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URI permanente para esta colecciónhttps://hdl.handle.net/20.500.13053/18

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Anxiety levels caused by newborn care in adolescent mothers attended at a National Hospital in Lima - November 2011
(Universidad Privada Norbert Wiener, 1905-07-04) Díaz Cervantes, Israel John; Mauricio Vidal, Flor de María; Chávez Flores, Erik Mario
The present research was carried out with the objective of evaluating the levels of anxiety generated by newborn care in postpartum adolescents treated at a national hospital in Lima in November 2011. The type of study was descriptive, cross-sectional. The sample was made up of 65 postpartum adolescents aged 14 to 19 years treated at a national hospital in Lima, who met the inclusion and exclusion criteria. The technique used for data collection was the survey; and the instrument, a questionnaire containing general data and Dr. Zung's self-reported anxiety scale (adapted). The results show that 75% of adolescent postpartum women do not present anxiety and that 25% of them present mild to moderate anxiety. Significant differences were found between anxiety levels according to the adolescent's age classification, that is, middle-stage adolescents (14-16 years) had higher levels of anxiety than late-stage adolescents (17 to 19 years). . No significant differences were found according to marital status and level of education. The most prominent affective symptoms of anxiety were anxiety and apprehension. The most notable somatic symptoms were dyspnea, perspiration, facial flushing, insomnia and nightmare.
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Effective interventions for tuberculosis control in contacts
(Universidad Privada Norbert Wiener, 1905-07-08) Saravia Campos, Estela Isolina; Gómez Gonzales, Walter Edgar
Systematic Reviews are an observational and retrospective research design that synthesizes the results of multiple primary studies. They are an essential part of evidence-based medicine due to their rigorous methodology, identifying relevant studies to answer specific questions in clinical practice. The systematic review of the six scientific articles on effective interventions for tuberculosis control was conducted through the following databases: Cochrane Plus, Lilacs, Scielo, and Lipecs. All of them correspond to quantitative research and systematic review study designs (one), quasi-experimental (one), and cross-sectional (four studies). The articles included in this academic work agree that the evidence is insufficient to demonstrate whether active case-finding programs or screening for tuberculosis will improve the diagnosis rate among contacts of tuberculosis patients or reduce the tuberculosis rate in the community. Public managers should implement health policies considering other competing priorities for the limited available health resources. This approach has led to markedly different strategies in countries with low and high prevalence.
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Effectiveness of psychoeducation in family acceptance of patients with mental disorders
(Universidad Privada Norbert Wiener, 1905-07-08) Parina Campos, Kelli; Gamarra Bustillos, Carlos
Objective: Determine the effectiveness of psychoeducation in family acceptance of patients with mental disorders. Material and Method: This study was carried out based on systematic reviews that are an observational and retrospective research design, which synthesizes the results of multiple primary investigations. And it is constituted by the bibliographic review of 10 scientific articles published and indexed in scientific databases, no older than ten years and that respond to articles published in Spanish. Data collection was carried out through a bibliographic review of both national and international research articles, whose main topic was psychoeducation for families with mental disorders. Results: it was determined that 90% of the families who received psychocoeducation improved their family member's acceptance since it allowed them to better understand the disease and respond appropriately to its manifestations, promoting clinical improvement and adherence to treatment. Conclusions: Psychoeducation improves the attitude of families towards mental illness, achieving acceptance by the family member, greatly improving the quality of life and health for this group of patients.
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Effectiveness of music therapy for pain management in patients undergoing surgery
(Universidad Privada Norbert Wiener, 1905-07-08) Guzmán Moreno, Sisy Cecilia
Material and methods: The PICO instrument was applied and a systematic bibliographic search was carried out through recognized search engines such as LILACS, PubMED, ELSEIVER, etc. Classifying the information through the use of Caspe templates and the level of evidence and degree of recommendation by the GRADE system. Results: 100% of the articles show evidence of the positive influence that music exerts in the different stages of the perioperative period, showing not only the significant decrease in pain but also the decrease in the level of anxiety, 2 articles found showed patients with functional stable vital signs, decreased administration of analgesics and anesthetics, even when the patient is under general anesthesia. Conclusions: Music can be used and implemented as a simple, safe and effective method of reducing potentially harmful physiological responses caused by pain in patients during the perioperative period.
