Examinando por Materia "Inmovilización"

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Acceso abierto
Complicaciones del uso del collarín cervical en pacientes traumatizados que requieren inmovilización
(Universidad Privada Norbert Wiener, 2017-11-12) Montero Crisologo, Diana Carolina; Gamarra Bustillos, Carlos
Metodología: Revisión Sistemática, observacional y retrospectivo, la búsqueda se ha restringido a artículos con texto completo, y los artículos seleccionados se sometieron a una lectura crítica para identificar su grado de evidencia. En la selección definitiva se eligieron 10 artículos, encontramos que el 30% (03) corresponden a Estados Unidos, con un 20% (02) en Holanda, mientras que con un 10% (01) encontramos a Inglaterra, Irán, Noruega, Australia e Islandia respectivamente. Entre las revisiones sistémicas encontramos a los países de Estados Unidos, Noruega, Inglaterra e Irán que con lleva a un 40% de los estudios realizados, también con un 20% tenemos estudios prospectivos pertenecientes a Australia y Holanda, un 20% de estudios retrospectivo realizados en EE.UU y Holanda, 10% corresponde a un ensayo de controlado aleatorio de EE.UU. Resultados: De los 10 artículos encontrados 6 de ellos nos mencionan que una de las primeras complicaciones más frecuentes son las úlceras por presión, seguido de 2 artículos que nos refieren que existe un incremento de la presión intracraneal causado por el ajuste excesivo del collarín cervical y 2 artículos donde los autores coinciden con la presencia de úlceras por presión e incremento de la presión intracraneal de esta manera pudimos confirmar que existen complicaciones del uso del collarín cervical en pacientes traumatizados que requieren inmovilización. Los autores confirman que las úlceras por presión son debido al tipo de piel del paciente y al tiempo de uso del collarín Conclusiones: Del total de artículos analizados el 100% confirma que el uso del collarín cervical produce compilaciones tales como ulceras por presión en nivel primario y secundario, presión venosa yugular y presión interfaz tisular en pacientes traumatizados que requieren inmovilización.
Acceso abierto
Complications of cervical collar use in trauma patients requiring immobilization
(Universidad Privada Norbert Wiener, 2017-11-12) Montero Crisologo, Diana Carolina; Vega López, Karen Rocio; Gamarra Bustillos, Carlos
Methodology: Systematic, observational and retrospective review, the search has been restricted to articles with full text, and the selected articles were subjected to a critical reading to identify their level of evidence. In the final selection, 10 articles were chosen, we found that 30% (03) correspond to the United States, with 20% (02) in Holland, while with 10% (01) we find England, Iran, Norway, Australia and Iceland respectively. Among the systemic reviews we find the countries of the United States, Norway, England and Iran, which account for 40% of the studies carried out, also with 20% we have prospective studies belonging to Australia and Holland, 20% of retrospective studies carried out in the US and the Netherlands, 10% corresponds to a US randomized controlled trial. Results: Of the 10 articles found, 6 of them mention that one of the first most frequent complications are pressure ulcers, followed by 2 articles that tell us that there is an increase in intracranial pressure caused by excessive adjustment of the cervical collar and 2 articles where the authors agree with the presence of pressure ulcers and increased intracranial pressure. In this way we were able to confirm that there are complications from the use of the cervical collar in traumatized patients who require immobilization. The authors confirm that pressure ulcers are due to the patient's skin type and the length of time the collar is worn. Conclusions: Of the total number of articles analyzed, 100% confirm that the use of the cervical collar produces compilations such as pressure ulcers at primary and secondary level, jugular venous pressure and tissue interface pressure in traumatized patients requiring immobilization.
