Examinando por Materia "Instrumentos Quirúrgicos"

Mostrando 1 - 11 de 11

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Conocimiento sobre proceso de esterilización de instrumentos quirúrgicos y práctica del profesional de enfermería en centro quirúrgico en un hospital nacional de Lima, 2025
(Universidad Privada Norbert Wiener, 2025-01-19) Chiclote Carmona, Luz Mabela; Rojas Ahumada, Magdalena Petronila
La investigación se realizará con el objetivo de identificar la relación entre el nivel de conocimiento sobre el proceso de esterilización de instrumentos quirúrgicos y la práctica del profesional de enfermería en el centro quirúrgico de un Hospital Nacional de Lima, en el año 2025. Métodos: correspondiente enfoque cuantitativo, correlacional, transversal. La modelo censal asignada 50 enfermeras que desempeñan funciones en el área de Centro Quirúrgico de un hospital nacional ubicado en Lima.El acopio de datos una encuesta y guía de observación, lo cual permitirá obtener información relevante para evaluar el grado de conocimiento y verificar las experiencias del personal de enfermería. Los instrumentos utilizados fueron tomados del estudio realizado por Llatas R. Yoany, habiendo convalidado previa realizada por especialistas. Para ello, se contó con la participación de cinco especialistas con grado de magíster y doctor, pertenecientes al área de estudio, quienes evaluaron los instrumentos asignándoles calificaciones que permitieron calcular un coeficiente de validez por juicio de expertos del 91.26%. Respecto a la confiabilidad de los instrumentos, Se obtuvo, 0.75663 para la variable "conocimientos", y 0.704 para la variable "prácticas", lo que indica que ambos instrumentos presentan una fiabilidad aceptable. Los datos recolectados estarán procesados mediante software SPSS, versión 27.
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Corrosion of surgical instruments due to the use of common water vs distilled water
(Universidad Privada Norbert Wiener, 1905-07-09) Castillo Sánchez, Rosa María; Gómez Gonzales, Walter Edgar
Objective: Determine if the corrosion of surgical instruments is produced by the use of common water vs. distilled water. 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: In the final selection, 13 articles were chosen, we found that 31% (4) correspond to Spain, 14% (2) correspond to Colombia and Chile, with 7% (1) Cuba, Mexico, Peru were found. , Venezuela and Brazil respectively. 69% were experimental studies from the countries of Spain, Peru, Mexico, Colombia, Venezuela and Chile. With 31% we have cross-sectional studies belonging to Brazil, Chile, Spain, and Cuba. Of the total number of articles analyzed, 80% concluded that plain water causes corrosion in surgical instruments. It was evident in the reviewed research that stainless steel instruments should not be subjected to cleaning, disinfection and sterilization processes, whose dilution component is common water, nor should they be immersed in a physiological salt solution. Prolonged contact and immersion in the solution causes corrosion pitting and forms stress corrosion cracking. Conclusion: It is recommended to use distilled water to avoid corrosion of surgical instruments, especially for final rinsing, after cleaning and disinfection.
Acceso abierto
Effective interventions to prevent corrosion of surgical instruments
(Universidad Privada Norbert Wiener, 2018-11-04) Cabello Huerta, Erica Yovana; Pacheco Delgado, Carmen Reyna; Pretell Aguilar, Rosa Maria
Objective: Systematize the evidence on effective interventions to prevent corrosion of surgical instruments. Materials and Method: Systematic reviews are an observational and retrospective research design that synthesizes the results of multiple primary studies. Results: Of the total 10 systematically reviewed articles, 100% (10/10) demonstrate that effective interventions in care prevent the corrosion of surgical instruments; 50% (5/10) is mainly due to the care of the instruments in cleaning and disinfection procedures. Likewise, the other 50% (5/10) of the reviewed articles consider that the most corrosion-resistant stainless steels are martensitic stainless steel with mono and multilayer coating and austenitic steel. Conclusions: Of the 10 reviewed articles, 5 show that performing effective interventions in cleaning and disinfection procedures of surgical instruments prevents corrosion; likewise, 5 out of 10 articles refer that austenitic and martensitic steel used in the manufacturing of surgical instruments are resistant to corrosion.
