Examinando por Materia "Heridas y Lesiones"

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Adverse events derived from nursing care: pressure injury, falls, phlebitis and blood transfusion at the Dos de Mayo National Hospital, period January – December 2018
(Universidad Privada Norbert Wiener, 2019-10-23) Añanca Cruz, Graciela Raquel; Calsin Pacompia, Wilmer
Objective: Determine the frequency of adverse events derived from nursing care: pressure injury, falls, phlebitis and blood transfusion at the Dos de Mayo National Hospital period January - December 2018. Material and method: Descriptive, cross-sectional, retrospective study. in 127 patients registered in the database of the Dos de Mayo National Hospital in the period January - December 2018. The MINSA technical standard that evaluates adverse events was used, which records the severity of the injury according to degrees. registered in the hospital secondary database. The severity of adverse events (no harm, irreversible damage, disability, and death), adverse events (pressure injuries, falls, phlebitis, and blood transfusion), and demographic data such as age and sex were considered. Results: Of the total, a high proportion of pressure injuries was determined with 73 reports (57.5%), followed by phlebitis with 26 reports (20.5%), and falls with 25 reports (19.7%). 55.9% were women, 78.7% (100 cases) had follow-up by the staff, and 71.7% (91 cases) presented no damage, of which 56 (44%) corresponded to pressure injuries and 11.8% (15) corresponded to falls. Conclusions: Pressure injuries were determined, followed by phlebitis and falls as the most frequent adverse events derived from nursing care at the Dos de Mayo National Hospital during the period January - December 2018.
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Assessment of pain in post-cholecystectomy patients in the surgery service of the Santa Rosa hospital, Lima 2021
(Universidad Privada Norbert Wiener, 2021-09-12) Chavez Castillejo, Karin Rosy; Fernández Rengifo, Werther Fernando
Pain is an unpleasant sensory, subjective and emotional experience associated with a present or potential injury, which, stimulated by multiple procedures, can have negative effects on a series of psychological, hemodynamic, metabolic and neuroendocrine responses that increase the patient's morbidity and mortality. . In this sense, it is necessary to raise awareness among professionals involved in the care of post-operative patients.
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Assessment of risk of developing pressure injuries in older adults cared for at home, users of the concepción medical center, 2021
(Universidad Privada Norbert Wiener, 2021-10-03) Camarena Cabrera, Noemí Beatriz; Fernández Rengifo, Werther Fernando
The present research will use the descriptive method, with the population being all patients over sixty years of age receiving home care at the Concepción Medical Center. Initially, the institution's authorization will be obtained to use the Braden Scale for home care assessments. Afterward, the family will be approached, and informed consent will be requested to conduct the survey using the aforementioned instrument. The patient's risk situation will be communicated, and preventive guidelines will be provided as part of the process. The project will take place at the Concepción Medical Center of EsSalud, a primary care facility, where home care is provided to 30 users aged over 60. The project will have access to the sample population following coordination with the institution. It will be explained that there will be no financial impact on the facility, as the researcher will cover the data collection costs and other related expenses.
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Calidad del cuidado y práctica de medidas preventivas de lesiones por presión en pacientes de la unidad de cuidados intensivos de un hospital de San Juan de Lurigancho
(Universidad Privada Norbert Wiener, 2025-01-26) Riveros Tomasto, Sabrina Lily; Benavente Sánchez, Yennys Katiusca
Para el desarrollo de la presente investigación se ha formulado como objetivo “determinar cuál es relación entre la calidad del cuidado y práctica de medidas preventivas de lesiones por presión en pacientes de la unidad de cuidados intensivos de un Hospital de San Juan de Lurigancho 2024”. La metodología empleada será hipotético deductivo, de tipo aplicada, con un diseño no experimental y de corte transversal correlacional, la muestra estará conformada por 150 siendo esta de carácter poblacional, por lo que se ha empleado un muestreo censal. En ese sentido se aplicarán dos cuestionarios para la medición de las variables, lo cuales presentaban los criterios de confiabilidad y validez necesarios para su aplicabilidad. Para la variable calidad de atención, se utilizará el Cuestionario anónimo sobre la calidad de atención, con 26 ítems en las dimensiones técnico científico, funcional – entorno e interpersonal humano, y, para la variable prácticas de medidas preventivas, con 19 ítems distribuidos en las dimensiones valoración de la piel, higiene, alimentación y movilización. Para analizar e interpretar los resultados obtenidos de la muestra de estudio y el uso del programa SPSS 25.0, se emplearán tablas y gráficos. Además, para evaluar la hipótesis se utilizará la prueba estadística de Spearman con un nivel de confianza del 95%, lo cual permitirá extraer conclusiones y formular recomendaciones pertinentes.
