Examinando por Materia "Goals"

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Anxiety and depression in older adults with diabetes mellitus and/or high blood pressure who attend the outpatient clinic of the medical specialties clinic, San Borja, Lima 2022
(Universidad Privada Norbert Wiener, 2022-12-18) Gastiaburu Rojas, Yuri Silvana; Cárdenas de Fernández, María Hilda
The following research aims to determine the relationship between anxiety and depression in older adults with diabetes mellitus and high blood pressure who attend the outpatient clinic of the Clínica Especialidades Médicas, San Borja, Lima 2022. The Method will be quantitative in approach, descriptive type, cross-sectional correlational; The population is made up of 88 older adults, which will be the entire sample. To measure our objectives, the Beck Anxiety Scale (BAI) instrument will be applied to measure the first variable and the Yesavage Geriatric Depression Scale to measure the second variable. Spearman's parametric Rho correlation test will be used for the results.
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Aspects related to effective communication between nurses and patients' families
(Universidad Privada Norbert Wiener, 1905-07-09) Buendia Rojas, Claudio Dionisio; Chávez Pajuelo, Miriam Francisca; Gómez Gonzales, Walter Edgar
Objectives: Determine the aspects related to effective communication between the nurse and the patients' families in the area. Methodology/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 Jover's evaluation to identify their level of evidence. Results: In the final selection, 10 articles were chosen, we found that 40% (04) correspond to Spain, with 40% (04) we find Colombia, while with 10% (01) we find Peru and Mexico respectively. The majority of Cross-Sectional studies have been studied, with 90%, mainly in the countries of Spain, Colombia, Peru and Mexico. And with 10% we have quasi-experimental studies belonging to Spain. Where the aspects related to effective communication of the nurse with the family members considered in the majority of the articles analyzed were: Verbal aspects (Strategies to facilitate understanding), Non-verbal aspects (social skills), heterogeneous positions on the presence of the family , the identification of the nurse and finally the instrumental aspects. Conclusions: It was evident in the reviewed research that to carry out effective communication it is necessary to consider the aspects of communication.
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Aspiration of subglottic secretions as an effective alternative for the prevention of pneumonia in patients with mechanical ventilation
(Universidad Privada Norbert Wiener, 2020-02-29) Costa Pisfil, Erika Amavila; Elías Garcia, Karen Pamela; Avila Vargas Machuca, Jeannette Giselle
Objectives Systematize evidence on the effectiveness of subglottic aspirations for reducing pneumonia in patients with mechanical ventilation. Materials and Methods: Observational and retrospective systematic review, the search was based exclusively on articles with full text, and the chosen studies were subjected to a critical reading, based on the GRADE evaluation to identify their level of evidence. In the selection, 10 articles were chosen, of which 20% (2/10) correspond to the United States, 20% (2/10) Australia, 10% (1/10) to India, 20% (2/10) ) Canada, 10% (1/10) China, 10% (1/10) France and 10% (1/10) Belgium. Of these there are 2 systematic reviews, 4 meta-analyses, 3 clinical trials and 1 control study, all of high quality. Results: Of the 10 articles reviewed, 100% (10/10) demonstrated that aspiration of subglottic secretions reduces the incidence of pneumonia and edema problems compared to tracheal aspirations. Conclusions: It was shown that aspiration of subglottic secretions is effective in reducing the risk of pneumonia associated with mechanical ventilation.
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Burnout syndrome and its relationship with the work performance of the nursing staff at the Clínica Anglo Americana – Lima 2022
(Universidad Privada Norbert Wiener, 2022-12-04) Andrade Iraola, Karol Dahana; Mori Castro, Jaime Alberto
The objective of this research has been to determine the relationship between Burnout Syndrome and work performance in the nursing staff of the Surgery Service of the Clínica Angloamericana Lima 2022. Material and Method: The methodology will be approached from a quantitative approach, since that statistics will be used to demonstrate the hypothesis according to the objectives, the design will be transectional, it will also be correlational since the purpose is to determine whether both variables are related or not, descriptive by describing fundamental characteristics of the phenomenon that actually presents; showing its structure and behavior with systematic criteria aimed at measuring it with high precision in statistical and comparative analysis as there are two or more populations to be compared. As for the population, it will be made up of 108 nurses from the Angloamericana Clinic. To collect the information, the survey will be used as a technique and the questionnaire as an instrument. Spearman's Rho Coefficient will be used to test the hypothesis.