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Effectiveness of the OTSC clip in the management of patients with gastrointestinal bleeding
(Universidad Privada Norbert Wiener, 2019-08-04) Lara López, Jacqueline; Jauregui Marcos, Mercedes Esther; Calsin Pacompia, Wilmer
Objective: To analyze the evidence on the effectiveness of the OTSC clip in the management of patients with gastrointestinal bleeding. Methods: The study was quantitative, with a systematic review design. The population consisted of 15 articles, and the sample included 10 scientific articles published in scientific databases. The instrument used was a search in the following databases: PubMed, UEG Journal, Clinical Endoscopy, Wiley Online Library, WJG – Gastroenterology, Journal of Gastroenterology, EBSCO, and Endosc Int Open. The articles were evaluated using the GRADE system, which assessed the quality of evidence and the strength of recommendations. Results: In this study, 10 articles were analyzed, and the use of the OTSC clip was found to be effective for daily routine practice, as its placement has become a new option for the treatment of both upper and lower gastrointestinal bleeding. Similarly, Regina and colleagues concluded in their study that the application of the OTSC clip is the first-line treatment of choice for patients experiencing high-risk bleeding episodes. Likewise, TH Kothari concluded that closure with OTSC clips is effective for closing gastrocutaneous fistulas, with patients recovering using this novel system. Ravishankar also agrees that the use of OTSC is effective and superior to the treatment of non-variceal upper gastrointestinal bleeding, and thus it should be considered as a first-line treatment. According to the study conducted by Mathew, it was concluded that 100% of the studies demonstrate that the use of the OTSC clip is effective in the management and treatment of patients with gastrointestinal bleeding caused by perforations and fistulas, thereby improving life expectancy, reducing long hospital stays, surgical interventions, high costs, and promoting faster recovery and reintegration into daily and work activities.
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Effectiveness of using nonwoven fabric packaging to reduce contamination of sterile surgical instruments
(Universidad Privada Norbert Wiener, 2018-01-27) Acosta Loli, Verónica María; Gutiérrez Arista, Virginia Isabel; Pretell Aguilar, Rosa Maria
Objectives: To analyze and systematize the evidence demonstrating the effectiveness in reducing contamination of sterile surgical instruments through the use of packaging with non-woven fabric. Materials and Methods: The study is a systematic review with an observational and retrospective design, synthesizing and analyzing 9 scientific articles according to the Grade system, focusing on the use of packaging with non-woven fabric for reducing contamination of sterile surgical instruments. The articles were obtained from the following databases: BVS, Lilacs, Scielo, PubMed, and Epistemonikos, and were critically assessed to determine their strength and level of evidence. Results: The population consists of 9 articles, of which 78% (7/9) are based on experimental methodological design, and 22% (2/9) are systematic reviews. 44% of the articles are from Brazil, 33% from the United States, 11% from India, and 11% from Singapore. Conclusions: 78% of the nine reviewed articles (7/9) demonstrate that the use of non-woven fabric packaging is effective in reducing contamination of sterile surgical instruments.
Acceso abierto
Efficacy of manual washing versus automatic washing in the disinfection of surgical instruments
(Universidad Privada Norbert Wiener, 1905-07-09) Gonzaga Ramírez, Gladys Marlene; Yancul Carrillo, Elva Rosa; Gómez Gonzales, Walter Edgar
Objective: Determine the effectiveness of manual washing versus automatic washing in the disinfection of surgical instruments. Material and methods: Systematic review that synthesizes the results of primary research. Like all systematic reviews, it is an essential part of evidence-based nursing due to its rigorous methodology, identifying relevant studies to answer specific questions in articles. Results: It was found that 50% of the articles consider that automated washing is more effective than manual washing; 16.67% of the articles found effectiveness in the sterilization of surgical instruments, when manual and automatic washing are combined; 16.67% found that one of the contributing effects to produce adverse effects is incorrect cleaning and/or disinfection and a similar percentage found that it is necessary to improve the quality of cleaning and disinfection in surgery rooms and measure the biological load by photoluminometry in instruments. reuse surgical Conclusions: Automatic washing is more effective than manual washing.
Acceso abierto
Efficacy of the Harmonic Scalpel versus the Electronic Scalpel in patients undergoing surgery
(Universidad Privada Norbert Wiener, 2022-08-28) Ibarra Santos, Natalie Edith; Rojas Julcarima, Gabriela Hanyely; Calsin Pacompia, Wilmer
Objective: To analyze and systematize the evidence found on the effectiveness of the harmonic scalpel versus the electronic scalpel in patients undergoing surgery. Materials and Methods: The study was quantitative, and the study design was a systematic review. The instrument used was a database search: PubMed, Scielo, Epistemonikos, and EBSCO, with a population of 15 articles, and the sample consisted of 10 scientific articles published in scientific databases. The GRADE system was used to evaluate the selected articles. Results: Ten scientific articles on the effectiveness of the harmonic scalpel versus the electronic scalpel in patients undergoing surgery were reviewed. The systematic review of the articles, from a total of 100%, included 10% from Canada, 10% from Taiwan, 10% from Italy, 10% from China, 10% from Iraq, 10% from Spain, 10% from Brazil, 10% from Turkey, and 20% from India. Regarding the designs and studies, 10% were retrospective, 10% were randomized prospective trials, 10% were clinical trials, 30% were meta-analyses, and 40% were random cases. On the other hand, it was found that the use of the harmonic scalpel is more effective because it reduced the operative time, postoperative pain, intraoperative bleeding, and the patient's hospital stay. Conclusions: The use of the harmonic scalpel is 100% more effective than the electronic scalpel, but economically, there are limitations regarding the studies on the harmonic scalpel, which calls for the need for further studies.
