Examinando por Materia "Periodo Posoperatorio"

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Acceso abierto
Ansiedad pre-operatoria y su relación con el dolor post-operatorio en pacientes adultos sometidos a cirugías electivas del Hospital Carlos Lanfranco La Hoz, Lima 2024
(Universidad Privada Norbert Wiener, 2024-11-17) Rivas Rodriguez, Kathery Lizeth; Mori Castro, Jaime Alberto
El fin de esta investigación es: Analizar la relación de la ansiedad pre-operatoria con el dolor post-operatorio en pacientes adultos sometidos a cirugías electivas del Hospital Carlos Lanfranco La Hoz en Lima, 2024. Material y Método: La investigación adoptará una perspectiva cuantitativa, diseño no experimental, de tipo descriptivo correlacional, de corte transversal. La población estará compuesta por 485 pacientes agendados para intervención quirúrgica de abdomen. El método para obtener la información será el cuestionario y el instrumento para evaluar la ansiedad es el Inventario de Ansiedad de Beck aplicada por: American Psychological Association, 1994 y la Escala Visual Analógica por: Canorio y Cárdenas. Los instrumentos fueron aprobados y confiabilisados con un alfa de crombach de 0.89 para la variable ansiedad y un alfa de crombach de 0.90 para la variable dolor. La información fue analizada mediante el software SPSS en su versión más reciente. Las conclusiones a las que se llegó son: Existe una relación estadísticamente significativa entre ansiedad pre-operatoria con el dolor post-operatorio en pacientes adultos sometidos a cirugías electivas del Hospital Carlos Lanfranco Laoz, Lima 2024, que permita disminuir el dolor en las cirugías.
Acceso abierto
Ansiedad preoperatoria y dolor postquirúrgico en pacientes del servicio de cirugía de un hospital estatal, Nuevo Chimbote, 2024
(Universidad Privada Norbert Wiener, 2024-08-18) Aredo Jurado, Joselyn Ameria; Fernández Rengifo, Werther Fernando
Introducción: La ansiedad preoperatoria y el dolor postquirúrgico son dos aspectos críticos en el manejo de pacientes que se someten a intervenciones quirúrgicas. La ansiedad antes de la cirugía, caracterizada por sentimientos de miedo, preocupación y nerviosismo, puede influir significativamente en la percepción y la intensidad del dolor experimentado después de la operación. El objetivo del estudio será “determinar cuál es la relación entre la ansiedad preoperatoria y el dolor postquirúrgico en los pacientes del servicio de cirugía de un hospital estatal, Nuevo Chimbote 2024”. Metodología: El estudio seguirá el enfoque cuantitativo, de tipo básica, con un diseño no experimental, descriptivo, correlacional, transversal, donde participarán 186 pacientes, a quiénes se les administrará dos instrumentos “Inventario de ansiedad estado – rasgo de Spielberger” y “Escala visual analógica”. Los datos recopilados serán analizados en el software estadístico SPSS 26.0, utilizando la prueba de normalidad de Kolmogrorov – Smirnov, para determinar la normalidad de las variables, luego de aplicará la prueba de Chi-cuadrado para establecer la posible relación entre las variables.
Acceso abierto
Calidad del cuidado de enfermería y satisfacción de pacientes post operados del servicio de cirugía, de un hospital nacional, 2024
(Universidad Privada Norbert Wiener, 2024-09-22) Pérez Espinal, Nancy Roxana; Benavente Sanchez, Yennys Katiusca
Objetivo: “Determinar la relación que existe entre la calidad del cuidado de enfermería y la satisfacción de los pacientes post operados en el servicio de cirugía de un hospital nacional en 2024”. Metodología: Se adoptará un enfoque hipotético-deductivo, cuantitativo, no experimental, correlacional y transversal. La muestra incluirá 192 pacientes postoperatorios evaluados mediante dos instrumentos. El primero, un cuestionario de 20 preguntas en escala Likert, mide la calidad del cuidado de enfermería, abarcando componentes técnicos, interpersonales y del entorno. Este instrumento ha demostrado alta validez (α=0.907) y confiabilidad (alfa de Cronbach de 0.881), determinados mediante análisis factorial. El segundo, también con 20 ítems en escala Likert, evalúa la satisfacción del paciente, concentrándose en confianza, seguridad, apoyo emocional, ética y respeto, alcanzando altos niveles de validez (Aiken=0.89) y confiabilidad (alfa de Cronbach=0.893). Los datos se procesarán usando SPSS 26, presentándose mediante tablas y gráficos. Se evaluará la normalidad con la prueba de Kolmogorov Smirnov; si los datos no son normales, se optará por pruebas no paramétricas. La correlación entre calidad del cuidado y satisfacción del paciente se determinará con el coeficiente Rho de Spearman, proporcionando un análisis de la relación entre ambas variables.