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Determination of the safe disinfectant Orthophthaldehyde versus Glutaraldehyde used by nurses in the High Level Disinfection Process
(Universidad Privada Norbert Wiener, 1905-07-09) Idrogo Maita, Zaida Karina; Ruiz Campos, Deysi; Gómez Gonzales, Walter Edgar
Objectives: Determine the safe disinfectant Orthophthaldehyde vs glutaraldehyde to be used by nurses in the high-level disinfection process. Materials and Methods: Observational and retrospective systematic review, the search has been restricted to 8 articles with full text, and the selected articles were subjected to critical reading. Published and indexed in scientific databases, dating back to the year 2000 and responding to articles published in Spanish, English and Portuguese. In the final selection, 4 articles were chosen, we found that 25% (01) corresponds to England, with 25% (01) to Spain, with 25% (01) to Brazil and while another 25% (01) we find Japan; Two systematic reviews and two cross-sectional studies were included. Results: 80% of the articles reviewed show that glutaraldehyde, compared to orthophthaldehyde, is the one that produces the most cytotoxicity at work, but that orthophthalaldehyde is still toxic. Orthophthaldehyde vs glutaraldehyde, in both cases its greatest adverse reaction when used is in the respiratory tract Conclusion: of the liquid chemical substances used as high-level disinfectants Orthophthaldehyde vs Glutaraldehyde It was evident that Glutaraldehyde is a volatile product that emanates cytotoxic substances causing effects adverse effects on the person who handles it, while Orthophthaldehyde, being exposed through inhalation, turns out to be a sensitizing this. The direct handling of high-level disinfectant substances focuses exposure on the inhalation route, requiring the use of personal protective equipment.
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Effectiveness of an educational program on knowledge and practices about healthy eating in parents of school-age children
(Universidad Privada Norbert Wiener, 1905-07-09) Robles Bocanegra, Tania Liz; Gamarra Bustillos, Carlos
Objectives: Determine the effectiveness of an educational program on knowledge and practices about healthy eating in parents of school-age children and make recommendations based on the evidence found. Materials and Methods: The search was carried out in Scielo, Lilacs, Lipecs, Medline, the information was oriented using the keywords effectiveness, educational program, knowledge, practices, food and nutrition. Where original articles published in journals were found between January 2006 and September 2016. Of a total of 25 articles, 10 articles that met the eligibility criteria were analyzed, including experimental, pre-experimental and quasi-experimental studies that met the inclusion criteria. and exclusion. The levels of evidence and strength of recommendation were then evaluated. Results: In the final selection, 10 were chosen, we found that 100% (n=10/10) of them affirm that the educational programs aimed at parents are effective in knowledge and practices about healthy eating. Conclusions: The application of an educational program has a positive impact on the knowledge and practices about healthy eating for parents of school-age children, generating healthy practices for parents in food preparation and children with adequate healthy growth and development. .
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Effectiveness of aspiration of subglottic secretions in adult patients with artificial airway to reduce complications
(Universidad Privada Norbert Wiener, 2019-09-22) Vila Poma, Ted Jhon; Villanueva Valverde, Arturo Oscar; Rivera Lozada de Bonilla, Oriana
Objectives: Systematize the evidence on the effectiveness of aspiration of subglottic secretions in adult patients with an artificial airway to reduce complications. Methodology and method: systematic and retrospective review studies, subjected to critical reading and using the GRADE evaluation system to identify the degree of evidence of articles published in PubMed, Sciencedirect, Epistemonikos, Scielo, Researchgate. Results: 80% indicate that aspiration of subglottic secretions is effective in adult patients with an artificial airway to reduce complications. 20% indicate that aspiration of subglottic secretions is not effective. Conclusions: With the aspiration of subglottic secretions, the incidence of pneumonia associated with the ventilator was reduced, and there was a decrease in the incidence of hospital stay.
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Effectiveness of coaching to strengthen nursing leadership
(Universidad Privada Norbert Wiener, 2018-01-27) Cotrina Montenegro, Esther Graciela de los Milagros; Mendigure Fernández, Julio
Systematic, observational, retrospective review. Population of 10 articles in database, full text, no older than 10 years, grade system was used to determine strength and quality of evidence; 40% of articles come from the US, 10% from Australia and the United Kingdom, 20% from Brazil and Peru. 100% of articles agree that the Coaching strategy contributes to strengthening leadership in nurse managers, with transformational leadership predominating. Strengthening leadership favors respect and satisfactory interpersonal relationships with collaborators; self-knowledge, positive attitudinal changes, security, trust, resilience and emotional maturity, contributing to greater commitment, management capacity, communication, decision making, conflict resolution, improving work performance and achievement of institutional objectives.
