Examinando por Materia "Attention"

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Anxiety and work performance in nursing staff in times of COVID 19 in the Cañete health network - Yauyos, 2021
(Universidad Privada Norbert Wiener, 2022-10-23) Gutiérrez Sánchez, Martha María; Molina Torres, Jose Gregorio
Nursing professionals are regularly exposed to many of the usual stressors of administrative and daily care tasks, for which it has been determined to measure the level of each variable, through the Hamilton Anxiety Scale, which refers to manifestations neurovegetative, and the work performance instrument. The dimensions of the Hamilton Anxiety Scale are psychological anxiety and somatic anxiety, at the levels of absence of anxiety, mild, moderate and severe. The purpose of this research is to find the Anxiety levels of nursing staff in times of COVID 19. The approach is quantitative, applied, with a non-experimental descriptive, correlational and transectional design. The population was 120 nurses and the sample was 92. The survey was applied using two instruments; A questionnaire on the Hamilton Anxiety Scale will be used and the second on Work Performance directed after informed consent to the participants.
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Biocultural, socioeconomic and institutional factors related to the mother's dropout in the growth and development control program in children from 2 to 4 years old: Hospital de Barranca, 2020
(Universidad Privada Norbert Wiener, 2020-12-27) Suarez Robles, Doris Gissela; Pretell Aguilar, Rosa María
The child's care is carried out in the CRED office, where the nurse provides care to ensure adequate growth and development. This provides its optimal conditions so that children can have better opportunities in current and future life; Furthermore, it teaches the caregiver to remake their eating, care and breastfeeding habits and customs that will smooth out early morning child development. The objective of the work is to identify the biocultural, socioeconomic and institutional factors related to the mother's dropout in the growth and development control program in children from 2 to 4 years old. Barranca Hospital 2020. The study has a quantitative, descriptive, cross-sectional correlational approach. The study population will be made up of 176 mothers of children from 2 to 4 years old. For data collection, the survey will be used as a technique measured in a checklist that will evaluate the independent variable Biocultural, socioeconomic and institutional factors, a questionnaire will be used as a data collection instrument to measure the dependent variable Dropout of Growth and Development , a form will be used to collect information from the child's control card, all of this will be done through the home visit.
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Burnout Syndrome and Coping Strategies During the COVID-19 Pandemic in Nurses of the Emergency Service of the Huacho Regional Hospital, 2020
(Universidad Privada Norbert Wiener, 2022-07-10) Díaz Farro, Carlos Enrique; Gamarra Bustillos, Carlos
Burnout syndrome has become an important psychosocial condition in recent years as a result of constant exposure to stressful situations. The scenario experienced by nurses who provide care during the COVID-19 pandemic is exposed to a high risk of contagion, this being a main stress factor for developing symptoms of exhaustion. Objective: Determine the relationship between Burnout Syndrome and Coping strategies during the Covid-19 pandemic in nurses from the emergency service of the Huacho 2020 Regional Hospital. Method: The study will be basic descriptive, observational, non-experimental, cross-sectional and correlational level. The sample will be made up of 50 nurses. To collect the data, the Maslash Burnout Inventory questionnaires will be used for Burnout syndrome and the Coping Estimation Inventory – COPE for coping strategies. To process the data, graphs and frequency tables will be prepared through univariate analysis applying descriptive statistics. Rho Spearman will be used to correlate the variables.
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Burnout syndrome and quality of nursing care in the neonatal intensive care service of a hospital in Lima, 2022
(Universidad Privada Norbert Wiener, 2022-10-09) Muñoz Guzman, Alejandro Ignacio; Arevalo Marcos, Rodolfo Amado
The study will focus on an extremely critical problem within the field of neonatal intensive care, due to the risk that burnout syndrome means for nurses physically, psychologically and emotionally, aspects that result in the quality of care, which can be significantly affected. negatively, exposing them to the occurrence of various risks or adverse events that can endanger their lives and that of the patients. Objective: Determine the relationship between burnout syndrome and quality of nursing care in the neonatal intensive care service of a hospital in Lima, 2022. Materials and methods: The study uses a hypothetical deductive method, quantitative approach, basic type. and non-experimental design. 50 nurses and 50 parents will participate. The survey will be used and the Maslach Burnout Inventory (MBI) validated by María Huanca in 2018 and the questionnaire will be applied to measure the quality of care variable developed by Roxana Puicón in 2022. The levels obtained by each variable will be measured at through Spearman's non-parametric Rho test.
