Examinando por Materia "Ensayo Clínico Controlado Aleatorio"

Mostrando 1 - 15 de 15

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Benefits of intradialysis physical exercise in hemodialysis users with chronic kidney disease
(Universidad Privada Norbert Wiener, 2019-08-18) Valqui Leonardo, Rocio; Bustinza Orosco, Carolina Carlota; Cárdenas de Fernández, María Hilda
Objective: Systematize the evidence of the benefits that intradialysis physical exercise provides to hemodialysis chronic kidney patients. MATERIAL AND METHOD: In the systematic review of the ten scientific articles found regarding the benefits of intradialysis physical activity in hemodialysis users with chronic kidney damage, they were compiled from the Pubmed database, these were analyzed with the Grade scale thanks to This determined a high quality of evidence. Results: in these ten articles found, 30% (3/10) are of a methodological design of systematic review and meta-analysis, 10% (1/10) are a systematic review and 60% (6/10) correspond to a controlled trial. random. In the ten articles systematically searched, 100% (10/10) reflect positive changes when performing intradialytic physical exercise in hemodialyzed patients with chronic kidney disease. Conclusions: Of the 10 articles read, they reflect changes in the physical functioning and improvement in the quality of life of the hemodialysis user with chronic kidney disease when performing intradialysis physical activity.
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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 coping strategies to reduce burnout syndrome in health personnel
(Universidad Privada Norbert Wiener, 2019-09-29) Campos Naragio, Carol Cristina; Zorrilla Lizardo, Luz Mery; Calsin Pacompia, Wilmer
Objective: Systematize the results obtained from studies regarding the effectiveness of coping strategies to reduce Burnout Syndrome in health personnel. Material and methods: The systematic review of 10 scientific articles found on the effectiveness of coping strategies to reduce Burnout Syndrome in health personnel, were cited in the following databases Cochrane Library, Scielo and Pubmed; All of them were analyzed according to the Grade scale to determine their strength and quality of evidence. Results: Of the 10 articles reviewed and analyzed, 20% (n=2/10) are quasi-experimental, 20% (n=2/10) randomized controlled trial, 20% (n=2/10) systematic review, 10% (n=1/10) analytical cross-sectional observational, 20% (n=2/10) cross-sectional descriptive and 10% (n=1/10) prospective study longitudinal comparative randomized and experimental. Of the 10 articles found, 100% point out the effectiveness of coping strategies to reduce Burnout Syndrome in health personnel. Conclusion: 10 of 10 articles found point out the effectiveness of coping strategies to reduce Burnout Syndrome in health personnel.
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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 lower extremity flexion to reduce blood loss and improve range of motion after total knee arthroplasty in post-surgical patient
(Universidad Privada Norbert Wiener, 2020-02-16) Villar Valer, Liz Evelin; Isla Urco de Nuñez, Wuendy Brecia; Pretell Aguilar, Rosa María
Objective: Systematize the evidence on the effectiveness of lower extremity flexion to reduce blood loss and improve range of motion after total knee arthroplasty in immediate post-surgical patients. Material and method: The study design is a systematic review consisting of 10 scientific articles that demonstrate the effectiveness in reducing blood loss and improving range of motion after total knee arthroplasty in immediate post-surgical patients, which were obtained from the following database: Epistemonikos, Pubmed, Trandfonline, jors online, Springer, publishers, publishing, Springer. They were analyzed according to the Grade scale to determine the strength and quality of the evidence. Of the 10 articles, 100% (n=10/10) are of high quality, 70% (n=7/10) are meta-analysis, 10% (n=1/10) are systematic reviews, the 10% (n = 1/10) are randomized clinical trials and 10% (n = 1/10) are randomized controlled trials. Depending on the country where the research was carried out, 70% correspond to China. (n=7/10), Europe, 10% (n=1/10), Berlin 10% (n=1/10), and the USA 10% (n = 1/10). Results: From the evidence obtained, 100% (n=10/10) (12,13,14,15,16,17,18,19,20,21) demonstrate that lower extremity flexion is effective in Decreased blood loss and improved range of motion after total knee arthroplasty in immediate post-surgical patients. Conclusions: 10 of the 10 articles demonstrate that lower extremity flexion is effective in reducing blood loss and improving range of motion after total knee arthroplasty in immediate post-surgical patients.