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Effectiveness of the n95 respiratory protector versus the simple mask in the prevention of influenza
(Universidad Privada Norbert Wiener, 1905-07-08) Cuba Aguilar, Kelly Liliana; Via Vergaray, Veronica Viviana; Gómez Gonzales, Walter Edgar
The work is based on comparison studies of both masks seeking to find if there are differences between them and therefore its effectiveness when used, since it is a protective equipment for health personnel in the prevention of Influenza.
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Efficacy of using the checklist to reduce adverse events in patients undergoing surgery
(Universidad Privada Norbert Wiener, 1905-07-09) Justo Delzo, Marisol; Paredes Campos, Edith; Remuzgo Artezano, Anika
Objective: determine the effectiveness of the checklist to reduce adverse events in patients undergoing surgery. Methodology: systematic observational and retrospective review, the search has been restricted to articles with full text, and the selected articles underwent critical reading using the grade system evaluation to identify recommendation and quality of evidence. In the final selection, 12 articles were chosen. Results: we found that 41.6% (05) are from Spain, 33.33% (04) are from Mexico, while 8.3% (01) are from Peru, Brazil, Colombia and Cuba respectively. 80% are transversal design. Where of the total number of articles analyzed, 100% (12/12) affirm that the use of the checklist is effective in reducing adverse events in patients undergoing surgery. Conclusions: the evidence that 100% of the articles propose that the checklist is effective in reducing adverse events in patients undergoing surgery.
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Efficacy of laser refractive surgery to ensure the safety of the ophthalmic surgical patient
(Universidad Privada Norbert Wiener, 1905-07-09) Altamirano Olano, Deyli; Cárdenas Almerco, Jackeline Smith; Remuzgo Artezano, Anika
100% of the articles reviewed (n=10/10) show that laser refractive surgery is effective in guaranteeing the safety of the ophthalmic surgical patient.
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Effectiveness of skin protectors in preventing periostomal skin lesions in colostomized patients
(Universidad Privada Norbert Wiener, 1905-07-09) De La Cruz Mendoza, Eva Emilia; Vargas Gastelú, Claudia Rudy; Mendigure Fernández, Julio
Observational and retrospective systematic review, which synthesizes the results of multiple primary investigations of the 10 scientific articles on the effectiveness of skin protectors in the prevention of peristomal skin lesions. 100% (n=10/10) of these show that skin protectors are effective in preventing and regenerating peristomal and/or perilesional skin lesions; reducing the presence of erythema, dermatitis, redness and denudation of the skin, contributing to pain control and patient comfort.
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Efficacy of Citrate Versus Heparin Anticoagulation in Decreasing Bleeding in Patients With Acute Renal Failure on Continuous Renal Replacement Therapy
(Universidad Privada Norbert Wiener, 1905-07-09) Cabanillas Huamán, Augusto Enrique; Rosas Casique, Diana Beatriz; Remuzgo Artezano, Anika
Objective: Systematize the evidence on the effectiveness of citrate anticoagulation versus heparin to reduce bleeding in patients with acute renal failure on continuous renal replacement therapy. Results: The results obtained from the systematic reviews show that of the total of 10 scientific articles reviewed, 100% (n=10/10) report that the use of citrate anticoagulation is more effective compared to the use of heparin. , show that the implementation of a protocol, and the choice of first-line use of citrate anticoagulation is safe, and has more advantages than heparin, because it presents a lower risk of bleeding complications. and/or bleeding. Fernández states that the incidence of hemorrhage was (0% vs. 10.3%). Zhang indicated that citrate is able to reduce the risk of bleeding 0.28 (95% CI 0.15 0.50). Wu reported a statistically significant decrease in bleeding (RR, 0.34; 95% CI, 0, 17-0.65). Conclusions: 100% (n=10/10) show that the use of citrate anticoagulation is more effective compared to the use of heparin, because it significantly reduces the risk and complications of hemorrhage and/or bleeding.