Acceso abierto
Conocimientos y prácticas en inmovilización cervical de politraumatizados por enfermeros del sistema de atención móvil de urgencia y emergencia, Lima – 2024
(Universidad Privada Norbert Wiener, 2024-09-29) Berrocal Medina, Nora Corazon; Basurto Santillán, Ivan Javier
El objetivo principal del presente estudio de investigación será determinar cuál es la relación entre el conocimiento y la práctica en inmovilización cervical de politraumatizados por los enfermeros del sistema de atención móvil de urgencia y emergencia de Lima-2024. 4. La muestra consistirá en 114 profesionales de enfermería que laboran en el sistema de atención móvil de urgencia y emergencia (SAMU). El método utilizado será hipotético-deductivo bajo un enfoque cuantitativo aplicado, utilizando el diseño no experimental de corte transversal y de correlación. Los datos recolectados sobre el conocimiento se realizará mediante encuestas, mientras que las prácticas serán observadas directamente. Los instrumentos que se emplearán será el cuestionario sobre el manejo del paciente politraumatizado y una lista de cotejo sobre las prácticas de cuidado de enfermería en pacientes politraumatizados, los dos instrumentos fueron validados por especialistas en el área, la confiabilidad evaluada fue a través del coeficiente Alfa de Cronbach (0.759 y 0.77). La información recopilada se estructurará en una base de datos para su análisis estadístico posterior, utilizando la prueba de chi-cuadrado para contrastar los resultados.
Acceso abierto
Effectiveness of immobilization using the cervical collar in the transfer of polytraumatized patients
(Universidad Privada Norbert Wiener, 2019-05-19) Vicente Yataco, Wilmer Fernando; Yanamango León, Jose Luis; Pretell Aguilar, Rosa María
Objective: Systematize the evidence on the effectiveness of the use of cervical collar in polytraumatized patients to prevent sequelae and disabilities. MATERIAL AND METHOD: Systematic observational and retrospective review, the search has been restricted to articles with full text, using Jover's evaluation to identify its level of evidence. The systematic review of the 10 scientific articles evidenced on the effectiveness of the use of cervical collar in polytraumatized patients to prevent sequelae and disabilities, were obtained from the following databases Pubmed, Medline, Embase, Cochrane Library, Dialnet, Scielo, and Lilacs . They were analyzed according to the Grade scale to determine the strength and quality of the evidence. Of the 10 articles, 80% (8/10) correspond to the methodological design of a systematic review, and 20% (2/10) are randomized studies. Results: Of the 10 articles reviewed, 70% (7/10) demonstrate that the effectiveness of the use of cervical collar in polytraumatized patients in the short term prevents sequelae and disabilities, in immobilization and transportation from the scene of an accident to the hospital; and 30% (3/10) show that the use of cervical collar in long-term polytraumatized patients produces cerebral edema, pressure ulcers, muscle exhaustion, jugular and tissue venous pressure. Conclusions: Of the 10 articles reviewed, 7 of 10 show that the use of cervical collar in polytrauma patients in the short term is effective for immobilization and transportation from the scene of an accident to the hospital; and 3 out of 10 show that the use of the cervical collar in long-term polytraumatized patients produces cerebral edema, pressure ulcers, muscle exhaustion, jugular and tissue venous pressure.
Acceso abierto
Effectiveness of prehospital spinal immobilization in polythraumatized patients for the reduction of neurological deterioration
(Universidad Privada Norbert Wiener, 2019-08-04) Tinedo Yarma, Gisella; Peña Peña, Claudio Luis; Calsin Pacompia, Wilmer
Objective: To systematize the evidence on the effectiveness of prehospital spinal immobilization in polytraumatized patients for the reduction of neurological deterioration. Material and method: The type was quantitative, the design was systematic review which is observational and retrospective, 10 articles from the following databases were taken into account. Of the 10 articles, 70% (7/10) correspond to the methodological design of systematic review, and 30% (3/10) are retrospective studies. Results: It was evidenced that some authors agree that with an adequate and timely prehospital spinal immobilization in polytraumatized patients, neurological deterioration can be reduced; with other authors indicating that they were not effective for the reduction of neurological deterioration; therefore, spinal immobilization in polytraumatized patients is essential to minimize spinal cord injury secondary to poor mobilization of the patient during transfer. Conclusions: Of the 10 articles reviewed, 60% of articles demonstrated that prehospital spinal immobilization in polytrauma patients was effective in reducing neurological deterioration; and 40% of articles demonstrated that prehospital spinal immobilization in polytrauma patients was not effective in reducing neurological deterioration.