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Calidad de atención de los colaboradores y la satisfacción de los clientes en la Consultora Silfersystem, Lima 2023
(Universidad Privada Norbert Wiener, 2025-07-08) Castro Delgadillo, María Rosa; Vera Ortiz, Norma Betzabé
La calidad de atención es un factor determinante en la satisfacción de los clientes dentro del sector de consultoría, ya que influye directamente en la percepción del servicio y en la fidelización del cliente. En un mercado altamente competitivo, las empresas deben garantizar que su personal proporcione un servicio eficiente y empático para asegurar una experiencia positiva. Diversos estudios han demostrado que una atención de calidad no solo mejora la satisfacción del cliente, sino que también fortalece la reputación y sostenibilidad de la empresa. En este contexto, la presente investigación tiene como objetivo determinar la relación entre la calidad de atención y la calidad funcional percibida por los clientes de la Consultora Silfersystem, Lima 2023. Para ello se utilizó una metodología de tipo básica, con un enfoque cuantitativo, diseño no experimental y alcance descriptivo – correlacional, el método de estudios desarrollado fue deductivo – cuantitativo. Asimismo, se contó con una población conformada por 52 colaboradores de la consultora Silfersystem. Para la obtención de información se aplicó la técnica de encuesta, con cuestionarios como instrumentos, los cuales demostraron altos niveles de confiabilidad: 0.8 para la variable calidad de atención y 0.9 para la satisfacción de los clientes. En cuanto a los resultados, se demostró que la calidad de atención de los colaboradores se vinculó de manera significativa y positivamente alta con la satisfacción del cliente, con un coeficiente Rho de Spearman de 0.580 y un nivel de significancia de p = 0.000. Se concluye que la calidad de atención es un factor determinante para incrementar la satisfacción de los clientes en este tipo de consultorías.
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Care provided by the mother against post-vaccine reactions in children under one year of age from the immunization service of the Santa Rosa Hospital - 2019
(Universidad Privada Norbert Wiener, 2021-01-24) Torres Abanto, Norma Marisol; Fernández Rengifo, Werther Fernando
Care has an educational profile of relating to an individual, it makes him conceive as a duty to care, respect and take personal responsibility, between two people with their own dimension in which values, knowledge, dedication, commitment, service vocation. Caring is looking after the well-being of the other person and is inherent to human nature, in such a way that an individual is capable of worrying about the risk that the other person suffers some harm or increasing their well-being, health professionals They have this principle as the foundation of their work, taking into account the needs and/or weaknesses of the patients, in order to carry out actions that ensure the physical, spiritual, emotional, and social well-being of the individuals under their care, in especially if they are minors. Immunization is a fundamental part of the human right to good health. Vaccination prevents death between 2 to 3 million people each year according to the global action plan. Materials and Methods: Research approach and design. The present study has a quantitative approach, non-experimental or observational design, descriptive cross-sectional, since it allows the research to be shown completely acquired in a given time and space. Population, Sample and Sampling: The population was organized by 100 mothers of children under twelve months of age who belong to the Broad Immunization program. Participants were selected taking into account the analysis of interest, including inclusion and exclusion criteria.
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Compliance level of nursing records in the adult intensive care unit of a public hospital in Lima - November 2020
(Universidad Privada Norbert Wiener, 2020-10-11) Tumay Melgar, Katherine Juliane; Avila Vargas Machuca, Jeannette Giselle
Objective: Determine the level of compliance with nursing records: graphic sheet of vital signs, water balance sheet, nursing progress notes and nurse card; in the Intensive Care Unit of a Public Hospital in Lima. Material and methods: Quantitative approach, non-experimental, descriptive, cross-sectional design. The population is made up of the medical records of patients hospitalized in the Intensive Care Unit. A non-probabilistic sampling will be carried out, for convenience. The technique that will be used is observation. The instrument to be used will be observation sheets; the four Quality Assessment Formats of Nursing Records, which have been taken from the Technical Standard for Auditing the Quality of Health Care NTS No. 029-MINSA/DIGEPRES-V.02 of 2016.
