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Examinando por Materia "Insuficiencia Respiratoria"

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    Effectiveness of high-flow nasal cannula in neonatal and pediatric patients with respiratory failure
    (Universidad Privada Norbert Wiener, 2019-01-06) Jesús Quispe, Mónica Karina; Vargas Santa Cruz, Héctor Daniel; Uturunco Vera, Milagros Lizbeth
    Objective: Systematize the effectiveness of the high-flow nasal cannula in neonatal and pediatric patients with respiratory failure. Material and Method: In the studies carried out, 6 systematic reviews, 1 randomized controlled study, 1 meta-analysis, 1 prospective observational clinical study, 1 cohort study were investigated, as evidenced in the following database: Epistemonikos, PubMed, Cochrane MEDLINE; They were analyzed according to the grading scale to determine their strength and quality of evidence. Results: Regarding the reviews of the 10 articles on the use of high-flow nasal cannula, 90% (9/10) show effectiveness in terms of its use in neonatal and pediatric patients with respiratory failure and one and 10% (1 /10) concludes that it is not effective since they report that more studies are still needed in pediatric children. Conclusions: the study concluded that the 10 articles reviewed, 9 of 10 show the effectiveness of the use of the high-flow nasal cannula in neonatal and pediatric patients with respiratory failure, it is safe and well tolerated because it relieves respiratory work by reducing fatigue of the respiratory muscles achieving clinical improvement in neonatal and pediatric patients, but 1 out of 10 concludes that it is not effective and that more studies are still required in pediatric children.
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    Effectiveness of high-flow nasal cannula use in adults affected by acute respiratory failure
    (Universidad Privada Norbert Wiener, 2019-10-13) García Vilcapoma, Rosa Luz; Lozano Espejo, Evelyn Betty; Matta Solis, Hernan Hugo
    Objective: To establish how job satisfaction is related to the performance of nurses in the emergency service at the EsSalud Hospital, Lima 2022. Materials and methods: Quantitative study, applied type, non-experimental or observational design, cross-sectional, and correlational scope, considering a population of 160 nurses and a sample of 113 nurses. Two instruments with acceptable validity and reliability criteria will be applied. The instrument measuring job satisfaction consists of 27 items and includes seven dimensions: administrative policy, relationship with authorities, physical and material conditions, social relationships, personal development, labor and/or remuneration benefits, and task performance. Meanwhile, the questionnaire measuring job performance consists of 28 items and includes four dimensions: personal development and training, responsibility, motivation and leadership, and teamwork. Descriptive analysis will include tables according to quantity and percentage, and inferential analysis will use the Spearman’s Rho coefficient.
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    Effectiveness of non-invasive mechanical ventilation to reduce mortality in patients with post-extubation respiratory failure
    (Universidad Privada Norbert Wiener, 2018-11-25) Yance Manrrique, Yaneet Alejandrina; Alvarez Urrutia, Flor Cecilia; Pretell Aguilar, Rosa María
    Objective: To analyze the evidence of the effectiveness of non-invasive mechanical ventilation to reduce mortality in patients with post-extubation respiratory failure. Material and Methods: It is a systematic review of 10 selected articles, using the PubMed, Elsevier Researchgate, Open Access database. The 10 selected articles are quantitative research, 50% (5) are Meta-analysis, 20% (2) are systematic reviews, 20% (2) are experimental and 10% (1) are cohort studies. Results: 70% (n = 7/10) evidence the effectiveness of non-invasive mechanical ventilation to reduce mortality in patients with post-extubation respiratory failure. 30% (n = 3/10) show that non-invasive mechanical ventilation does not reduce mortality in patients with post-extubation respiratory failure. Conclusion: the studies determine that non-invasive mechanical ventilation is more effective in reducing mortality in patients with post-extubation respiratory failure, according to the results.
