Examinando por Materia "Evaluation of the Efficacy-Effectiveness of Interventions"

Mostrando 1 - 13 de 13

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Effective interventions for pain control in surgical abortion
(Universidad Privada Norbert Wiener, 2017-07-22) Cachay Ruiz, Jacquelin Alexandra; Villacorta de Chamoli, Marysabel; Gómez Gonzales, Walter Edgar
Objective: To systematize the available evidence on effective interventions for pain control in surgical abortion. Materials and Methods: This is a systematic review, in which relevant studies are identified to answer specific questions related to clinical practice. The search was restricted to full-text articles, and the selected articles were subjected to critical reading, using the GRADE system to assign the strength of recommendation. Results: The systematic review of the 07 scientific articles on effective therapeutic methods for pain control in surgical abortion were found in the following databases: PubMed, Medline, Elsevier, Ebsco, and Cochrane Plus. All of them correspond to the type and design of studies: systematic reviews 02, randomized clinical trials 04, and quasi-experimental 01. Conclusions: 33% (n=02/07) of the reviewed articles show that there are various methods for pain control in surgical abortion. These methods can be divided into local anesthesia, conscious sedation, general anesthesia, and non-pharmacological methods. However, they do not specify the most effective therapeutic method for postoperative pain control in these types of interventions. 67% (n=05/07) conclude that the therapeutic method of conscious sedation with a paracervical block improves postoperative pain control in surgical abortion. However, the results are not conclusive, so further studies are needed to determine any benefit. In the meantime, the decision remains at the discretion of the physician, supported by the specialist nurse in the surgical center.
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Effective interventions in managing anxiety and depression in patients with chronic renal failure undergoing dialysis treatment.
(Universidad Privada Norbert Wiener, 2018-08-12) Olórtegui Ludeña, Karlota; Silva Angulo, Mayra Berenizze; Calsin Pacompia, Wilmer
The present study is quantitative and the study design is a systematic review. The instruments used were the following databases: Scielo, Epistemonikos, and PubMed. The population consisted of 35 reviewed articles, from which a sample of 10 articles was selected. Results: In our study, we found that 90% of the reviewed articles state that effective interventions for the management of anxiety and depression are primarily multidisciplinary work that includes psychotherapeutic strategies and family and social support; only one article refers to physical activity, rather than psychological therapy, as significantly decreasing anxious and depressive symptoms. Conclusions: The effective interventions for managing anxiety and depression in patients with renal failure undergoing dialysis are: multidisciplinary work, family and social support, nursing counseling, and physical activity.
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Effective interventions to improve adherence to micronutrient consumption in children aged 6 to 35 months
(Universidad Privada Norbert Wiener, 2018-08-04) Chirito Laurencio, Silvia Isabel; La Rosa Calle, Gabriela Alcira; Avila Vargas Machuca, Jeannette Giselle
Objective: To analyze the evidence regarding effective interventions to improve adherence to micronutrient consumption in children aged 6 to 35 months. Materials and Methods: Systematic reviews are an observational and retrospective research design that synthesizes the results of multiple primary studies, which are an essential part of evidence-based nursing due to their rigorous methodology, identifying relevant studies to answer specific questions in clinical practice. For this, only full-text articles were selected, and the chosen articles were subjected to critical reading. Results: A total of 10 articles were selected, and 80% of them confirm that the application of effective interventions improves adherence to micronutrient consumption in children aged 6 to 35 months. Conclusions: The reviewed studies demonstrated significant effectiveness in interventions for adherence to micronutrient consumption, as well as a positive attitude from mothers during the implementation of interventions carried out by healthcare professionals.