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Effective strategies to strengthen growth and development in children
(Universidad Privada Norbert Wiener, 1905-07-09) Pereyra Campos, Cynthia Karin; Krederdt Araujo, Sherin Luz
Objective: Systematize the best evidence in already completed research; That is, to what extent the research found adds new knowledge to the central question. Material and methods: Information was collected from different articles according to the level of evidence and degree of recommendation. Thus, descriptive and correlational studies were selected. Results: The factors that intervene in the non-attendance of the CRED control of the boy and girl, the mothers and/or caregivers report that the nursing staff is insufficient and they have difficulties with the hours of care, with the waiting time, diversity of tasks of the home. Conclusions: It is detailed that in the range of 4 to 8%, fathers, mothers, caregivers have difficulties taking their children to the CRED due to work schedules, leaving their children in the care of minors, due to ignorance of the importance of the CRED, generating a significant gap between the children who attend the CRED and those who do not attend, which could be decisive, so that the children do not reach optimal development, causing them to be limited in their cognitive development and school performance, limiting their possibilities to access other levels of education, and with low economic productivity when they reach the adult stage of life. This is why it is essential to generate effective strategies to strengthen the growth and development of children; it is necessary to involve the person, family and community in this context, to preserve family health in the population.
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Effectiveness of advanced nursing practice to optimize the care service for patients in the intensive care unit
(Universidad Privada Norbert Wiener, 2020-10-25) Cazal Dueñas de Acha, Julia Elvira; Medrano Espinoza, Christian Eusebio; Basurto Santillán, Ivan Javier
Objective: Systematize the evidence found on the effectiveness of advanced nursing practice to optimize the care service for ICU patients. Materials and Methods: The design used for this research is a systematic review, based on the GRADE evaluation system to assess the quality of evidence for each article selected from the following databases: Epistemonikos, PubMed, ScientDirect, and Scielo. Results: The reviewed articles showed that 60% were systematic reviews, 20% were literature reviews, 10% were systematic reviews and meta-analyses, and 10% were integrative reviews. Furthermore, 100% of the articles found evidence of the effectiveness of advanced nursing practice in optimizing care service for ICU patients. Conclusion: Of the 10 articles systematically reviewed (10/10), it was found that advanced nursing practice is effective in optimizing care service for ICU patients.
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Effectiveness of an intervention program in early family care for the development of psychomotor capacity and adaptation to the environment in children under 5 years of age
(Universidad Privada Norbert Wiener, 2019-09-29) Miraval Sosa, Carola Margarita; Rojas Collazos, Lady Karina; Bonilla Asalde, César Antonio
Objective: Analyze the scientific evidence about the effectiveness of an intervention program in early family care for the development of psychomotor capacity and adaptation to the environment in children under 5 years of age. Material and methods: It is a systematic review of 10 scientific articles of interest for the study, which were found in databases: Scielo, Lilacs, Cochrane, Pubmed, Google Scholar; All of them were analyzed according to the Grade scale to determine their strength and quality of evidence. Results: Of the 10 articles reviewed, 3 are systematic reviews (30%), 2 are randomized controlled trials (20%), 2 are cohort studies (20%), 1 meta-analysis (10%), 1 case-control studies (10% ) and 1 randomized clinical trial (10%). All of them point out the effectiveness of an intervention program in early family care to improve psychomotor development and adaptation to the environment. Conclusion: 100% of the articles reviewed show effectiveness in an intervention program in early family care to improve psychomotor development and adaptation to the child's environment, which should be started as soon as possible to improve development, maximizing their abilities. and integrating the family in this process.