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Condición nutricional y susceptibilidad de desarrollar lesiones por presión en adultos mayores en un hospital de Lima, 2025
(Universidad Privada Norbert Wiener, 2025-04-20) Cristóbal Aquino, Karina Luz; Zavaleta Gutiérrez, Violeta Aideé
Introducción: Las ulceras ocasionadas por presión son evitables en más del 95% de los casos, sin embargo, en la práctica lasincidenciasson altas especialmente en la población adulta mayor, dentro de los factores que inciden en su aparición se mencionan la edad, disminución de la movilidad, deterioro cognitivo, sobre todo al estado de nutricional que en algunos casos previene o ayuda en la recuperación de estos problemas de salud en la piel. Objetivo: “Determinar la relación del estado nutricional y riesgo de lesiones por presión en adultos mayores en un hospital de Lima”. Metodología: investigación aplicada, de método hipotético deductivo y diseño no experimental, transversal, correlacional. Población: 140 adultos de la tercera edad. Como técnica se utilizó la observación para ambas variables, como instrumentos la “Escala Mini Nutritional Assessment (MNA)” y una “Escala de Braden-Bergstrom”. Por los resultados del Alfa de Cronbach con valor de 0.749 para la variable 1 y de 0.86 para la variable 2 se confirma la validez de losinstrumentos. Asimismo, la confiabilidad del instrumento fue por Alfa deCronbach de 0.764 y 0.910 respectivamente. Se realizará un análisis estadístico a través de método descriptivo, se medirá la frecuencia, distribución estadística mediante el Rho de Spearman.
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Conocimiento sobre la prevención de lesiones por presión y la actitud en el profesional de enfermería de áreas críticas de un hospital nacional del MINSA, Lima, 2024
(Universidad Privada Norbert Wiener, 2025-10-23) Paz Silva, Zoila Elizabeth; Rojas Carbajal, Milagros Esther
La lesión por presión (LPP) es un daño en un sitio determinado de la piel o en el tejido cubierto, resultante del acto de presionar de manera intensa o prolongada con fuerzas de cizallamiento. Mayormente se subvaloran o no se consideran como una prioridad de atención en los centros hospitalarios, esto necesita una total atención. Por ello, en este estudio el objetivo fue determinar cómo el conocimiento sobre la prevención de lesiones por presión se encuentra asociada con la actitud en el profesional de enfermería al interior de áreas críticas dentro de un Hospital Nacional del MINSA, Lima, 2024. La metodología fue cuantitativa, correlacional y no experimental, utilizando un método deductivo hipotético. La población estuvo conformada por 109 profesionales de enfermería de áreas críticas. Se empleó la técnica de encuesta para ambas variables de estudio. Los instrumentos utilizados estuvieron conformados por el Cuestionario de Conocimiento sobre Prevención de LPP (CPLPP-31), y el Cuestionario de Actitud sobre la Prevención de LPP (APuP). Los instrumentos fueron tomados de López et al., quien adaptó los instrumentos a versión español en el año 2020. Se concluyó que, existe una relación significativa entre el conocimiento sobre lesiones por presión y la actitud del profesional de enfermería, pues la magnitud obtenida mediante la prueba Rho de Spearman fue de 0,234.