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Efficacy of cryotherapy in pain control in post-knee arthroscopy patients
(Universidad Privada Norbert Wiener, 1905-07-09) Huamán Guere, Rosio Del Pilar; Ñique Villaorduña, María Guadalupe; Gómez Gonzales, Walter Edgar
Objective: To evaluate the evidence on the effectiveness of cryotherapy in pain control in post-knee arthroscopy patients. Results: Of the 10 articles reviewed, 80% (n=08/10) show that cryotherapy is effective in pain control in post-operative patients. 80% of the articles, because they showed a significant benefit in the improvement of range of motion and function in the treatment. 100% of the articles have shown that cryotherapy is a simple, easily accessible and cost-effective technique to relieve post-arthroscopic pain since it is a Superficial Thermotherapy modality that is based on the application of cold as a therapeutic agent. Also, 80% of articles reveal that it reduces patients' time to return to daily activity and that the application is with the use of ice in a thick bag at a temperature below zero, covered with a cloth, placed directly on the operated area every 20min on the postoperative day. Conclusions: The 10 articles reviewed have shown that cryotherapy is effective in controlling pain in patients after knee arthroscopy surgery.
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Efficacy of therapeutic hypothermia in reducing the risk of mortality in adults with cardiac arrest
(Universidad Privada Norbert Wiener, 1905-07-09) Mendoza Blas, Zully Janneth; Orbegoso Escobedo, Claudia Vanessa; Gómez Gonzales, Walter Edgar
Objective: Determine the effectiveness of therapeutic hypothermia to reduce the risk of mortality in adults with cardiac arrest. Material and methods: Systematic Reviews are an observational and retrospective research design, which synthesizes the results of multiple primary investigations. They are an essential part of evidence-based nursing due to their rigorous methodology, identifying relevant studies to answer specific questions of clinical practice. Results: The population was made up of the bibliographic review of 13 scientific articles published and indexed in the Scielo, Pubmed, Medline, Lilacs databases, no older than ten years and that respond to articles published in the Spanish language. This work makes it clear that 92 percent (12 studies) prove that the use of therapeutic hypothermia is effective after cardiac arrest; while 8 percent (1 study) show that it is not effective. Conclusions: The studies reviewed show that therapeutic hypothermia in intensive care units is associated with a relative reduction in hospital mortality in patients with cardiac arrest, therefore we can affirm that therapeutic hypothermia is effective in reducing mortality in patients with cardiac arrest. cardiac, a stable temperature of 32-34°C must be maintained for 24 hours
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Effectiveness of hydrocolloid in the management of pressure ulcers
(Universidad Privada Norbert Wiener, 1905-07-09) Machado Zamudio, Fresia Carolina; Muchaypiña Canales, Gladys Leticia; Mendigure Fernández, Julio
It is evident that in 60% (n=06/10) the use of Hydrocolloid is effective in the management of pressure ulcers; Since the dressings promote effective epithelialization and healing of wounds, they show an advantage over traditional healing, as they are an advanced technology treatment, achieving an adequate cost-benefit. On the other hand, 40% (n=04/10) of studies made a comparison with other dressings, where the statistical data were not sufficient to affirm the effectiveness of hydrocolloids.
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Effectiveness of an educational program to strengthen knowledge for better self-care in patients with chronic kidney disease
(Universidad Privada Norbert Wiener, 1905-07-09) Cardozo Alfaro, Linda Caroline; Napurí Bazalar, Bryan Jesús; Remuzgo Artezano, Anika
Material and methods: Observational and retrospective systematic review, the search has been restricted to articles with full text and the selected articles were subjected to a critical reading, using the hierarchy of the grade system to identify their level of evidence. Results: 10 scientific articles have been analyzed, mostly quasi-experimental studies in 80% and 20% systematic reviews. 30% of the research found is from Spain, 10% from Cuba, 10% from Nicaragua, 10% from Australia and 10% from China. 100% of the articles reviewed systematically agree that an educational program is effective to strengthen the self-care of patients with chronic kidney disease. The educational programs promote knowledge by carrying out a systematic and continuous plan to strengthen self-care, so that patients have a better quality of life.