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Effectiveness of changing the peripheral venous catheter in the prevention of phlebitis
(Universidad Privada Norbert Wiener, 1905-07-09) Cachi Sanchez, Bertha Elizabeth; Sanches Huisa, Mirian Marcela; Mendigure Fernández, Julio
Objective: Systematize the available evidence on the effectiveness of changing the peripheral venous catheter for the prevention of phlebitis. Methodology: The study carried out is a Systematic Review of 10 articles in the LILACS, SCIELO, MEDLINE, and PUBMED databases, whose search has been restricted to articles with full text, and the selected articles were subjected to a critical reading, using the Jover's evaluation to identify its level of evidence. Results: In the review of the Articles, the effectiveness of changing the peripheral venous catheter to prevent phlebitis is observed; However, in the latest studies carried out, the permanence time of peripheral devices does not show the cause of the origin of vascular complications such as phlebitis, in relation to the systematic change and replacement due to clinical indication in adult patients with intravenous treatment. Conclusion: The evidence shows that to prevent phlebitis in hospitalized patients, changing the peripheral venous catheter does not necessarily require routine change every 72 hours, but rather when clinically indicated. Most of the studies reviewed provide input to the nursing professional and health institutions shared benefits. patient safety, reduction in procedures and time in care and reduction in costs
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Effectiveness of early goal-directed therapy versus usual care to reduce mortality in patients with severe sepsis
(Universidad Privada Norbert Wiener, 2019-02-17) Ramírez Carrasco, Aydeé; Vergara Guerra, Cynthia; Remuzgo Artezano, Anika
Material and Methods: Systematic observational and retrospective review, with critical reading and using the GRADE evaluation method in order to identify the degree of evidence of the articles published in several databases: Scielo, PubMed, Sciencedirect, Epistemonikos, Researchgate. Of the 10 articles systematically reviewed: 90% (n= 9/10) are meta-analyses, 10% (n= 1/10) are randomized controlled trials and were carried out in the countries of China (40%), then the United States. United States (20%), England (20%), Italy (10%) and Iran (10%). Results: 60% indicate that early goal-directed therapy is similar in effectiveness to usual care in reducing mortality in patients with severe sepsis. 40% indicate that early goal-directed therapy is more effective than usual care in reducing mortality in cases of severe sepsis. Conclusion: Early goal-directed therapy has similar efficacy to usual care in reducing mortality in cases of severe sepsis.
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Effectiveness of Enhanced Recovery Program Versus Conventional Care in Decreasing Hospital Stay in Colorectal Surgery Patients
(Universidad Privada Norbert Wiener, 2020-01-25) Niebles Sotelo, Estefania; Padilla Chacpi, Jackeline Fabiola; Basurto Santillán, Ivan Javier
Material and methods: Systematic retrospective and quantitative observational review, subject to criticism, using the Grade evaluation method to establish the level of evidence, located in the following information sources: Researchgate, Sciencedirect, Epistemonikos, PubMed, Scielo. Of the 10 articles systematically reviewed, 80% are of high quality as described below: 50% (n= 5/10) are meta-analysis, 20% (n= 2/10) systematic review, 10% ( n= 1/10) is a randomized controlled trial and 20% of moderate quality as described below: 20% (n= 2/10) cohort studies. They come from the countries of the United States (20%), England (20%), China (20%), Italy (10%), Norway (10%), New Zealand (10%) and Holland (10%). Results: Of the evidence found, 100% (n=10/10) evidence concludes that the enhanced recovery program is more effective than conventional care in reducing hospital stay in colorectal surgery patients. Conclusion: 10/10 evidence concludes that the enhanced recovery program is more effective than conventional care in reducing hospital stay in colorectal surgery patients.
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Effectiveness of implementation strategies to improve adherence to care protocols in emergency services
(Universidad Privada Norbert Wiener, 2019-09-22) Ramos Cavero, Carla Vanessa; Chipa Quispe, Lisbeth; Matta Solis, Hernán Hugo
Objective: Systematize evidence on the effectiveness of implementation strategies to improve adherence to care protocols in emergency services. Material and methods: Systematic review, use of the GRADE evaluation system. Databases: Epistemonikos, NCBI, PubMed, Elsevier, Google Scholar and Scielo. The search has been carried out using the DECS and MESH descriptors for the search in Spanish and English respectively. 30% (3/10) of the articles reviewed correspond to the USA and Australia respectively, and 20% (2/10) correspond to Holland, Canada and England respectively. Results: 70% (07/10) of the evidence indicates that the implementation of strategies is effective in improving adherence to protocols in the emergency service, and 30% (3/10) indicates that there is insufficient information, heterogeneity of data and the need to adequately verify scientific articles to determine the effectiveness of implementation strategies in improving adherence to care protocols in emergency services. Conclusions: 7 out of 10 evidence demonstrate that implementation strategies are effective in improving adherence to protocols in emergency services, and 3 out of 10 evidence demonstrate that there is insufficient information, heterogeneity of data and the need to verify scientific articles in a manner adequate to determine the effectiveness of the topic under study.