Acceso abierto
Calidad del cuidado de enfermería y satisfacción del paciente post operado en la Unidad de Recuperación en una Clínica Privada de Lima, 2024
(Universidad Privada Norbert Wiener, 2024-08-18) Bautista Macuri, Lucia Andreina; Benavente Sanchez, Yennys Katiusca
El desarrollo del estudio tiene un solo objetivo y es “determinar la relación entre la calidad del cuidado de enfermería y la satisfacción del paciente postoperatorio en el área de recuperación”. Metodología: Se aplicará, con un enfoque cuantitativo, desarrollado a nivel transversal y de correlación, con una muestra de 80 personas postoperados de una unidad del servicio recuperación en una clínica privada, año 2024 considerado como muestra censal. Se utilizará la investigación para recopilar datos; en los medios habrá una pregunta para medir la calidad de la atención de enfermería con 9 artículos del autor Barrial de 2022 con las dimensiones de comercio, cuidado humano, institucional, midiendo la satisfacción del paciente, se usara una encuesta de 18 preguntas de los autores Méndez y Francia se utilizará a partir de 2021 con las dimensiones de atención, continuidad, resultado de la atención, dos estudios nacionales. Luego del uso de las herramientas, los datos se recolectan, codifican y anotan en la matriz de datos, la cual será estadísticamente descriptiva e inferencial en el programa SPSS. 25.0.
Acceso abierto
Calidad del cuidado de enfermería y su relación con la satisfacción de pacientes post operados en el servicio de cirugía de un hospital de Chimbote, 2024
(Universidad Privada Norbert Wiener, 2025-01-19) Gaviño Diaz, Karina Elizabeth; Pretell Aguilar, Rosa María
Objetivo: Determinar la relación que existe entre el cuidado de enfermería y la satisfacción de los pacientes post operados en el servicio de cirugía de un Hospital de Chimbote, 2025, población estará constituida por 150 pacientes del Servicio de Cirugía del Hospital III Essalud de Chimbote. Muestra: conformado por 108 pacientes, Diseño Metodológico: El tipo de investigación será aplicada. Diseño será observacional, descriptivo, correlacional, prospectivo y transversal. Instrumentos: Para evaluar la variable “Cuidado de enfermería” confiable mediante Alpha de Crombach de 0.90 y para evaluar la variable “Satisfacción del paciente post operado” se aplicará el cuestionario adaptado por Arteaga y modificado por Yapias 2023, confiable mediante Alpha de Crombach con un valor de 0.78. La técnica de recolección de datos será la encuesta. Procesamiento estadístico y análisis de datos: se realizará mediante técnicas descriptivas, el análisis estadístico será según sea su distribución a través de pruebas estadísticas paramétricas (Correlación de Pearson).
Acceso abierto
Critical review: effect of early enteral nutrition in the postoperative period of patients with gastric cancer undergoing oncological surgery
(Universidad Privada Norbert Wiener, 2022-11-25) Concha Rossi, Rocío Liliana; Palma Gutiérrez, Edgardo Jhoffire
It is presumed that early initiation of enteral nutrition in patients with gastric cancer who have undergone gastrectomy would improve some clinical outcomes. The present secondary research entitled "Critical Review: Effect of early enteral nutrition in the postoperative period of patients with gastric cancer undergoing oncological surgery", aimed to analyze the effects (clinical outcomes and nutritional aspects) of early enteral nutrition 24 or 48 hours after oncological surgery in patients with gastric cancer. The clinical question was: Does early enteral nutrition improve clinical outcomes and nutritional aspects in patients with gastric cancer undergoing oncological surgery? The Evidence-Based Nutrition (NuBE) methodology was used. The information search was carried out in Scielo, Pubmed, Mdpi, Jboun, Ncbi, Science Direct, Hindawi, thus finding 21 articles, 10 being selected, which were evaluated by the CASPE critical reading tool, finally selecting the clinical trial titled as: “Effect of Early Enteral Nutrition Support Combined with Chemotherapy on Related Complications and Immune Function of Patients after Radical Gastrectomy”, which has a level of evidence AI and grade of recommendation strong, according to the expertise of the researcher. The critical comment allowed us to conclude that the early start of enteral nutrition could improve certain nutritional components such as total protein and blood albumin, level of immune cells, as well as total drainage through gastric tube and hospitalization time; although additional research is required to corroborate these results.