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Effective interventions to improve adherence to micronutrient consumption in children aged 6 to 35 months
(Universidad Privada Norbert Wiener, 2018-08-04) Chirito Laurencio, Silvia Isabel; La Rosa Calle, Gabriela Alcira; Avila Vargas Machuca, Jeannette Giselle
Objective: To analyze the evidence regarding effective interventions to improve adherence to micronutrient consumption in children aged 6 to 35 months. Materials and Methods: Systematic reviews are an observational and retrospective research design that synthesizes the results of multiple primary studies, which are an essential part of evidence-based nursing due to their rigorous methodology, identifying relevant studies to answer specific questions in clinical practice. For this, only full-text articles were selected, and the chosen articles were subjected to critical reading. Results: A total of 10 articles were selected, and 80% of them confirm that the application of effective interventions improves adherence to micronutrient consumption in children aged 6 to 35 months. Conclusions: The reviewed studies demonstrated significant effectiveness in interventions for adherence to micronutrient consumption, as well as a positive attitude from mothers during the implementation of interventions carried out by healthcare professionals.
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Effective interventions to reduce chronic occupational low back pain in nursing staff
(Universidad Privada Norbert Wiener, 2019-01-06) Loayza Quequejana, Lilian Wendy; García Salazar, Eymi Carolina; Glenni Garay, Zarely Zabeli
Objective: Systematize the evidence on effective interventions to reduce chronic occupational low back pain in nursing staff. Materials and methods: Observational and retrospective systematic review. The search was restricted to systematic reviews with full text, which were selected for having undergone critical reading, using the GRADE assessment to identify their level of evidence. Of the 10 international systematic reviews found, 60% (6) were randomized trials, 30% (3) were clinical trials, and 10% (1) was a systematic review. Results: It was observed that, when selecting the systematic reviews, the results showed that 100% of the evidence demonstrates that interventions to reduce chronic occupational low back pain in nursing professionals are effective. Conclusions: It is concluded that 100% of the interventions are effective in reducing chronic occupational low back pain in nursing staff.
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Effectiveness of advanced wound care versus traditional wound care in wound healing in adult patients
(Universidad Privada Norbert Wiener, 2018-12-16) Sánchez Alvarez, Yesenia; Cárdenas Mollo, Verónica Eulalia; Uturunco Vera, Milagros Lizbeth
Objective: Systematize the evidence on the effectiveness of advanced care versus traditional care in wound healing in adult patients. Materials and Methods: The Systematic review consists of 10 scientific articles identified in the following databases: Indexf, Scielo, Epistemonikos, Pubmed, Gicos, Ecitydoc, Medigraphic, Inheridas. By the type of design. By type of design: Within the 10 evidence, the research design belongs 30% (3/10) Systematic review, 10% (1/10) Systematic review and meta-analysis, 10% (1/10) controlled study and randomized, 10% (1/10) Open experimental, 10% (1/10) Case and control, 10% (1/10) cohort study, 10% (1/10) prospective randomized analytical study, 10% (1/10) experimental clinical trial. By type of quality: Of the total of 10 pieces of evidence, 60% (6/10) are of high quality, 30% (3/10) of moderate quality, and 10% (1/10) are of low quality. By country of origin: This present study comes from the countries of Mexico (20%), Spain (20%), Brazil (10%), Venezuela (10%), Colombia (10%), Peru (10%) , Chile (10%) and Switzerland (10%). Results: 100% (n = 10/10) of the evidence found indicates that the use of advanced healing is more effective than the use of traditional healing in the healing of wounds in adult patients. Conclusions: This study concluded that the most appropriate therapy for the treatment of wound healing in adult patients and according to the bibliography consulted, expresses greater effectiveness compared to the use of traditional healing where greater complications are evident, in addition to The use of advanced care ensures a better clinical evolution, accelerating the prompt healing of the wound, avoiding the risk of infection, reducing mortality and hospital stay.
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Effectiveness of early ambulation to reduce headache and low back pain in patients with epidural anesthesia in the immediate postoperative period
(Universidad Privada Norbert Wiener, 2017-07-22) López Rengifo, Lady Kelly; Tello Vásquez, Marilu; Gómez Gonzales, Walter Edgar
Objective: To systematize the available evidence on the efficacy of early ambulation in reducing headache and lower back pain in patients with epidural anesthesia in the immediate postoperative period. Materials and Methods: A systematic review of 05 scientific articles on the efficacy of early ambulation to reduce headache and lower back pain in patients with epidural anesthesia in the immediate postoperative period, which were found in the following databases: Ebsco, Scielo, Medline, and Cochrane Plus. All of these studies correspond to the following types and designs: 01 systematic review, 01 randomized clinical trial, 01 experimental study, and 02 cross-sectional studies. Results: Of the 05 reviewed articles, 60% (n = 03/05) with the highest quality of evidence and strength of recommendation show and suggest that early ambulation is the best intervention to reduce headache and lower back pain in patients with epidural anesthesia in the immediate postoperative period. Conclusions: Early ambulation is the best intervention to reduce headache and lower back pain in patients with epidural anesthesia in the immediate postoperative period.