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Effectiveness of nursing care using the kangaroo mother method to reduce pain in premature neonates
(Universidad Privada Norbert Wiener, 2021-06-13) Serva Arias, Cynthia Victoria; Jimenez Alfaro, Lizet Esperanza; Bastidas Solis, Miriam Cecilia
Objective: To systematize evidence found regarding the effectiveness of nursing care using the kangaroo mother method to reduce pain in premature neonates. Material and methods: to prepare this work, the systematic review design was used, based on the GRADE evaluation system, with the purpose of evaluating the quality of each article selected from the reviewed databases ScientDirect, PubMed, EBSCO, Scielo. Results: the articles showed that 40% are randomized controlled trials, 20% systematic reviews, 10% clinical trials, 10% descriptive, 10% bibliographic reviews and 10% integrative reviews. On the other hand, in 90% of the articles evidence was found of the effectiveness of nursing care using the kangaroo mother method to reduce pain in premature neonates. Conclusion: Of the 10 articles systematically reviewed, in (9/10) evidence was found of the effectiveness of nursing care using the kangaroo mother method to reduce pain in premature neonates and in (1/10) no evidence of the effectiveness was found. effectiveness of nursing care through the kangaroo mother method to reduce pain in premature neonates.
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Effectiveness of pillows in reducing cervical thoracic pain and improving sleep in workers
(Universidad Privada Norbert Wiener, 2019-09-22) Sánchez Salazar, Salomé; De la Cruz López, Katherine Lizeth; Calsin Pacompia, Wilmer
Objective: Systematize the evidence on the effectiveness of pillows in reducing cervical thoracic pain and improving sleep in workers. Material and methods: The type of quantitative research, the study design is a systematic review, the population was 176 articles, and the sample was 10 scientific articles published and indexed in scientific databases, the instrument was a search based on Data: Pubmed, Epistemonikos, MEDLINE For the evaluation of the articles, the GRADE system was used, which evaluated the quality of evidence and the strength of recommendation. Results: The 100% articles correspond to the United States 10%, Thailand 10%, Australia 20%, China 20%, South Korea 20% and Italy 20%. In relation to the designs and types of studies, 90% were randomized controlled trials, 10% were retrospective comparative trials and 10% were systematic reviews. Conclusion: It was concluded that 100% of authors point out the effectiveness of the use of pillows of all types that allow the reduction of cervical thoracic pain and the improvement of sleep in workers within their home, taking into account the shape or latex design. or viscoelastic, made of cool material, the height and dimension of the layers that can provide comfort.
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Effectiveness of the practice in the frequency of use of chlorhexidine administration for the prevention of pneumonia in patients with mechanical ventilation
(Universidad Privada Norbert Wiener, 2017-11-12) Estrada Galdos, Margarita; Quiroz Ramos, Luz Kimberlin; Bonilla Asalde, César Antonio
Objective: Systematize the evidence about the effectiveness of the practice in the administration of chlorhexidine for the prevention of pneumonia in patients with mechanical ventilation. Material and methods: Regarding the effectiveness in preventing pneumonia with oropharyngeal decontamination with chlorhexidine 3 times a day or more compared to 1 and 2 times a day in patients with mechanical ventilation, they were found in the following databases: Researchgate, PubMed, Data Cochrane Library, Wiley, ScienceDirect, Springer Link. Of 10 articles systematically reviewed, 4 are systematic meta-analysis reviews (40%), 3 are systematic reviews (30%}, 1 is a randomized controlled clinical trial (10%}, 1 is a quasi-experimental (10%) and 1 is a cohort study {10%). These come from Italy, Belgium, Colombia and Australia {10% each), Spain and Brazil (20%), China (30%). Results: 50% of the articles reviewed do not find differences in effectiveness, with a frequency of use of chlorhexidine of 1 to 2 times a day versus 3 times or more, while the other 50% reveal in favor of the use of Chlorhexidine is three times more effective in oropharyngeal decontamination. Conclusion: The use of chlorhexidine in oropharyngeal decontamination is effective for the prevention of pneumonia, however, 50% of the evidence indicates that its effectiveness is not related to practices in the frequency of use.