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Effectiveness of nursing education to reduce anxiety levels in patients undergoing surgical intervention
(Universidad Privada Norbert Wiener, 1905-07-09) Leonardo Amarillo, Angela Melina; Mendoza Taype, Isabel Juana; Gómez Gonzales, Walter Edgar
Objectives: Determine the effectiveness of nursing education to reduce anxiety levels in patients undergoing surgical intervention Materials and Methods: 10 bibliographic and documentary reviews were carried out based on evidence due to its rigorous methodology, identifying relevant studies to answer specific questions. of clinical practices, in databases Scielo, Dialnet, Index, Pubmed, Virtual Health Library. Results: In the final selection, 10 articles were chosen, we found that 40% (04) correspond to Spain, with 20% (02) we find Colombia, while with 10% (01) we find Peru, Venezuela and Brazil. respectively. Most of the quasi-experimental studies have been studied, with 40%, mainly in the countries of Venezuela, Peru and Spain, with 30% we have clinical trial studies in the countries of Spain and Brazil and with 30% cross-sectional descriptive studies belonging to to Colombia and Brazil where of the total number of articles analyzed, 80% affirm that nursing education is effective in reducing anxiety levels in patients undergoing surgical intervention. Conclusions: Within all the systematic reviews, 80% (n=08/10) demonstrated that nursing education to reduce anxiety levels in patients undergoing surgical intervention was effective since it significantly helps in coping with the process in the patient. postoperative.
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Effectiveness of Oral Hygiene with Chlorhexidine in the Prevention of Pneumonia Associated with Mechanical Ventilation in the Intensive Care Unit
(Universidad Privada Norbert Wiener, 1905-07-09) Llancari Tutaya, Saul; Meza Durán, Vanessa; Gómez Gonzales, Walter Edgar
Objectives: Determine the effectiveness of oral hygiene with chlorhexidine in the prevention of pneumonia associated with mechanical ventilation. Material and methods: A review of the medical literature was carried out, which consists of a review of 5 systematic reviews and 5 clinical trials indexed in scientific databases, which respond to articles published in Spanish and English. A search was carried out for articles indexed in Lipecs, Lilacs, Scielo, Cochrane Plus, IntraMed, using the keywords: Effectiveness of oral care AND prevention of pneumonia AND mechanical ventilation AND intensive care, Effectiveness of oral care OR prevention of pneumonia OR ventilation mechanical OR intensive care, Oral care AND prevention of pneumonia NOT mechanical ventilation, Effectiveness oral care OR prevention of pneumonia NOT mechanical ventilation, Oral care OR chlorhexidine AND ventilator-associated pneumonia. Results: 5 systematic reviews and 5 clinical trials were found, which met the inclusion criteria. It was noted that nine of the 10 reviews substantiate and show the effectiveness of chlorhexidine in the prevention of pneumonia associated with mechanical ventilation, only one mentions that it does not prevent or completely reduce chlorhexidine. . Conclusions: Oral hygiene with chlorhexidine is effective in preventing pneumonia associated with mechanical ventilation.
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Effectiveness of rapid response systems in reducing hospital mortality
(Universidad Privada Norbert Wiener, 1905-07-09) Vilela Cruz, Miguel Fabrisius; Calsin Pacompia, Wilmer
Objectives: Determine the effectiveness of rapid response systems in reducing hospital mortality. Materials and methods: The methodology was based on a systematic review, meta-analysis and the search for international articles with full text, the most important ones according to level and degree of evidence were included. Results: In the final selection, 10 articles were chosen, 80% (8) from the United States, 20% (2) from England. Where the majority of the articles analyzed with 80% affirm that there is effectiveness in rapid response systems in reducing hospital mortality. Conclusions: It was evident that in the 8 research articles reviewed there is effectiveness in rapid response systems in reducing hospital mortality. It was shown that there is efficacy in terms of: reduction in unexpected hospital mortality, rates of cardiac arrest and/or unexpected death, reductions in in-hospital code rates.
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Effectiveness of the nursing educational intervention to strengthen the self-care of patients with heart failure
(Universidad Privada Norbert Wiener, 1905-07-09) Salazar Calderón, Katherine; Amésquita Ortiz, Ana Cecilia; Gómez Gonzales, Walter Edgar
Objectives: Determine the effectiveness of nursing educational intervention in the self-care of patients with heart failure. Materials and Methods: Systematic review of 8 articles which allow us to analyze the positive impact of the educational intervention provided by the nursing professional to patients with heart failure. In the final selection, 8 articles were chosen, we found that 37.5% (3) correspond to Colombia, 25% (02) to Brazil, 25% (02) to Spain, while with 12.5% (01) we find Mexico . Results: In this systematic review of the total number of articles analyzed, 100% affirm that nursing educational interventions are effective for the self-care of patients with heart failure. The nursing educational intervention must be individualized and comprehensive when addressing the patient with Heart Failure, promoting self-care and containing aspects such as weight control, salt and fluid restriction, medications, exercise, diet and symptoms of worsening of the disease. Conclusions: All studies show that nursing intervention contributes beneficially to the self-care of patients with heart failure.