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Effectiveness of early ambulation to reduce headache and low back pain in patients with epidural anesthesia in the immediate postoperative period
(Universidad Privada Norbert Wiener, 2017-07-22) López Rengifo, Lady Kelly; Tello Vásquez, Marilu; Gómez Gonzales, Walter Edgar
Objective: To systematize the available evidence on the efficacy of early ambulation in reducing headache and lower back pain in patients with epidural anesthesia in the immediate postoperative period. Materials and Methods: A systematic review of 05 scientific articles on the efficacy of early ambulation to reduce headache and lower back pain in patients with epidural anesthesia in the immediate postoperative period, which were found in the following databases: Ebsco, Scielo, Medline, and Cochrane Plus. All of these studies correspond to the following types and designs: 01 systematic review, 01 randomized clinical trial, 01 experimental study, and 02 cross-sectional studies. Results: Of the 05 reviewed articles, 60% (n = 03/05) with the highest quality of evidence and strength of recommendation show and suggest that early ambulation is the best intervention to reduce headache and lower back pain in patients with epidural anesthesia in the immediate postoperative period. Conclusions: Early ambulation is the best intervention to reduce headache and lower back pain in patients with epidural anesthesia in the immediate postoperative period.
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Effectiveness of nursing educational interventions to increase treatment adherence in patients with heart failure.
(Universidad Privada Norbert Wiener, 2017-11-24) Aquise Paco, Blanca Raquel; Rivera Lozada de Bonilla, Oriana
Objective: To systematize the effectiveness of nursing educational interventions to increase treatment adherence in patients with heart failure. Materials and Methods: A systematic observational and retrospective review that synthesizes the results of multiple primary studies, where 11 scientific articles were selected. These studies were conducted in different countries, with 60% from Colombia, 20% from Brazil, and 20% from Spain and Chile, respectively. The majority of the studies were quasi-experimental and randomized clinical trials, each accounting for 30%, followed by systematic reviews at 20%. Cohort and cross-sectional analytical studies each accounted for 20%. Results: Of the 100% of the articles analyzed, it was found that multidisciplinary team educational interventions reduce hospital readmission rates, increase adherence to pharmacological and non-pharmacological treatments, and improve the quality of life of heart failure patients through various nursing interventions (outpatient consultations, educational sessions, phone follow-up, text messages, emails, home visits). Conclusions: Of the total articles reviewed, 100% (11/11) demonstrated that nursing interventions increased treatment adherence. Furthermore, hospital readmission rates and emergency room visits were reduced, and self-care levels improved in patients with heart failure.
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Efficacy of nursing interventions for pain assessment in the emergency department.
(Universidad Privada Norbert Wiener, 2018-07-08) Serna Paucar, Julio Cesar; Trebejo Casimiro, Liliana Saida; Glenni Garay, Zarely Zabeli
Objective: To systematize evidence on the effectiveness of nursing interventions for pain assessment in emergency service patients. Materials and Methods: A retrospective systematic review of national and international research articles obtained through database searches in Epistemonikos, PubMed, Elsevier, Scielo, Science Direct, and Open Access. The articles were selected after undergoing critical reading and evaluated using the GRADE system to determine their level of evidence. The selection of systematic reviews showed that 70% (7/10) of the articles were from the USA, 20% (2/10) from New Zealand, and 10% (1/10) from Australia. Results: 30% of the evidence indicates that nursing interventions for pain assessment and management in emergency service patients are effective. However, 70% of the evidence suggests that the interventions need improvement to achieve better application outcomes. Conclusions: Of the 10 articles reviewed, 7 concluded that nursing interventions require improvement to achieve better results in pain assessment and management, while 3 concluded that they are effective for the indicated type of intervention.