Acceso abierto
Cuidado de enfermería y nivel de satisfacción del paciente post operado del servicio de cirugía de tórax del hospital nacional Hipólito Unanue, Lima, 2021
(Universidad Privada Norbert Wiener, 2021-12-19) Condezo Javier, Mayra; Mori Castro, Jaime Alberto
Objetivo: Analizar la relación del cuidado de Enfermería y nivel de satisfacción del paciente post operado del servicio de cirugía de Tórax, Lima, 2021 Material y método: Esta trabajo investigativo tiene como método investigativo el de Hipotético deductivo, tipo Aplicada, el enfoque es cuantitativo por qué se va a centrar en cuantificar la recopilación y análisis de datos para la presentación de la hipótesis sustentada, y descriptivo transversal debido a que está dirigido a evaluar variables según como se muestren en el momento del estudio, se describe todas sus dimensiones del objeto a estudiar.
Acceso abierto
Effectiveness of early ambulation in reducing postoperative complications
(Universidad Privada Norbert Wiener, 2017) Arismendiz Izquierdo, Milagros; Torres Padilla, Yovana Magaly; Pretell Aguilar, Rosa Maria
Objective: To determine based on systematic reviews the effectiveness of early mobilization in reducing complications in postoperative patients. Materials and Methods: A systematic review and meta-analysis examined the Medline, Embase, Cochrane Library, Cochrane Plus, Epistemonikos, and Lilacs databases. Ten articles were selected regarding the effectiveness of early mobilization in reducing complications of all types in postoperative patients. The types of articles were: systematic review 20%, quantitative observational 5%, cross-sectional 10%, randomized clinical trial 5%, longitudinal-descriptive 10%, and longitudinal-comparative 10%; with 10% from the USA, 10% from Chile, 10% from Cuba, 5% from Iran, 5% from Canada, and 5% from Japan. Results: The systematic observational and retrospective review, which synthesizes the results of multiple primary studies, is an essential part of evidence-based nursing due to its rigorous methodology. Of the 7 out of 10 articles reviewed, it is noted that early mobilization helps reduce postoperative complications. The meta-analysis results show a benefit in reducing headaches and lower back pain in patients who receive early mobilization after spinal anesthesia, with high-quality evidence and strong recommendations. Conclusions: Of the 10 articles, 80% (n=7/10) demonstrate the effectiveness of early mobilization in reducing complications in postoperative patients. The research reviewed shows that early mobilization reduces complications of all types in postoperative patients.
Acceso abierto
The effectiveness of the closed suction drainage system to promote the healing process in post-operative traumatic patients
(Universidad Privada Norbert Wiener, 2018-01-27) Estrella Quito, Sandra Janet; Yupanqui Ccochachi, Gregoria; Rivera Lozada de Bonilla, Oriana
Objective: To analyze and systematize the effectiveness of the closed suction drainage system in promoting the healing process in post-traumatic surgical patients. Materials and Methods: In the final selection, 10 articles were chosen, corresponding to 100% (10/10). Of these, 60% (6/10) were quantitative and 40% (4/10) qualitative; and regarding the study design, 40% (4/10) were systematic reviews and randomized controlled trials, respectively, 10% (1/10) were meta-analyses, and 10% (1/10) was a prospective randomized study. Results: According to the evidence obtained from 100% (10/10) of the articles reviewed, the closed suction drainage system to promote the healing process in traumatic surgical patients is not effective, as 60% (6/10) of the articles showed that patients require blood transfusion, and 40% (4/10) showed an association with wound infection. Conclusions: It is concluded that 100% (10/10) of the articles indicate that the closed suction drainage system is not effective in promoting the healing process in traumatic surgical patients, as it is associated with a higher need for blood transfusion, increases the number of patients requiring blood transfusion, and shows no significant differences in the range of motion and preoperative knee swelling. Moreover, no significant differences were found in hospital stay, wound hematoma incidence, wound dehiscence, or deep vein thrombosis.