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Effectiveness of training to improve the safety and health of workers
(Universidad Privada Norbert Wiener, 2019-09-22) Borja Infantes, Tania Betsy; Cueva Segura, Carol Beverly; Basurto Santillán, Ivan Javier
Objective: Systematize evidence on the effectiveness of training to improve the safety and health of workers. Materials and methods: Systematic review of 10 articles extracted from the database: Epistemonikos, Pubmed, NCBI and Cochrane. 80% systematic reviews, 10% randomized controlled trial and 10% cohort study; 60% come from the USA, 20% from Canada, 10% from Italy and 10% from Europe. The GRADE system was carried out, quality of evidence 90% high and 10% moderate, strength of evidence 90% strong and 10% weak. Results: The majority of the articles evidenced the effectiveness of the training to improve the safety and health of workers and the rest indicated that further research is required to determine the mechanism of action of the safety and health interventions, and simultaneously evaluate the worker well-being and the applicability of occupational health and safety. Conclusions: Training favors the acquisition of greater knowledge and the commitment to adopt safe practices in the execution of tasks. In summary, it trains to avoid or act in the event of dangerous incidents and work accidents; Consequently, it guarantees the self-management of the safety and health of workers in their workplace.
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Effectiveness of using external ventricular drainage for monitoring intracranial pressure in neurocritical patients in the intensive care unit
(Universidad Privada Norbert Wiener, 2019-09-29) Murga Aranda, Oskar Luis; Aliaga Estrada, Judith Yessica; Arevalo Marcos, Rodolfo Amado
Objective: To systematically analyze the available evidence from studies carried out on the “Effectiveness of the use of external ventricular drainage for monitoring intracranial pressure in neurocritical patients in the intensive care unit.” material and method: The systematic review of the 10 scientific articles found; “Effectiveness of the use of external ventricular drainage for monitoring intracranial pressure in neurocritical patients in the intensive care unit.”, were found in the following databases Cochrane, Lilacs, Scielo, Medline Pubmed, all of them were analyzed according to the Grade scale to determine its strength and quality of evidence, Results: Of the 10 articles reviewed correspond to the methodological design of the study, 10% (1/10) randomized controlled trial, 20% (2/10) meta-analysis, 20% (2/10) observational study, 20% (2/10) retrospective study and 30% (3/10) case study. Of the 10 articles systematically reviewed, 90% (9/10) evidence the effectiveness of using external ventricular drainage for monitoring intracranial pressure in neurocritical patients in the intensive care unit. Conclusions: Of the 10 articles reviewed, 100% (10/10) evidence the effectiveness of using external ventricular drainage for monitoring intracranial pressure in neurocritical patients in the intensive care unit.
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Efficacy of low protein diets in improving kidney function in patients with chronic kidney disease
(Universidad Privada Norbert Wiener, 2020-10-11) Sullcaray Rios, Doris; Tello Rimapa, Erlita; Pretell Aguilar, Rosa María
Objective: Systematize the evidence on the effectiveness of low protein diets on kidney function in patients with chronic kidney disease. Material and methods: Systematic observational and retrospective quantitative review, subjected to critical selection, using the Grade evaluation system to identify the degree of evidence, found in the following databases: PubMed, Sciencedirect, Cochrane, Medisan, Scielo, Wiley Online Library, Elsevier, Epistemonikos all correspond to the quantitative type and design of studies: systematic review, meta-analysis, experimental and observational studies. According to the results obtained from the systematic review carried out in the present study, shown in the 10 articles systematically reviewed, 30% (n= 3/10) are systematic reviews, 10% (n= 1/10) are meta-analysis, 20 % (n= 2/10) are quantitative, 20% (n=2/10) are observational, prospective longitudinal studies, 10% (n=1/10) randomized controlled clinical trial and 10% (n=1/10) observational study. Results: In the evidence reviewed, 100% (n=10/10) demonstrate that low-protein diets improve kidney function in patients with chronic kidney disease. Conclusion: 10 of the 10 evidence demonstrate that low protein diets are effective in improving kidney function in patients with chronic kidney disease.
Acceso abierto
Efficacy of Probiotics for the Prevention of Diarrhea in Cancer Patients Undergoing Chemoradiation
(Universidad Privada Norbert Wiener, 2019-09-22) Jimenez Barrenechea, Marcia Maricruz; Quispe Lucana, Gianina Raquel; Matta Solis, Eduardo Percy
Objective: Systematize the evidence regarding the effectiveness of probiotics for the prevention of diarrhea in cancer patients undergoing chemoradiation. Materials and Methods: The design used was a retrospective and observational systematic review, which uses a specific method to summarize and synthesize the results of scientific articles. The population was made up of 19 scientific articles whose publication was in scientific databases. Selection criteria were established such as age, degree and quality of evidence, etc., through which 10 articles that represent the sample were selected. Results: In the 10 selected articles, 30% (n=3) were carried out in China, 10% (n=1) in the United Kingdom, 10% (n=1) in Canada, 10% (n=1) in Spain , 10%(n=1) in Slovakia, 10% (n=1) in Germany, 10%(n=1) in Scotland and 10%(n=1) in Thailand. Of which 30% (n=3) were Systematic Review studies, 30% (n=3) Meta-analysis and systematic review, 40% (n=4) Randomized Controlled Trial. Of 10 pieces of evidence, 100% (n=10) affirm that probiotics prevent diarrhea in cancer patients undergoing chemoradiation. Conclusions: There is high-quality evidence on the effectiveness of probiotics in preventing diarrhea in cancer patients undergoing chemoradiation.