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Effectiveness of structured triage in the immediate care of patients requiring resuscitation
(Universidad Privada Norbert Wiener, 2019-02-17) Baca Yaya, Carlos Esteban; Cusimayta Arrestegui, Sandra Digna; Pretell Aguilar, Rosa María
Objective: Systematize evidence of the effectiveness of structured triage for the immediate care of patients in need of resuscitation. Material and methods: systematic review of 10 research articles from the databases of PudMed, Scielo, Library, Medline.: on the effectiveness of structured triage in immediate care with patients in need of resuscitation were cited in the following databases Scielo, Pubmed Chrocrane and Library, all of them were analyzed according to the GRADE scale. 30% retrospective study, 20% experimental, 20% prospective, 10% systematic review, 10% cohort, 10% exploratory. Results: In the 10 articles reviewed, it was determined that 100% of the studies showed efficiency of structured triage in the immediate care of patients in need of resuscitation. Conclusions: 10 out of 10 evidence demonstrates the effectiveness of structured triage in immediate care in patients in need of resuscitation.
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Effectiveness of the use of the cervical collar in the care of the polytraumatized patient with cervical injury.
(Universidad Privada Norbert Wiener, 2020-10-11) Velasquez Lhi, Johana Paola; Gutierrez Guadalupe, Jessica Haydee; Fernández Rengifo, Werther Fernando
Objective: To structure evidence on the validity of using cervical collars in the care of polytraumatized patients with cervical injuries. Materials and Methods: A systematic, observational, retrospective review of a quantitative type, critically selected, using the GRADE evaluation system for identifying the level of evidence. Articles were found in PubMed, Sciencedirect, Scielo, Wiley Online Library, Elsevier, and Epistemonikos databases. Of the 10 articles systematically reviewed, 70% (n=7/10) are systematic reviews, and 30% (n=3/10) are randomized controlled trials. The results show that 80% (n=8/10) indicate that the routine use of cervical collars in polytraumatized patients with cervical injuries should not be implemented. Conclusion: Most studies reviewed indicate a lack of sufficient scientific evidence to support the routine use of cervical collars in the care of polytraumatized patients with cervical injuries. It is suggested that routine spinal cervical immobilization should be phased out in favor of selective immobilization.
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Efficacy of early extubation vs. conventional intubation in reducing the hospital stay of older adults undergoing cardiac surgery
(Universidad Privada Norbert Wiener, 1905-07-09) Cruzado Garay, Liliana Margot; Espinoza Ramirez, Rosa Guadalupe; Gómez Gonzales, Walter Edgar
Objective: To establish the effectiveness of early extubation vs. conventional extubation in reducing the hospital stay of older adults undergoing cardiac surgery. Materials and Methods: The systematic bibliographic review is Observational and retrospective in Spanish, with a history of no more than 5 years, the search has been restricted to full-text articles and which have been selected through critical reading. Results: In the final selection, 10 articles were chosen, 10% being Chile and 90% of other Latin American countries, no attempt was made to calculate the sample sizes required to determine if the mortality rates and major morbidities after cardiac surgery They change depending on the moment chosen to perform the extubation. 30% are Quasi-experimental studies, another 30% are Random Studies applying conventional extubation with early extubation and prospective studies of the study criteria considering risk factors and patient age in search of evaluating the morbidity and mortality of the patients. patients undergoing cardiac surgery. Conclusions: It was evident in scientific research and systematic reviews of the different types of randomized, quasi-randomized and prospective studies that consider Early Extubation effective in cardiac surgery patients, which reduces the risk of infection and the hospital stay of the post-surgery patient. cardiac surgery, therefore, reduces institutional costs. In addition, the nurse plays important roles in standardizing the care of the intubated patient through timely care in the patency of secretions, position of the patient, well-being and maintenance of the physical and mental comfort of the patient undergoing cardiac surgery.