Acceso abierto
Efficacy of the use of nonwoven packaging for the reduction of contamination of sterile surgical instruments.
(Universidad Privada Norbert Wiener, 2018-01-27) Acosta Loli, Verónica María; Gutiérrez Arista, Virginia Isabel; Pretell Aguilar, Rosa Maria
The study is a systematic review of an observational and retrospective design that synthesizes and analyzes 9 scientific articles according to the GRADE system on the use of non-woven fabric packaging for reducing contamination of sterile surgical instruments. These articles were found in the following databases: BVS, Lilacs, Scielo, PubMed, and Epistemonikos, and were critically reviewed to identify their strength and level of evidence. Results: The population consists of 9 articles, of which 78% (7/9) are experimental design studies and 22% (2/9) are systematic reviews. 44% come from Brazil, 33% from the United States, 11% from India, and 11% from Singapore. Conclusion: 78% of the nine articles reviewed (7/9) demonstrate that the use of non-woven fabric packaging is effective in reducing contamination of sterile surgical instruments.
Acceso abierto
Knowledge and practice of nursing staff in the preparation and packaging of surgical instruments for steam sterilization, Hospital Nacional Hipolito Unanue, 2020.
(Universidad Privada Norbert Wiener, 2020-12-06) Quispe Saavedra, Ella Mercedes; Fernández Rengifo, Werther Fernando
When asepsis, antisepsis, cleaning, and disinfection were introduced, morbidity and mortality rates decreased considerably from 80% to 10%. However, the growing population demand, the current health status of the population, lifestyle factors, and the failure of healthcare systems in terms of surgical material resources are increasing morbidity and mortality rates by a significant percentage. It is also necessary to assess whether clinical practice guidelines meet the population's needs, or if it is the healthcare personnel who fail in the cleaning and disinfection procedures of materials used in surgery. Researchers worldwide have become interested in the cleaning and disinfection procedure, mentioning that cleaning surgical materials with either an alcohol solution or an aqueous solution with enzymatic detergent has the same effectiveness in reducing germs. It is important to note that the reuse of surgical instruments carries the risk of cross-contamination, and the cleaning and disinfection procedure is very cumbersome, time-consuming, expensive, and prone to errors.
Acceso abierto
Knowledge and practices about the safety process of surgical instruments, nursing professional, Huaral hospital 2020
(Universidad Privada Norbert Wiener, 2020-10-04) Eustaquio Fernández, Carmen; Arevalo Marcos, Rodolfo Amado
Peru has a tendency that 20% of surgical interventions end in infection of the surgical site, this may be due to the fact that a sample of nursing personnel studied, 67% report that there is no specific area to carry out the cleaning process, and that 100% of the staff indicate that the activity is not carried out in an appropriate place, they do not use enzymatic detergent to wash materials, and that 79% do not comply with rinsing medical instruments with running water, and Even worse for the sterilization process, 46% do not place external or internal indicators (4) One of the elements contributing to the transmission of pathogens are the surgical instruments, which are used within the surgical act, which subsequently implies giving the appropriate cleaning and disinfection process to reduce the microbial load, guaranteeing optimal sterility and thus preventing this type. of complications (5) One of the elements contributing to the transmission of pathogens are the surgical instruments, which are used within the surgical act, which subsequently implies giving the appropriate cleaning and disinfection process to reduce the microbial load, guaranteeing optimal sterility and thus preventing this type. of complications (5) In this context, a great challenge arises for the nursing professional who requires knowledge about the care of surgical instruments since this must be meticulous and standardized, carried out in a methodical and precise manner (6).
Acceso abierto
Level of knowledge and practice in the process of cleaning and disinfection of surgical instruments in the nursing staff, central sterilization service in public hospitals of Tarapoto 2023
(Universidad Privada Norbert Wiener, 2023-08-20) Rodriguez Ramirez, Carlos; Cabrera Espezua, Jeannelly Paola
The present study had as general objective "To determine the level of knowledge with the practice in the process of cleaning and disinfection of surgical instruments in nursing personnel, central sterilization service at Hospitals public of Tarapoto 2023". Regarding the methodology development, a method was hypothetical-deductive, regarding the approach it was quantitative, the type of research is applied, in terms of its research design it is non-experimental, because there is no manipulation of the variables; It is cross-sectional because it uses instruments for data collection, in addition, the study follows a correlational scope because it details the relationship between the study variables. The population was 54 people, the data collection instruments were 2 questionnaires that were validated, for the knowledge variable, it was made up of 13 questions with a nominal scale, providing a score of 2 for the correct question and 0 for the incorrect question. For the cleaning and disinfection practice variable, it consisted of 10 questions with a nominal scale of Yes and No. Finally, Spearman's Rho test will be used, which measures the relationship between two variables; statistical significance if the probability of being wrong is less than or equal to 5 percent (p≤0.05).