Examinando por Materia "Adults"

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(Universidad Privada Norbert Wiener, 2018-07-08) Lagos Huachaca, Bike; Rodriguez Granda, Fabiola Selene; Rodriguez Granda, Fabiola
Materials and Methods: Observational and retrospective systematic review, which synthesizes the results of multiple primary investigations. These are an essential part of evidence-based nursing due to their rigorous methodology. In the final selection, 10 articles were chosen. We found that 20% (02) are from Spain, 20% (02) from Mexico, and 60% from Cuba (1), Portugal (1), the USA (1), Germany (1), Korea (1), Japan (1) respectively. Most of the studies are descriptive, with 40%, primarily from Spain and Mexico. Results: Identifying relevant studies, 90% of the 10 reviewed articles agree that if basic and adequate care is provided to the port catheter, complications are reduced by 90%. The search was restricted to articles with full text, and the selected articles were critically reviewed using the GRADE system to assign the strength of recommendations. Conclusions: The systematic review of the 10 articles aimed at nurses agrees in the majority that the essential care includes: correct asepsis, heparinization of the catheter port, use of the catheter between 7 and 15 days after placement, dressing changes every 7 days, and the port catheter prevents peripheral vascular injuries. The procedure must be performed by a trained professional in the field.
Acceso abierto

(Universidad Privada Norbert Wiener, 2018-07-08) Rodriguez Granda, Fabiola Selene; Rodriguez Granda, Fabiola
Materials and Methods: Observational and retrospective systematic review, which synthesizes the results of multiple primary investigations. These are an essential part of evidence-based nursing due to their rigorous methodology. In the final selection, 10 articles were chosen. We found that 20% (02) are from Spain, 20% (02) from Mexico, and 60% from Cuba (1), Portugal (1), the USA (1), Germany (1), Korea (1), Japan (1) respectively. Most of the studies are descriptive, with 40%, primarily from Spain and Mexico. Results: Identifying relevant studies, 90% of the 10 reviewed articles agree that if basic and adequate care is provided to the port catheter, complications are reduced by 90%. The search was restricted to articles with full text, and the selected articles were critically reviewed using the GRADE system to assign the strength of recommendations. Conclusions: The systematic review of the 10 articles aimed at nurses agrees in the majority that the essential care includes: correct asepsis, heparinization of the catheter port, use of the catheter between 7 and 15 days after placement, dressing changes every 7 days, and the port catheter prevents peripheral vascular injuries. The procedure must be performed by a trained professional in the field.
Acceso abierto
Effectiveness of a self-care program in preventing diabetic foot complications in elderly adults
(Universidad Privada Norbert Wiener, 2019-05-19) Montes Garcia, Karin Cristina; Angeles Villon, Jorge Raul; Calsin Pacompia, Wilmer
In the final selection, 10 articles were chosen, regarding the country of origin of the studies, 30% (03) correspond to Spain, 20% (02) we find Mexico, while 10% (01) we find Cuba, Colombia, Brazil, Netherlands and Sweden respectively. Regarding the methodological design, 50% quasi-experimental studies, Mexico (02), Spain, Cuba and Colombia. 30% are systematic reviews carried out in Spain (02) and the Netherlands, with 10% being descriptive studies belonging to Brazil. And another 10% to controlled trials belonging to Sweden. Conclusions: 70% of the studies show the effectiveness of self-care programs, because they reduce complications, through education promoting healthy lifestyles, improving quality of life, decrease in the involvement of diabetic foot, decrease in economic cost , reduces the risk level of diabetic foot. 30% conclude that it is not effective because it does not have high-quality research that affirms the reduction of diabetic foot complications, due to uncontrolled methodological designs and the small population studied.
Acceso abierto
Effectiveness of the Lichtenstein technique versus the Desarda technique in adult post-surgical patients with inguinal hernia.
(Universidad Privada Norbert Wiener, 2018-07-08) Quinto Mercado, Yesenia Lizeth; Porras Bonifacio, Zelmira Kandy; Glenni Garay, Zarely Zabeli
Objective: Systematize the evidence on the efficacy of the Lichtenstein technique versus the Desarda technique in post-surgical adult patients. Materials and Methods: The design corresponds to a systematic review. A systematic search of 10 scientific articles was conducted in the following databases: PubMed, Wolters Kluwer, Springer Link. Results: According to the review of 100% of the studies analyzed, 50% (n=5/10) of the articles indicate that there is heterogeneity in both the Lichtenstein technique and the Desarda technique in post-surgical adult patients with inguinal hernia. 30% (n=3/10) disagree on the efficacy of the Lichtenstein technique versus the Desarda technique in post-surgical adult patients. 20% (n=2/10) highlight the efficacy of the Desarda technique versus the Lichtenstein technique in post-surgical adult patients. Conclusion: The studies analyzed indicate that there is heterogeneity in both the Lichtenstein and Desarda techniques, and a percentage disagree on the efficacy of the Lichtenstein technique versus the Desarda technique in post-surgical adult patients. Finally, a smaller percentage of studies indicate that the efficacy of the Desarda technique versus the Lichtenstein technique in post-surgical adult patients reduces complications in the inguinal hernia surgical procedure.
Acceso abierto
Efficacy of nebulized furosemide in the outpatient treatment of adult patients with asthma.
(Universidad Privada Norbert Wiener, 2018-08-26) Huayhuas Taipe, Fany; Perez Siguas, Rosa Eva
Objective: To systematically analyze evidence regarding the efficacy of furosemide nebulization in reducing bronchospasms in patients with acute mild and moderate bronchial asthma. Materials and Methods: Systematic review methodology, synthesizing results from multiple primary studies. The GRADE system was used to assess evidence quality and recommendation strength. Results: 90% (n=09/10) of the reviewed articles demonstrate that nebulization with furosemide added to saline solution is effective in reducing bronchospasms associated with mild and moderate acute bronchial asthma. 10% (n=01/10) of the studies highlight the need for further research with larger sample sizes to conclusively establish furosemide as an antiasthmatic medication. Studies included in this systematic review originated from Cuba, Honduras, the United Kingdom, the United States, Spain, Mexico, and Italy. Conclusions: Furosemide nebulization is effective for outpatient treatment of mild and moderate bronchial asthma in adult patients. Further research with broader sample sizes is recommended to strengthen the evidence base and clarify its antiasthmatic potential.