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Efficacy of self-care intervention programs in patients with hemodialysis treatments
(Universidad Privada Norbert Wiener, 1905-07-09) Béjar Alvarado, Cinthya Madeleine; Calsin Pacompia, Wilmer
Materials and Methods: This is a Systematic Review of 08 articles, in the database Scielo, Lilacs, Medline, Epistemonikos, Cocharne Plus, Pubmed, whose search has been restricted to articles with full text, the selected articles were included the most important according to level of evidence and the least relevant were excluded. In the final selection, 07 articles were chosen, 01 systematic review, we found that 100% (08) of the research found correspond to Iran (3), Taiwan (2), Pakistan (1), France (1), and Peru ( 1); with 37.5% (03) corresponding to Iran, they are quasi-experimental studies and randomized controlled clinical trials, with 25.0%, quasi-experimental and experimental, 12.5%, experimental, 12.5% quasi-experimental and 12.5% review systematic. Results: It was evident in the research reviewed that 100% show that there is effectiveness in self-care intervention programs, before and during hemodialysis treatment. Conclusions: Self-care Intervention Programs in hemodialysis patients are effective according to research studies, which indicate improvement in self-care in lifestyles, diet, decreased anxiety, as well as life expectancy.
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Efficacy of self-care of patients with heart failure to improve quality of life
(Universidad Privada Norbert Wiener, 2019-09-01) Laos Guillen, Carmen Cecilia; Gutierrez Gonzales, Nelly; Matta Solis, Eduardo Percy
Objective: Systematize the evidence regarding the effectiveness of self-care for patients with heart failure to improve their quality of life. Materials and Methods: The design used was a retrospective and observational systematic review, which uses a specific method to summarize and synthesize the results of scientific articles. The population was made up of 40 scientific articles of which 10 articles that represent the sample were selected. Results: In the 10 selected articles, 40% (n=2) were carried out in Brazil, 20% (n=2) in Germany, 10% (n=1) in the United Kingdom, 10% (n=1) in the United States. United States, 10%(n=1) in Colombia and 10%(n=1) in Canada. Most of them were Systematic Review studies in 50% (n=6), Randomized Controlled Trial 30% (n=3), Meta-analysis 10% (n=1), quasi-experimental 10% (n=1). Of 10 pieces of evidence, 90% (n=9) affirm that self-care improves quality of life in patients with heart failure and 10% (n=1) does not show improvement in quality of life. Conclusions: There is high-quality evidence on the effectiveness of self-care in improving quality of life in patients with heart failure.
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The intermittent pneumatic compression system for the prevention of deep vein thrombosis in surgical patients
(Universidad Privada Norbert Wiener, 2019-08-18) Rondon Soria, Lourdes Joana; Ruiz Celis, Gladys Rocio; Pretell Aguilar, Rosa María
Objective: Systematize the evidence linked to the intermittent pneumatic compression system for the prevention of deep vein thrombosis in surgical patients. Material and methods: The systematic review of the 10 scientific articles evidenced on the intermittent pneumatic compression system was obtained from the following databases, Medline, Pubmed, Epistemonikos and Google academic. They were analyzed according to the Grade scale to determine the strength and quality of the evidence. Of the articles investigated, 50% (5/10) correspond to the methodological design of a Case and Control Study, 30% (3/10) are Systematic Review, 10% (1/10) are Meta-analysis, and 10% (1/10) is Randomized Controlled Trial. Results: Of the 10 articles reviewed, 100% (10/10) demonstrate that the intermittent pneumatic compression system prevents and reduces deep vein thrombosis in surgical patients. Conclusions: Of the 10 articles reviewed, 10 show that intermittent pneumatic compression prevents and reduces deep vein thrombosis in patients undergoing surgical procedures.