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Effectiveness of the use of mobile technological applications to improve the health care of adult patients
(Universidad Privada Norbert Wiener, 1905-07-09) Vásquez Donayre, Elizabeth Esmeralda; Remuzgo Artezano, Anika
Objectives: Determine the effectiveness of the use of mobile technological applications in the health care of adult patients. Methodology/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 medicine due to their rigorous methodology, identifying relevant studies to answer specific questions of clinical practice. (22) Results: 80% of the articles show that mobile applications promote a healthy lifestyle and improve health behaviors, in addition to being an innovative training tool, 20% of mobile applications are not prepared or adapted for elderly patients. Conclusions: 100% of the articles reviewed show that the use of mobile applications is effective in improving health care, promoting self-management of care for adult patients, and allowing permanent training of professionals, favoring multidisciplinary integration. .
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Efficacy of a closed suction system compared with open suction system on hemodynamic changes in patients with mechanical ventilation
(Universidad Privada Norbert Wiener, 2017-12-03) Ganto Yarasca, Rosario; Bonilla Asalde, César Antonio
Objectives: Systematize the evidence on hemodynamic changes in patients with mechanical ventilation as a consequence of the use of the closed aspiration system and the open aspiration system. Methodology: Observational and retrospective systematic review, the research has been restricted to articles with full text, the selected articles were subjected to a critical reading, using Jover's evaluation to identify their degree of evidence. Results: After the review, very diverse related research was obtained. In the final selection, 10 articles were selected corresponding to Brazil and Iran with 3 articles each, Turkey with 2 and Australia and Holland with 1 article each comparatively. Conclusions: It was shown that in the studies analyzed there is evidence on the effectiveness of a system closed suction system compared to the open suction system in the hemodynamic changes of patients with mechanical ventilation, 60% (6/10) demonstrated an incidence in hemodynamic changes, while 40% (4/10) do not accept hemodynamic changes or no significant changes were recorded in the use of both systems. Recommendations from consensus and specialists suggest the importance of monitoring hemodynamic changes that may occur in patients during the aspiration procedure, regardless of whether it is performed with the closed system or the open system to prevent complications. They recommend the closed aspiration system as safer. And they clarify that nursing staff should not perform aspiration as part of a scheduled routine due to possible adverse effects.
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Efficacy of anthropometric parameters as a predictor of cardiovascular risk profile in adults
(Universidad Privada Norbert Wiener, 1905-07-09) Acosta González, Ysabel Dolores; Gómez Gonzales, Walter Edgar
Objectives: Determine the effectiveness of anthropometric parameters as predictors of cardiovascular risk profile in adults. Materials 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: Of the total of ten articles analyzed, 90% affirm that anthropometric parameters predict cardiovascular risk. These articles were found in the following databases Pubmed, Medline, Elsevier, Scielo and Lilacs. Conclusions: The Anthropometric Parameters predicted the existence of three or more cardiovascular risk factors, both for adult men and adult women (elevated lipid profile, diabetes mellitus, arterial hypertension, smoking, among others).
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Efficacy of Early Dual Antiplatelet Treatment in Stroke Patients
(Universidad Privada Norbert Wiener, 1905-07-09) Flores Mory, Elvis Valeriano; Ramirez Tafur, Maria Alejandra; Gamarra Bustillos, Carlos
Objectives: systematize evidence on the effectiveness of early treatment with dual antiplatelet therapy in patients with stroke. Methodology: Observational and retrospective systematic review, the search has been restricted to articles with full text and synthesizes the results of multiple primary investigations. They are an essential part of evidence-based medicine due to their rigorous methodology, identifying relevant studies. Results: In the final selection, 10 articles were chosen, we found that 70% (07) correspond to China, with 30% (03) we found Canada, USA, Korea. Most of the quasi-experimental studies have been studied, with 70 %, mainly in China. Conclusions: 80% affirm that dual antiplatelet treatment is effective in stroke. It was evident in the reviewed research that there is efficacy in the combination of acetylsalicylic acid and clopidogrel in the treatment of adult patients with stroke. It was shown to be effective in reducing risks and complications.