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Conocimientos y prácticas en manejo de pacientes politraumatizados en personal de enfermería del área de emergencia de un hospital de Lima, 2024
(Universidad Privada Norbert Wiener, 2025-03-02) Soto Bolivar, Claudia Yudyt; Cruz Gonzales, Gloria Esperanza
Los cuidados del personal de enfermería han sido ampliamente investigados en los últimos años por el reto que implica el manejo de pacientes politraumatizados en emergencias. El proyecto se realizará con el Objetivo de “Determinar la relación de los conocimientos y prácticas en manejo de pacientes politraumatizados en el personal de enfermería de un hospital de Lima, 2024”. Método de estudio hipotético-deductivo, enfoque cuantitativo, tipo aplicativo, diseño no experimental, de corte transversal-correlacional. La Población estará conformada por 114 profesionales de enfermería. Se utilizarán dos técnicas principales: la encuesta "Cuestionario sobre el nivel de conocimientos del profesional de enfermería en el manejo de pacientes politraumatizados" y la observación "Guía de Observación sobre la práctica de manejo de pacientes politraumatizados". El instrumento inicial posee una validez de [p = 0,001] y una fiabilidad de KR-20. = 0.96; mientras que el otro instrumento muestra un valor de [p=0,002] y una fiabilidad de Alpha de Cronbach de 0.804. Los datos obtenidos serán analizados en Microsoft Excel 365 y luego examinados con el programa SPSS versión 29. Se utilizará una estadística inferencial no paramétrica a través del uso del coeficiente de asociación de Spearman.
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Efectividad de un programa de autoestiramientos en prevención de lesiones en corredores amateurs de la ciudad de Lima, 2024
(Universidad Privada Norbert Wiener, 2025-03-17) Clavo Chupillón, Rosa Angélica; Vera Arriola, Juan Américo
En la última década, el interés por el running ha crecido notablemente en Lima, con un aumento del 30% en el número de corredores regulares desde 2010. Sin embargo, este auge ha ido acompañado de un incremento en las lesiones entre corredores amateurs, con un 45% reportando al menos una lesión en los últimos dos años. Las lesiones, como distensiones musculares y tendinitis, afectan no solo el rendimiento físico, sino también la calidad de vida de los corredores. La falta de programas estructurados de prevención de lesiones contribuye a esta problemática, dejando a los corredores amateurs sin orientación adecuada. Por ello, es crucial investigar y desarrollar intervenciones específicas, como un programa de auto estiramientos, cuya efectividad aún no ha sido evaluada en esta población. El objetivo fue determinar la efectividad de un programa de auto estiramientos en la prevención de lesiones en corredores amateurs de la ciudad de Lima, 2024. Se realizó un estudio preexperimental con una muestra de 60 corredores amateurs. Se utilizó un cuestionario validado por jueces expertos y se realizó un programa de 4 semanas de intervención. Los resultados fueron: el 70% entrenaba en asfalto y la mayoría realizaba ejercicios de fortalecimiento. Tras la implementación de un programa de autoestiramientos, se registraron mejoras significativas: las lesiones previas disminuyeron del 53.3% al 5.0%, la frecuencia de estiramientos de 3-5 veces/semana aumentó del 11.7% al 63.3%, y la percepción de flexibilidad mejoró del 11.7% al 81.7%. Asimismo, las molestias musculoesqueléticas pasaron del 66.7% al 6.7%, y el rendimiento físico mejoró del 46.7% al 95.0%. Las pruebas de McNemar confirmaron la efectividad del programa, con un valor de p = 0.000 en todas las dimensiones evaluadas.
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Effectiveness in the prevention of neoplasia with the administration of the human papillomavirus vaccine in men
(Universidad Privada Norbert Wiener, 2020-09-20) Uchuya Chávez, Edgardo Manuel; Arevalo Marcos, Rodolfo Amado
Objective: to systematize the evidence on the effectiveness in preventing neoplasia with the administration of the Human Papillomavirus vaccine in men. Methodology: it is a Systematic Review where it synthesizes some results from various investigations. Likewise, it is an essential part of Evidence-Based Nursing, therefore the search has been restricted to scientific articles with high quality of evidence and with an appropriate strength of recommendation. Results: in the exhaustive selection, at the end, 10 scientific articles were chosen, among which we found systematic reviews, randomized controlled clinical trials and case-control studies where of the total articles collected, 100% affirm that the application of the vaccine against HPV in men is effective in preventing neoplasia and other infections. Conclusions: it was evident that the included investigations show a high degree of immunological effectiveness, therefore, when HPV vaccines are administered it results in prevention of the development of genital warts, pre-cancerous lesions, and most importantly, adequate prevention. of HPV infection, in this sense all of this contributes to a possible decrease in various types of neoplasms related to men.