Acceso abierto
Effectiveness of spinal board versus vacuum mattress for spinal immobilization in patients at risk of spinal injury
(Universidad Privada Norbert Wiener, 2020-01-05) Claros Chavez, Oscar Oswaldo; Palomino Bedregal, Katherine Lizzet; Arevalo Marcos, Rodolfo Amado
Objective: Systematize the evidence of the effectiveness of the spinal board versus the vacuum mattress for the immobilization of the spinal column in patients at risk of spinal injury. Material and Methods: Systematic observational and retrospective quantitative review, subject to critical selection, using the Grade evaluation system to establish the degree of evidence, located in the following databases: Scielo, Researchgate, Sciencedirect, Epistemonikos, PubMed. Of the 10 articles systematically reviewed, 40% (n= 4/10) are systematic reviews, 20% (n= 2/10) are randomized controlled trials and 40% (n= 4/10) are quasi-experimental studies. According to the results acquired from the systematic review carried out in the present study of the countries of the United States (60%), followed by Germany (10%), Iran (10%), Norway (10%) and Denmark (10% ). Results: In this way, of the evidence found, 70% (n=7/10) (20, 21, 22, 24, 25, 27,28) indicate that the spinal board and the vacuum mattress are equally effective to immobilize the spinal column in patients with spinal risk. 20% (n=2/10) (23, 26) indicate that the spinal board is more effective than the vacuum mattress to immobilize the spinal column in patients with spinal risk. 10% (n=1/10) (19) point out that the vacuum mattress is more effective than the spinal board to immobilize the spinal column in patients with spinal risk. Conclusion: The spinal board has the same effectiveness as the vacuum mattress for spinal immobilization in patients at risk of spinal injury.
Acceso abierto
Nivel de conocimiento sobre inmovilización cervical en el traslado al paciente y la práctica del profesional de enfermería del servicio de emergencia IPRESS Lima RIS Huarochirí. 2025
(Universidad Privada Norbert Wiener, 2025-02-02) Vivanco Isla, Jady Elena; Quispe Mejía, Juan Carlos
La presente investigación tiene como objetivo general determinar cómo es el nivel de conocimiento sobre inmovilización cervical en el traslado al paciente, se relaciona con la práctica del profesional de enfermería del servicio de emergencia. El estudio empleara una metodología de tipo aplicativo, con diseño no experimental, de enfoque cuantitativo, con nivel correlacional y de corte transversal con una muestra representativa de 25 profesionales de enfermería del servicio de emergencia de la IPRESS Lima RIS Huarochirí 2025, a quienes se les aplicara un cuestionario de conocimiento de 27 y un cuestionario de Prácticas de 20 preguntas dicotómica. Para el proceso de la información se utilizará el programa estadístico Microsoft Excel para la vaciar los datos y su tabulación de los reactivos, para el análisis de datos y presentación en tablas de doble entrada, se utilizará el programa estadístico SPSS 35. Por otro lado, se empleará una prueba de normalidad para determinar el empleo del coeficiente de Rho de Spearman para contrastar las hipótesis del estudio. Nos muestra el marco administrativo, el cronograma de actividades y el presupuesto que se necesitara para el desarrollo del proyecto. Finalmente se encuentra los antecedentes bibliográficos. En los anexos se muestra, la matriz de consistencia, los instrumentos y el consentimiento informado.
Acceso abierto
Nursing interventions in the immobilization of polytraumatized patients in the emergency service of the Ricardo Palma clinic, 2021
(Universidad Privada Norbert Wiener, 2021-04-18) Robles Arevalo, Lin Ogally; Mori Castro, Jaime Alberto
Introduction: The World Health Organization (WHO) showed that polytrauma is the result of traumatic events in which there is a high displacement of force, such as falls 56%, traffic accidents 50%, pedestrian collisions 43% and gunshot wounds 35%, among other causes that result in serious injuries worldwide in developed countries as well as developing; it is considered the main cause of death among individuals in the age group of 20 to 40 (1) years, that is, in the most productive years of individuals; for the most part, the victims are men, the incidence of polytrauma being a major cause for concern in emergency areas, due to the economic and social impacts they generate. The Pan American Health Organization (PAHO) noted that in Latin America, polytrauma is the third leading cause of death in people aged 20 to 44 years, where one in 10 deaths is the result of (2) trauma, with serious injuries to multiple body systems in 10 to 15%; trauma-related injuries cause physical and/or mental disabilities, which may be temporary and lead to death; victims go through a painful process, involving confusion, fear of the unknown and fear of facing death, mutilations, immobilizations and other changes in their identity and bodily integrity derived from trauma, which can affect their ability to self-care (3).