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Efficacy of early goal-directed therapy to reduce mortality in patients with septic shock in critical units
(Universidad Privada Norbert Wiener, 2019-08-18) Carlos Astudillo, Yossy Isabel; Pacheco Pumarica, Merly Karol; Rivera Lozada de Bonilla, Oriana
Objective: Systematize evidence on the effectiveness of early goal-directed therapy to reduce mortality in patients with Septic Shock in critical units. Material and methods: Systematic observational and retrospective review, subjected to critical reading and using the GRADE evaluation system to identify the degree of evidence of the articles published in the following databases: PubMed, Sciencedirect, Epistemonikos, Scielo, Researchgate. Of the 10 articles systematically reviewed: 90% (n= 9/10) are meta-analyses, 10% (n= 1/10) are systematic reviews and come from the countries of China (70%), followed by Iran (10 %), the United States (10%) and Korea (10%). Results: 70% (n=7/10) indicate that early goal-directed therapy is effective in reducing mortality in patients with Septic Shock in critical units. 30% (n=3/10) indicate that early goal-directed therapy is not effective in reducing mortality in patients with Septic Shock in critical units. Conclusion: Early goal-directed therapy is effective in reducing mortality in patients with Septic Shock in critical units.
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Efficacy of preoperative inspiratory muscle training to prevent pulmonary complications in post-cardiac surgery patients
(Universidad Privada Norbert Wiener, 1905-07-09) Cardenas Aguilar, Evelyn Maybee; Romero Cabrera, Ketty Giovanna; Gómez Gonzales, Walter Edgar
Objectives: Determine the effectiveness of preoperative inspiratory muscle training to prevent pulmonary complications in post-cardiac surgery patients. Materials 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: Of the total of five articles and three systematic reviews analyzed, 100% affirm that preoperative inspiratory muscle training helps prevent pulmonary complications. These articles were found in the following databases Pubmed, Medline, Elservier, Scielo, Cochrane and Lilacs. Conclusions: Inspiratory muscle training to prevent pulmonary complications in post-cardiac surgery patients is effective.
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Efficacy of preventive nursing measures in the prevention and control of pressure ulcers in the elderly
(Universidad Privada Norbert Wiener, 1905-07-09) Peña Castillo, Yesenia Pilar; Gómez Gonzales, Walter Edgar
Objectives: Determine the effectiveness of preventive nursing measures in the prevention and control of pressure ulcers in older adults. Materials 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 Jover's evaluation to identify their degree of evidence. Results: In the final selection, 5 articles were chosen, we found that 80% (04) correspond to Spain, with 20% (01) correspond to Brazil. Systematic reviews have been studied with 40% corresponding to the country of Spain. Likewise among the quasi-experimental studies, with 40%, from the country of Spain. And with 20% we have the cross-sectional descriptive study belonging to Brazil and Spain. Whereas of the articles analyzed, 100% affirm that preventive nursing measures are effective in the prevention and control of pressure ulcers. Conclusions: It was evident in the reviewed research that there is effectiveness of preventive nursing measures in the prevention and control of pressure ulcers in the elderly.
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Efficacy of the use of self-adhesive mesh versus conventional mesh in the prevention of postoperative complications of inguinal hernioplasty in the general surgery service
(Universidad Privada Norbert Wiener, 1905-07-09) Salazar Malquichagua, Milena Nilsa; Llactahuamán Gómez, Felicita; Gómez Gonzales, Walter Edgar
Objectives: Determine the effectiveness of using self-adhesive mesh versus conventional mesh in post-inguinal hernioplasty patients. Methodology/Methods: Systematic reviews are the best effort to compile and synthesize scientific evidence on the topic, through a method that ensures that the biases and limitations that we have mentioned in 8 scientific articles published and indexed in the databases, which corresponds to articles published in Spanish. Results: In the final selection, 8 articles were chosen, we found that 20% (02) correspond to Chile, and 10% (1) in Mexico, Spain, Bolivia, Colombia, USA, Cuba respectively. Among the articles we have (6) experimental, quasi-experimental (1), cases and controls (1). Where the total of articles analyzed 60% affirm that the use of self-adhesive mesh compared to conventional mesh is long-term benefit in hernias inguinal. Conclusions: It was evident in the reviewed research that there is effectiveness of self-adhesive mesh and polypropylene mesh in preventing postoperative complications in inguinal hernia with supposed benefits in reducing surgical time and reducing postoperative pain without increasing the number of complications or recurrences.