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Effectiveness of delayed suturing for closing traumatic wounds in emergency services
(Universidad Privada Norbert Wiener, 2017-07-22) Acosta Torato, Gino Gilber; Tacilla Tocas, Elmer Obet; Gómez Gonzales, Walter Edgar
Objective: To establish the efficacy of delayed suture versus immediate suture for the closure of traumatic wounds in emergency services. Materials and Methods: This is a systematic review of scientific articles published in the last ten years in English and Spanish, located in databases such as Lilacs, Scielo, Cochrane Plus, and Medline, which focused on the efficacy of delayed suturing for the closure of traumatic wounds in emergency services. 50% of the articles were from the United States, and 12.5% were from the Netherlands, Germany, China, and Colombia, respectively. Results: 100% of the reviewed articles demonstrate the efficacy of delayed suturing for traumatic wound closure. They affirm that the existing evidence does not support the existence of an "optimal" time for primary closure of traumatic wounds, suggesting that these can be sutured regardless of the time elapsed since the injury. Conclusion: The evidence shows that in daily practice, traumatic wounds are sutured regardless of the time elapsed. With proper debridement, wound care, and control during the first 72 hours, immediate, early, or primary suturing carries low risk, is comfortable for patients, and offers cost savings.
Acceso abierto
Effectiveness of delayed suturing for closing traumatic wounds in emergency services
(Universidad Privada Norbert Wiener, 2017-07-22) Acosta Torato, Gino Gilber; Tacilla Tocas, Elmer Obet; Gómez Gonzales, Walter Edgar
Objective: To establish the efficacy of delayed suture versus immediate suture for the closure of traumatic wounds in emergency services. Materials and Methods: This is a systematic review of scientific articles published in the last ten years in English and Spanish, located in databases such as Lilacs, Scielo, Cochrane Plus, and Medline, which focused on the efficacy of delayed suturing for the closure of traumatic wounds in emergency services. 50% of the articles were from the United States, and 12.5% were from the Netherlands, Germany, China, and Colombia, respectively. Results: 100% of the reviewed articles demonstrate the efficacy of delayed suturing for traumatic wound closure. They affirm that the existing evidence does not support the existence of an "optimal" time for primary closure of traumatic wounds, suggesting that these can be sutured regardless of the time elapsed since the injury. Conclusion: The evidence shows that in daily practice, traumatic wounds are sutured regardless of the time elapsed. With proper debridement, wound care, and control during the first 72 hours, immediate, early, or primary suturing carries low risk, is comfortable for patients, and offers cost savings.
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Effectiveness of early-onset prolonged prone position in improving hypoxemia in patients with acute respiratory distress syndrome in the intensive care unit
(Universidad Privada Norbert Wiener, 2020-02-29) González Gestro, Rosaluz Elcira; Barrantes Quiñones, Rocío del Pilar; Rivera Lozada de Bonilla, Oriana
The prone position for prolonged periods and early onset improves the risk of hypoxemia in patients with ARDS. In the present work, the existing evidence on the effectiveness in the application of the prone position was systematically analyzed, of which 13 scientific articles with GRADE recommendation and strength of evidence were identified; These respond to different designs: randomized clinical trials; meta-analysis and systematic reviews of the last 10 years in countries such as Spain, the United Kingdom, Great Britain, the United States, Korea, Canada and China. Results: Of the 13 scientific articles, 100% indicate that there is effectiveness in prone positioning therapy, being chosen early and in prolonged periods, improving the hypoxemia compromise in patients with severe lung injury: ARDS. Conclusion: Prolonged prone positioning with early onset improves the risk of hypoxemia in patients with ARDS.