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Effectiveness of an educational intervention to change lifestyles in patients with arterial hypertension
(Universidad Privada Norbert Wiener, 1905-07-09) Montero Jara, Elsa Ruth; Pantigoso Gutierrez, Pascuala Paulina; Bonilla Asalde, César Antonio
Educational programs will improve the quality of life in patients with high blood pressure and are effective because they play a valuable role in modifying lifestyles and preventing coronary risk factors, which will reduce morbidity and mortality from this disease.
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Peritoneal dialysis compared to hemodialysis as a predictor of greater survival in kidney transplant patients
(Universidad Privada Norbert Wiener, 1905-07-09) Gomez Miranda, Nataly Priscila; Mauricio Revollar, Nadia Mey; Remuzgo Artezano, Anika
Pre-transplant peritoneal dialysis has a higher 5-year survival rate than hemodialysis. It was found that pretransplant patients on peritoneal dialysis had a significantly higher incidence of delayed graft function than hemodialysis patients. 40% (n=4) of the evidence found indicates that peritoneal dialysis may be the most appropriate modality for patients waiting to receive a kidney transplant. Peritoneal dialysis is a predictor of greater survival compared to hemodialysis in kidney transplant patients
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Efficacy of continuous nebulizations with β_agonists in patients with acute asthmatic crisis
(Universidad Privada Norbert Wiener, 1905-07-09) Alfaro Mendivil, Nancy; Perez Fernandez, Ricarti Salin; Rivera Lozada de Bonilla, Oriana
Objective: Systematize and analyze the effectiveness of continuous nebulizations with β_agonists in patients with acute asthma attacks. Material and methods: Observational and retrospective systematic review, the search has been restricted to articles with full text, and the selected articles were subjected to a critical reading, using the GRADE method to identify their level of evidence. Results: In the final selection, 10 articles were chosen, systematic reviews, quasi-experimental and case-control studies, and of the total of 10 reviewed articles, 40% (n=4/10) of these show that the effectiveness of Performing nebulizations with β_agonists continuously in patients with acute asthma attacks is positive, especially in cases for the treatment of moderate-severe asthma, it helps with lower administration cost and shorter stay in the emergency room while 60% of the studies analyzed tell us that there is no significant relevance. Conclusions: It is concluded that there is no significant relevance in the effectiveness of continuous nebulizations with β_agonists, since 60% of the studies analyzed support the equivalence of the results of continuous and intermittent nebulization in the treatment of acute asthma.
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Obese recipients increase risk of delayed graft function
(Universidad Privada Norbert Wiener, 1905-07-09) Encalada Borjas, Nadia Peggy; Guivín Munayco, Elizeth del Pilar; Remuzgo Artezano, Anika
Material and methods: The systematic review of 10 selected articles, using the database Pubmed, Advance Access, Redalyc, Open Access, Researchgate, Wiley Online Library, HHS Public Access. The 10 evidence = 100% (n=10/10) is quantitative (16-25) in design; 30% (n=3/10) systematic review and meta-analysis (16-18) and 70% (n=7/10) cohort study. Results: According to the systematic review, shown in the 10 articles, 30% (3) are systematic review - meta-analysis and 70% (7) are cohort studies, which come from the United States (50%), followed by Brazil ( 10%),England(10%),Holland(10%),Italy(10%),France(10%).point out that 100%(n=10)(16 - 25) of the evidence found specify that obese post-kidney transplant recipients have a greater risk of delayed graft function. Conclusion: The 10 articles reviewed, 100% (n=10/10), according to the evidence found, it is concluded that obese recipients do increase the risk of delayed graft function in post-kidney transplantation, accompanied by a significant increase in the risk of several adverse outcomes such as; post-surgical cardiovascular, metabolic (Diabetes mellitus 2) lymphatic complications with longer hospital stay. However; It is evident that kidney transplantation can be performed safely in these obese recipients with survival and graft rates similar to those of non-obese patients.