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Non-pharmacological effective interventions for pain management in postoperative patients
(Universidad Privada Norbert Wiener, 2017-08-05) Murga Delgadillo, María del Pilar; Remuzgo Artezano, Anika
Objective: To evaluate evidence on effective non-pharmacological interventions for pain management in postoperative patients. Materials and Methods: A systematic review of 10 selected articles through the databases PubMed, Elsevier, Science Direct, Redalyc, and Dialnet. Of the 10 pieces of evidence, 100% (n=10/10) of the research type was quantitative (19,20,21,22,23,24,25,26,27,28). The 10 articles reviewed systematically included 40% (4) systematic reviews, 30% (3) quasi-experimental studies, 20% (2) experimental studies, and 10% (1) cohort study. Results: The interventions representing 70% (n=7/10) were educational interventions. 40% (n=4/10) included relaxation therapy and music. 30% (n=3/10) involved preoperative evaluation and massage application. Other reviewed factors representing 10% (n=1/10) included breathing exercises, aromatherapy, and distraction. Conclusion: The primary non-pharmacological intervention effective for pain management in postoperative patients is the educational intervention.
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Non-pharmacological effective interventions for relieving infant colic
(Universidad Privada Norbert Wiener, 2018-07-08) Rodriguez Durán, Elio Blademir; Santivañez Ayala, Yvanna Luz; Avila Vargas Machuca, Jeannette Giselle
Objective: To systematize the evidence on the effectiveness of non-pharmacological interventions for the relief of infant colic. Materials and Methods: A systematic review synthesizing the results of primary research, an essential component of evidence-based nursing due to its methodology, addressing specific clinical practice questions. Full-text articles were considered, subjected to critical reading, using the GRADE system to assign the strength of recommendation. Ten articles were selected, including randomized clinical trials (40%) from the USA, Iran, Australia, and Spain; systematic reviews (30%) from Colombia and Australia; meta-analyses (20%) from Spain and the USA; and a prospective longitudinal study (10%) from Austria. Results: Of the 10 articles analyzed, 100% of the non-pharmacological interventions are effective in relieving infant colic. Effective interventions include probiotics (30%), massage (20%), breastfeeding (20%), vented bottles (10%), lactose-free formulas (10%), and maternal diet without allergens (10%). Conclusions: The research demonstrated that 10 out of 10 articles show that infant patients treated with non-pharmacological interventions improve in a favorable and effective manner, achieving prompt recovery. These interventions include the administration of probiotics, breastfeeding, massage, lactose-free formula, and allergen-free diets, enhancing infant well-being and quality of life while reducing parental anxiety.
Acceso abierto
Non-pharmacological effective interventions for relieving infant colic
(Universidad Privada Norbert Wiener, 2018-07-08) Rodriguez Durán, Elio Blademir; Santivañez Ayala, Yvanna Luz; Avila Vargas Machuca, Jeannette Giselle
Objective: To systematize the evidence on the effectiveness of non-pharmacological interventions for the relief of infant colic. Materials and Methods: A systematic review synthesizing the results of primary research, an essential component of evidence-based nursing due to its methodology, addressing specific clinical practice questions. Full-text articles were considered, subjected to critical reading, using the GRADE system to assign the strength of recommendation. Ten articles were selected, including randomized clinical trials (40%) from the USA, Iran, Australia, and Spain; systematic reviews (30%) from Colombia and Australia; meta-analyses (20%) from Spain and the USA; and a prospective longitudinal study (10%) from Austria. Results: Of the 10 articles analyzed, 100% of the non-pharmacological interventions are effective in relieving infant colic. Effective interventions include probiotics (30%), massage (20%), breastfeeding (20%), vented bottles (10%), lactose-free formulas (10%), and maternal diet without allergens (10%). Conclusions: The research demonstrated that 10 out of 10 articles show that infant patients treated with non-pharmacological interventions improve in a favorable and effective manner, achieving prompt recovery. These interventions include the administration of probiotics, breastfeeding, massage, lactose-free formula, and allergen-free diets, enhancing infant well-being and quality of life while reducing parental anxiety.