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Effectiveness of helicopter emergency medical services versus ground emergency services in reducing mortality in patients with severe trauma
(Universidad Privada Norbert Wiener, 2019-12-07) Morris Rios, Liz Judith; Glenni Garay, Zarely Zabeli
Objective: Systematize evidence on the effectiveness of helicopter medical services versus ground emergency services to reduce mortality in patients with severe trauma. 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: Epistemonikos, Scielo, Sciencedirect, Researchgate, PubMed. Results: Of the 10 articles systematically reviewed, 10% (n= 1/10) are meta-analysis, 20% (n= 2/10) are a systematic review, 70% (n= 7/10) are studies of cohort and come from the countries of the United States (50%), followed by Japan (20%), Germany (10%), England (10%) and Korea (10%). 100% (n=10/10) indicate that helicopter emergency medical services are more effective than ground emergency services in reducing mortality in patients with severe trauma. Conclusion: Helicopter emergency medical services are more effective than ground emergency services in reducing mortality in patients with severe trauma.
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Effectiveness of helicopter emergency transport services compared to ground transport in reducing mortality in patients with severe trauma
(Universidad Privada Norbert Wiener, 2019-06-30) Paucar Ccama, Yaned; Remache Tucno, Maria Magdalena; Arevalo Marcos, Rodolfo Amado
Material and Methods: Systematic review, subjected to analytical reading and using the GRADE evaluation system to recognize the level of evidence of articles published in the following databases: Pubmed, Sciencedirect, Epistemonikos, Scielo, Researchgate. Of the 10 articles systematically reviewed, 50% are of high quality and 50% of moderate quality as described below: 30% (n= 3/10) are systematic reviews, 20% (n= 2/10) are systematic reviews. They are randomized controlled trials and 50% (n= 5/10) are cohort studies and belong to the countries of the United States (50%), followed by Japan (20%), England (10%), Korea (10%) and Germany (10%). Results: 100% (n=10/10) that the helicopter emergency transportation service is effective compared to the ground transportation service in reducing mortality in patients with severe trauma. Conclusion: the emergency helicopter transport service is effective in reducing mortality in patients with severe trauma.
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Effectiveness of honey dressings in the management of chronic wounds in improving tissue reepithelialization
(Universidad Privada Norbert Wiener, 2019-10-13) Orellana Espinoza, María Isabel; Encalada Torres, Rossio Sandra; Calsin Pacompia, Wilmer
Objective: To review the evidence on the effectiveness of honey bee dressings in managing chronic wounds and improving tissue reepithelialization. Methodology: This is a quantitative study, with a systematic review design. The population consisted of 40 articles, and the sample was 9 scientific articles published and indexed in scientific databases. The instrument used was a database search: Cochrane Library, Scielo, British Medical Journal, PubMed, Online Library, EBSCO. The GRADE system was used for evaluating the articles, which assessed the quality of evidence and strength of recommendations. Results: All articles (100%) are from the USA. Regarding the study designs, 40% are case-control studies, 20% are meta-analyses, and 40% are systematic reviews. Conclusion: 90% of the studies show the effectiveness of honey bee dressings in managing chronic wounds, improving reepithelialization, reducing pain, and improving scars. 10% of the meta-analysis concludes that many of the included studies have methodological issues and that the quality of certain studies is low, which complicates the formulation of definitive guidelines.
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Effectiveness of hydrocolloid in the management of pressure ulcers
(Universidad Privada Norbert Wiener, 1905-07-09) Machado Zamudio, Fresia Carolina; Muchaypiña Canales, Gladys Leticia; Mendigure Fernández, Julio
It is evident that in 60% (n=06/10) the use of Hydrocolloid is effective in the management of pressure ulcers; Since the dressings promote effective epithelialization and healing of wounds, they show an advantage over traditional healing, as they are an advanced technology treatment, achieving an adequate cost-benefit. On the other hand, 40% (n=04/10) of studies made a comparison with other dressings, where the statistical data were not sufficient to affirm the effectiveness of hydrocolloids.