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    Effectiveness of out-of-hospital non-invasive mechanical ventilation in improving mortality in patients with acute respiratory failure
    (Universidad Privada Norbert Wiener, 2020-01-19) Ramirez La Rosa, Elizabeth; Krugger Tafur, Lenin; Matta Solis, Eduardo Percy
    Objective: To systematize the evidence on the effectiveness of non-invasive mechanical ventilation outside of the hospital in improving mortality in patients with acute respiratory failure. Materials and Methods: The study design of this research is a systematic review, which allows for a synthesis of the most updated and available articles with full access. This increases the evidence of the conclusions of individual researches. They represent a significant contribution to nursing practice, enabling decision-making. The review was conducted in various databases such as Epistemonikos, PubMed, Redalyc, Dialnet, EBSCO, etc., which mainly focus on the effectiveness of non-invasive mechanical ventilation outside of the hospital in improving mortality in patients with acute respiratory failure. Furthermore, through the GRADE system, the quality of evidence from the studies was determined. Results: According to the design type, 20% (2/10) are systematic reviews and meta-analyses, 30% (3/10) are only systematic reviews, 30% (3/10) are other types, and 10% (1/10) is a randomized clinical trial. Conclusion: After reviewing the 10 scientific articles in indexed databases and considering the appropriate selection criteria, it is concluded that: 80% (8/10) found evidence of the effectiveness of non-invasive mechanical ventilation outside of the hospital in improving mortality in patients with acute respiratory failure. 20% (2/10) found no evidence of the effectiveness of non-invasive mechanical ventilation outside of the hospital in improving mortality in patients with acute respiratory failure. It improves the survival of patients with acute respiratory failure, enhances the quality of life, and improves pulmonary hemodynamics.
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    Effectiveness of oxygenation of high-flow cannulas to prevent mechanical intubation in acute hypoxemic respiratory failure in COVID-19 patients in the intensive care unit
    (Universidad Privada Norbert Wiener, 2021-11-14) Gallegos Romaní, Flor De María; Cárdenas de Fernández, María Hilda
    Of the 10 articles reviewed, 80% (8/10) highlight the effectiveness of high-flow cannula oxygenation to avoid mechanical intubation in acute hypoxemic respiratory failure in patients with covid-19 in the intensive care unit, 10% (1/10) show that noninvasive mechanical ventilation reduces intubation and the other 10% (1/10) agree that both procedures are safe and effective. According to this review, it can be concluded that Intensive Care Unit specialists should reinforce their knowledge on the proper and initial practice of HFNC before requiring forced intubation, since the positive pressure system generated probably reduces the level of infection contagion of patients in the ICU and mortality.
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    Effectiveness of preoperative respiratory training to reduce respiratory complications in postoperative adult patients
    (Universidad Privada Norbert Wiener, 2018-12-02) Atencio Antonio, Edulvina Gloria; Guillén Valencia, Luzmila; Pretell Aguilar, Rosa María
    OBJECTIVE: Systematize evidence on the effectiveness of preoperative respiratory training to reduce respiratory complications in postoperative adult patients. MATERIAL AND METHOD: Systematic review of 10 selected articles on the effectiveness of preoperative respiratory training to reduce respiratory complications in postoperative adult patients corresponding to the period 2011 to 2016 from different countries. These quantitative articles were obtained from the database; of Cochrane, epistemonikos, scielo, pubmed, uninave, journalofphisiotherapy and the Grade scale was applied, evidencing its strength and quality of evidence. According to the results obtained from this study, we have that by the type of design: 80% (8/10) systematic review, 10% (1/10) quasi-experimental, 10% (1/10) experimental. By type of quality: 90% (9/10) high quality, 10% (1/10) moderate quality. RESULTS: Of 10 studies investigated, 100% agree that preoperative respiratory training is effective in reducing respiratory complications in postoperative adult patients. CONCLUSIONS.- Of the 10 articles reviewed, 10 confirm the effectiveness of preoperative respiratory training to reduce respiratory complications in postoperative adult patients.
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    The effectiveness of using the pulse oximeter for the early detection of respiratory failure in patients in the intensive care unit
    (Universidad Privada Norbert Wiener, 2021-09-05) Quiroz Poma, Karina Eugenia; Suarez Valderrama, Yurik Anatoli
    The critical areas unit has been created with the purpose of providing comprehensive care to high-risk patients, improving the functioning of organic systems when they are affected. For this reason, various non-invasive devices have been created that seek to ensure that doctors and nurses specialized in intensive care have the maximum amount of information to achieve thorough monitoring of patients, whether discontinuous or continuous, helping to avoid exacerbation processes. or death. Therefore, patients in this unit require constant monitoring of non-invasive devices such as the pulse oximeter that allows us to assess the measurement of oxygen saturation in the blood. This device facilitates continuous monitoring and early detection of a possible complication in our patient, therefore, it allows us to reveal the effectiveness of the pulse oximeter in this area.
