative errors, such as patient age and comorbidity, caused more frequent adverse events than errors in surgical technique. This study found that the incorrect use of medical devices is the main cause of adverse events and incidents, which implies that institutional activities should be strengthened to provide training on the proper use of medical devices to improve care quality and prevent future errors.Ítem Acceso abierto Factors associated with adverse events in the surgical center(Universidad Privada Norbert Wiener, 2017-07-22) Gonzales Flores, Jhon Dany; Rosas Aparcana, Karol Guliana; Mendigure Fernandez, JulioObjective: To systematize the evidence on the factors associated with adverse events in the surgical center. Materials and Methods: A review of 10 scientific articles on the factors associated with adverse events in surgical centers was conducted. These articles were found in the following databases: LILACS, PubMed, Medline, and Cochrane Plus, published in the last 10 years. Results: Of the 100% of articles included in the systematic review, 50% of the studies report that the factors associated with surgical adverse events include patient age (20%), patient safety compliance (10%), comorbidity (10%), incorrect use of medical devices (5%), prolonged operative time (5%), and difficulty in teamwork. These studies agree that patient age is one of the most important factors related to adverse events in surgical centers. Conclusion: The factors associated with surgical adverse events include non-operative errors and errors in surgical technique. However, non-operative errors, such as patient age and comorbidity, caused more frequent adverse events than errors in surgical technique. This study found that the incorrect use of medical devices is the main cause of adverse events and incidents, which implies that institutional activities should be strengthened to provide training on the proper use of medical devices to improve care quality and prevent future errors.Ítem Acceso abierto Risk factors for urinary tract infection in kidney transplant patients(Universidad Privada Norbert Wiener, 2017) Garcia Mejia, Jessenia Janina; Wong Zárate, Shirley Karla; Mendigure Fernandez, JulioObjective: To analyze and synthesize the results of the systematic review of studies on risk factors for urinary infections in renal transplant patients. Methodology: This is a systematic review where 17 articles were selected from databases such as LILACS, SCIELO, PUBMED, GOOGLE ACADEMIC, CLINICAL TRANSPLANTATION, ELSERVIER, COCHRANE. The Grade assessment was used to evaluate evidence quality. Results: The risk factors for urinary infection in renal transplant patients are mostly female sex, invasive urological procedures, prolonged catheter use, diabetes, kidney stones, vesicoureteral reflux, and advanced age, among others. Conclusion: Renal transplant patients are at risk of urinary tract infections due to factors like sex, diabetes, kidney stones, and urological anomalies, aggravated by the urological procedures they undergo.Ítem Acceso abierto Risks associated with the reuse of disposable medical devices.(Universidad Privada Norbert Wiener, 2017) Hilario Garcia, Edith Rosario; Pacheco Vera, Gina Marisol; Mendigure Fernandez, JulioObjective: To systematize evidence on the risks associated with the reuse of disposable medical devices. Materials and Methods: A review article based on 16 selected studies was analyzed. Results: There is insufficient evidence on the risks of reusing disposable medical devices, but potential risks include infections, toxicity, and loss of functionality. Conclusion: There is no definitive evidence to demonstrate the risks of reusing disposable medical devices.