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Effectiveness of hyperoxygenated fatty acids in the prevention and treatment of pressure injuries
(Universidad Privada Norbert Wiener, 2017-12-03) Chávez Rengifo, María Luisa; Valverde Bautista, Jennifer; Avila Vargas Machuca, Jeannette Giselle
Analyze and systematize the evidence on the effectiveness of hyperoxygenated fatty acids in the prevention and treatment of pressure injuries. Materials and Methods: The type of study is qualitative, the study design is a systematic review, the web page search system, Lilacs, Pubmen, Ebsco, Scielo, the evidence and strength of recommendation for each article were determined, through the GRADE method. Results: Population 25 articles with the sample being 10 articles, the percentage in countries Spain 90%, Colombia 10%, the type of quantitative study 50%, qualitative 50%, the study design is a systematic review. Conclusions: After the systematic review of 100% of 10/10 concludes: 100% of articles show that hyperoxygenated fatty acids are effective because they increase blood microcirculation, reducing the risk of ischemia, facilitate the renewal of epidermal cells, enhance cellular cohesion of the epidermis, increase the skin's resistance to the causative agents of pressure ulcers, prevent dehydration skin, protect against friction, reduce skin fragility, reduce the effect of free radicals.
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Effectiveness of negative pressure therapy in the healing of chronic foot wounds in patients with diabetes
(Universidad Privada Norbert Wiener, 2020-01-25) Rodríguez Chula, Elsa del Milagro; García Carmona, María Eugenia; Arevalo Marcos, Rodolfo Amado
Material and methods: The studies are systematized through a review of international research articles and existing scientific literature. These are subjected to a selection using the Grade evaluation system in order to assign the degree of evidence, using the basis LILACS, DECS, SCIELO, COCHRANE, PUBMED, ELSEVIER AND MESH data; for the search in Spanish and English respectively. The selection of articles was carried out using previously established inclusion and exclusion criteria. Only randomized clinical trials were included in this review. Conclusion: 10/10 of the articles analyzed agree that negative pressure therapy is an effective adjuvant therapeutic modality since it reduces the time of the healing process with a minimum rate of complications, of chronic foot wounds of patients with diabetes. and therefore the decrease in the number and time of hospitalizations and additional surgical interventions, which consequently reduces costs.
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Effectiveness of non-sterile water vs sterile water in wound cleaning and reducing infections
(Universidad Privada Norbert Wiener, 2020-02-16) Guerrero Loyola, Blanca Rocío; Seminario Bravo, Lucy Fabiola; Uturunco Vera, Milagros Lizbeth
Objective: Systematize the evidence from the studies carried out on the effectiveness of non-sterile water vs. sterile water in cleaning wounds and reducing infections. Materials and Methods: The population was made up of 16 articles and the sample was 10 scientific articles on the effectiveness of non-sterile water vs. sterile water in cleaning wounds and reducing infections, published in the Lilacs databases. , Scielo, Medline, Pubmet, Dialnet and Epistemonikos, in Spanish, English and Portuguese. All of them analyzed according to the Grade scale to determine their strength and quality of evidence. Results: Of the 10 pieces of evidence, according to the type of research, the following belong: United States 20%, Brazil 20%, Australia 10%, Japan 10%, Spain 10%, Taiwan 10%, England 10% and Iran 10% respectively. The largest proportion of the studies correspond to Randomized Clinical Trials with 60% (6/10), Systematic Review with 30% (3/10) and Meta-analysis with 10% (1/10). Conclusions: Of the total of 10 articles reviewed, 100% (n=10/10) show that non-sterile water in cleaning wounds is equally effective as using sterile water and does not increase the infection rate, therefore , in the absence of sterile water, non-sterile water, warm boiled water can be used for wound cleaning.
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Effectiveness of polyhexanide-betadine use to reduce healing time and bacterial load in the cleaning of chronic wounds
(Universidad Privada Norbert Wiener, 2018-07-08) Cordova Purizaca, Magaly Jakeline; Yacolca Galarza, Rocío Mery; Bonilla Asalde, César Antonio
The observational and retrospective systematic reviews: The search was restricted to full-text articles, and the selected articles were subjected to a critical reading, using the GRADE evaluation to identify their level of evidence. Results: In the final selection, 11 reviewed articles located in the PubMed and SciELO databases were chosen. These articles demonstrate that the use of polyhexanide-betaine is effective in the cleaning of chronic wounds: it reduces healing time, bacterial load, and pain. Conclusions: The reviewed studies provide evidence of the effectiveness of polyhexanide-betaine, as it provides favorable conditions for cleaning chronic wounds: it reduces inflammatory signs, bacterial load, and pain, accelerating the healing process.