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    Knowledge and management of oxygen therapy by the nursing professional in the evolution of patients with respiratory failure - emergency department of a hospital in Callao- 2022
    (Universidad Privada Norbert Wiener, 2022-11-20) Rafael Suarez, Katerini Estefany; Montoro Valdivia, Marcos Antonio
    Objective: Determine the relationship that exists between the knowledge and management of oxygen therapy by nursing in the evolution of patients with respiratory failure in the Emergency Service of a hospital in Callao, 2022. Methods: The study will be hypothetical-deductive, quantitative, applied , non-experimental, correlational and transversal. The population and sample consisted of 80 nursing professionals, with non-probabilistic sampling for convenience. For the processing and analysis of the survey data, first the information collected will be organized, then coding will be carried out, once the data has been collected, the data will be organized according to its study variables, the data will be processed using the Microsoft Excel 2021 program and SPSS version 26.0 to generate tables and/or graphs by dimensions and indicators of the study variables; also, to determine the relationship with the Spearman Correlation Test (Rho).
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    Perception of care and its level of relationship with the attitude of the nurse in patients with acute respiratory failure, Hospital Nacional Hipólito Unanue - 2023
    (Universidad Privada Norbert Wiener, 2023-05-18) Hoyos Catpo, Joselyn Anais; Mori Castro, Jaime Alberto
    This project is of an applied type, an explanatory method, and has also presented a nonexperimental design with a cross section, for which the objective has been determined to determine if the perception of care affects the attitude of the nurse in patients with respiratory failure. acute, from the emergency service of the Hipolito Unanue national hospital, the data was collected through the method of patient surveys, as a technique questionnaires were carried out on the perception of care and its effect on the attitude of the nurse, the procedure for obtaining The information was processed using the SPSSV25 software, information analysis was used for the chi2 test, a population of 150 patients was obtained who attended the emergency area of the medical center was obtained, it has been possible to conclude that the way of perceiving care is at optimal levels, of which It was obtained that the relationship of perception of care with the attitude of the nurse is a good level of perception with 60.00%, likewise it was possible to observe that there was a regular level of perception and attitude with 20.7% and finally 3.3% of low level, while in the dimensions such as prioritizing being a person and qualities of nursing, it obtained a good level of 45.3%, likewise in the dimension characteristics of the nurse and empathy it was a good level of 34%, on the other hand in the dimension emotional support and support physical was a regular level of 37.3% and finally in the dimensions proactivity, availability and feelings of the patient it was a good level with 36%, which is why they presented similar levels that led to deduce that they usually have a positive impact in patient care, so the hypothesis was accepted and a P value less than 0.05 was obtained, where there is acceptance of the hypothesis in the effect between both variables.
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    Prognosis of patients with acute respiratory failure undergoing non-invasive mechanical ventilation
    (Universidad Privada Norbert Wiener, 2017) Mejia Fernandez, Rojsana; Pacheco Saucedo, Esperanza Dalila; Gómez Gonzales, Walter Edgar
    Objective: To determine the prognosis of patients with acute respiratory failure who undergo non-invasive mechanical ventilation. Materials and Methods: A systematic review of various studies was conducted to assess prognosis outcomes for patients. Results: Non-invasive mechanical ventilation improves prognosis by reducing the need for intubation, shortening hospital stays, and decreasing complications compared to standard mechanical ventilation. Conclusion: Non-invasive mechanical ventilation is highly effective in improving patient prognosis in cases of acute respiratory failure.
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    Relationship between functional respiratory condition and grip strength in post-covid 19 patients, regional hospital Chimbote - 2023
    (Universidad Privada Norbert Wiener, 2023-05-18) Jara Capac, Magali Saely; Chero Pisfil, Santos Lucio
    Post-COVID-19 patients exhibit sequelae, including respiratory difficulty and reduced muscle strength, impacting their functional respiratory condition and grip strength. For this reason, it is essential to evaluate these variables in such patients. Functional respiratory condition refers to the respiratory system's ability to act and function correctly to oxygenate the body, assessed through fatigue associated with activities of daily living (ADLs). Fatigue is measured using the Fatigue Inventory (IBF), which consists of 10 questions, where 0 indicates no interference from fatigue and 10 indicates significant interference. Grip strength refers to the muscle strength of the hand, evaluated using a dynamometer, with results classified as weak, normal, or strong. The objective is to determine the relationship between functional respiratory condition and grip strength in post-COVID-19 patients at Regional Hospital Chimbote - 2023. The study will adopt a hypothetical-deductive approach, with a quantitative, applied, non-experimental, cross-sectional, and correlational design. Research techniques will include surveys, the IBF, and the dynamometer.
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