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Effective interventions for the prevention and management of oral mucositis in cancer patients
(Universidad Privada Norbert Wiener, 1905-07-09) Pajuelo Coronel, Carmen Guadalupe; Pizarro Paucar, Maribel Felicitas; Mendigure Fernández, Julio
100% of the studies included in the systematic review show that effective interventions for prevention are: Systematic oral hygiene, amifostine, antibiotic tablet or paste, ice tablets, zinc supplements, bicarbonate rinses sodium, cryotherapy, plantain rinses, chlorhexidine rinses, and laser therapy; and for treatment they are: hydrolytic enzymes, morphine rinses, sodium bicarbonate rinses, zinc supplements, cryotherapy, chlorhexidine rinses and the topical application of pure honey.
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Effective interventions for the control of congestive heart failure in emergency units
(Universidad Privada Norbert Wiener, 1905-07-09) Avila Salazar, Jesela; Huaman Grandez, Maria Liseth; Gamarra Bustillos, Carlos
Objective: Establish effective interventions for the control of congestive heart failure in emergency units. Materials and methods: A systematic review was carried out, which synthesizes the results of multiple primary investigations. They are an essential part of evidence-based nursing due to their rigorous methodology, identifying relevant studies to answer specific questions of clinical practice. Results: 10 systematically reviewed scientific articles on effective interventions for the control of congestive heart failure in emergency units were included in the review. The articles were located in the Lilacs, Medline, Ebsco and Pubmed databases; 70% (n = 07/10) of the articles reviewed agree and show that the administration of ASA diuretics, which act on the medullary portion of the loop of Henle, inhibiting sodium reabsorption in the thick ascending portion of the loop of Henle, Henle; belonging to Group II such as: furosemide, bumetanide, torsemide, ethacrynic acid, in bolus or infusion, are the most used; on the other hand, 30% of the articles reviewed (03/10) of the authors agree that educational interventions based on formative education is effective in improving the control of congestive heart failure. Conclusion: The articles reviewed show that the most effective intervention for heart failure in older adults is ASA diuretics and educational interventions based on training education are effective in improving the control of congestive heart failure in emergency units. .
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Risk of leukemia in children of parents exposed to pesticides
(Universidad Privada Norbert Wiener, 1905-07-09) Miranda Silva, Jessica Mabel; Palomino Yupanqui, Katherine Yesenia; Calsin Pacompia, Wilmer
Material and methods: The systematic review of the 10 scientific articles on the risk of leukemia in children of parents exposed to pesticides were found in the following databases: Wiley One library, Science direct, Scientific Research Publishing, Wolters Kluwer, BioMed Central, Pubmed, Medline. Within the 10 pieces of evidence, 100% (n= 10/10), the type of research was quantitative (12,13,14,15,16,17,18,19,20,21) and 60% of design (n =6/10) control case (16,17,18,19,20,21), 20% (n=2/10) systematic review and meta-analysis (14,15) and 20% (n=2/10) meta-analysis (12,13). Results: According to the results obtained from the systematic review, 80% (n = 8/10) show the risk of leukemia in children of parents exposed to pesticides (12, 13, 15, 16, 17,18, 20). In 20% (n=20) no statistically significant leukemia risk association was observed in children of parents exposed to pesticides. (14,19). Conclusion: After the systematic review carried out, it is concluded that 80% of the study population shows that there is an increased risk of leukemia in children of parents exposed to pesticides. On the other hand, it is concluded that in 20% of the study population, a statistically significant association of leukemia risk was not observed in children of parents exposed to pesticides.

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