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Efficacy of kidney transplant versus dialysis to improve quality of life in patients with end-stage chronic kidney disease
(Universidad Privada Norbert Wiener, 2017-08-05) Quispe Ventura, Milagros del Rosario; Flores Flores, Fresia Nora del Carmen; Remuzgo Artezano, Anika
The purpose of the work is to determine the effectiveness of kidney transplant versus dialysis, and to establish uniformity of criteria in patient care from a nephrological point of view; 10 articles were selected in which 100% of the evidence found indicates that kidney transplant is more effective than dialysis; The effectiveness of kidney transplant over dialysis to improve quality of life in patients with ESRD is then concluded.
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Estrés en personal de enfermería de emergencia del primer nivel de atención durante la atención de pandemia, Rímac, 2020
(Universidad Privada Norbert Wiener, 2020-12-13) Granados Trigos, Janet Gabriela; Fernández Rengifo, Werther Fernando
Este estudio analiza el estrés en enfermeras de un servicio de emergencia durante la pandemia. Es importante investigar esta variable ya que él puede tener un impacto en no solo a nivel individual, sino que puede afectar la capacidad de la enfermera para atender adecuadamente a los pacientes. El enfoque que se uso es cuantitativo, diseño transversal, y descriptivo. La población es conformada por los profesionales de enfermería del servicio tópico de emergencia de 4 establecimientos del primer nivel de atención, pertenecientes al distrito del Rímac, durante la pandemia COVID-19 El estrés laboral representa las reacciones de los individuos ante una exigencia o presión laboral las cuales no están acorde a su conocimiento y capacidad. Variable: Estrés en profesionales de enfermería de emergencia, la técnica es la encuesta. El instrumento a utilizar es la Escala de Estrés en Enfermería (NSS-siglas en ingles) la escala de estrés de enfermería (NSS) es el instrumento más popular y ampliamente utilizado para examinar los factores de estrés en enfermería dentro de una variedad de entornos laborales. Según el cronograma establecido se procederá a la aplicación del instrumento, el cual se realizará antes del ingreso a la guardia en el tópico de emergencia. La duración de la aplicación será de 20 minutos, siendo la propia investigadora la encargada de la aplicación. Luego se trasladará a una matriz en el programa SPSS 25, en el cual se realizará un análisis descriptivo, Se solicitará una carta de presentación a la Universidad Norbert Wiener, la cual será llevada a los establecimientos de salud para solicitar el permiso respectivo. Una vez obtenido el permiso, se coordinará con los médicos jefes y enfermeras encargadas de los tópicos de emergencia de dichos establecimientos para proceder a la obtención de datos. Ello se realizará previo cronograma establecido.
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Factors associated with abuse and violence in older adults
(Universidad Privada Norbert Wiener, 1905-07-09) Gallo Durán, Ruth Margarita; Díaz Gutierrez, Yessica Yenica; Gómez Gonzales, Walter Edgar
Objective: Establish the factors associated with abuse and violence in the Elderly. Materials and Methods: Systemic research is an observational and retrospective research design that synthesizes the results of multiple primary investigations, which are an essential part of evidence-based medicine. due to its rigorous methodology, identifying relevant studies to answer specific questions of clinical practice. Results: The systematic review of the 14 scientific articles on the factors associated with abuse and violence in older adults shows that it is the combination of factors psychological, social and economic effects on the part of the aggressor, such as excessive use of alcohol, drug consumption, violent behavior, unemployment and stress. Conclusions: It is evident that the factors present in the aggressor are excessive use of alcohol, drug consumption , violent behavior, unemployment and stress. The children were the main perpetrators of the abuse, followed by the grandchildren, which reveals the inadequate preparation of the family for living with the elderly. This shows that the family dynamic of harmony, attention and dedication to the elderly is practically non-existent. Financial abuse was well identified by the elderly, especially when it comes to preventing them from using and controlling their money.