Acceso abierto
Effectiveness of the razor of the veil of the operative zone for the prevention of infections in the post-operative
(Universidad Privada Norbert Wiener, 2019-01-06) Guerrero Lazo, Jaqueline Victoria; Cárdenas de Fernández, María Hilda
Objective: To analyze and systematize the effectiveness of shaving the hair from the surgical site to prevent surgical site infections. Materials and Methods: Design, Systematic Review; 100% (10/10) of the articles are quantitative in type and systematic review study design. The population consisted of 20 articles, and the sample included 10 scientific articles, obtained from databases such as Cochrane Library, British Medical Journal, PubMed, Lancet, Wiley Online Library, subjected to critical reading, and using the GRADE system. Results: Of the 100%, 10/10 articles are quantitative, with 20% (2/10) from the United Kingdom and the USA, and 10% (1/10) from France, Canada, Spain, the Netherlands, Nigeria, and China. Regarding study design, 60% (6/10) of the articles are systematic reviews, 20% (2/10) are meta-analyses, and 20% (2/10) are experimental studies. Conclusions: It is concluded that 80% (8/10) of the articles show that shaving the hair from the surgical site is not effective as it increases the risk of infection, morbidity, mortality, and healthcare costs. Additionally, 20% (2/10) of the articles show that shaving the hair is effective in preventing infections and improving the aesthetics of the surgery.
Acceso abierto
Efficacy of the active warming system to reduce the risk of hypothermia in postoperative patients
(Universidad Privada Norbert Wiener, 2020-12-20) Arbizu Berrocal, Ingrid; Zevallos Cano, Jessica; Cárdenas de Fernández, María Hilda
Objective: Organize evidence on the effectiveness of active warming to reduce the risk of hypothermia in post-operative patients. MATERIALS AND METHODS: The review that synthesizes the results of several research documents. They are important for the nursing area that is based on evidence due to its strict method, detecting outstanding studies to answer the questions of the clinical area. RESULTS: 10 scientific articles published in the database were obtained, with a publication time of 5 years and published in languages such as Spanish, Portuguese and English and were located in the database such as: scielo, epistemonikos, elsiever and google academic, 5 of them are concordant and 5 discordant. CONCLUSION: According to the evidence reviewed, it is concluded that the active warming system to reduce hypothermia in post-operative patients is not effective.
Acceso abierto
The efficacy of the closed suction drainage system in favoring the healing process in postoperative trauma patients.
(Universidad Privada Norbert Wiener, 2018-01-27) Estrella Quito, Sandra Janet; Yupanqui Ccochachi, Gregoria; Rivera Lozada de Bonilla, Oriana
Materials and Methods: A systematic observational and retrospective review was conducted, with a search restricted to full-text articles. The bibliographic search algorithm followed the PICO model. The selected articles were subjected to analysis using the evaluation of validity, quality, strength of recommendation, scientific evidence, usefulness of findings, and ethical aspects of the research. Results: A total of 10 articles were selected, with 50% (5/10) corresponding to China, and 10% (1/10) corresponding to the United States, Germany, the United Kingdom, Scandinavia, and Saudi Arabia, respectively. Additionally, 60% (6/10) of the studies were quantitative and 40% (4/10) were qualitative. The closed suction drainage system for promoting the healing process in trauma patients was not effective as it was associated with a higher need for blood transfusions. Conclusions: The evidence shows that the closed suction drainage system for promoting the healing process in trauma patients was not effective because it was associated with a greater need for blood transfusions. There is a need for dressing reinforcement in wounds without drainage due to ecchymosis.
Acceso abierto
Factors related to surgical site infections in post-cesarean section patients
(Universidad Privada Norbert Wiener, 2017) Espilco Limaco, Maruja Gladys; Gómez Gonzales, Walter Edgar
Objective: To analyze the evidence regarding factors related to surgical site infections in patients post-cesarean section. Results: The most important factors related to surgical site infections in post-cesarean patients were the most isolated germs, such as Staphylococcus aureus (34%) and Escherichia Coli (17%). Additionally, risk factors related to the patient, which cause preoperative immunological alterations (such as diabetes, alcoholism, anemia (66.6%), malnutrition, neoplasms), obesity (42.8%), age, and previous surgeries (a previous scar alters blood supply) were identified. Conclusions: 66.6% of the articles reviewed indicate that factors related to surgical site infections in post-cesarean patients are the germs and microorganisms found, such as Staphylococcus aureus and Escherichia Coli. Additionally, 50% of the articles reviewed indicate that the time of surgical intervention is a factor associated with surgical site infections.
Acceso abierto
Hueso liofilizado y su relación con la inflamación post operatoria en pacientes con cirugía apical atendidos en la Clínica Arrascue Nazario y Carlín entre los años 2022 y 2023
(Universidad Privada Norbert Wiener, 2024-11-25) Prado Barba, Olivia Milagros; Nazario Riquero, Renzo Nicolas
En este estudio se planteó como objetivo determinar la relación entre el hueso liofilizado y la inflamación post operatoria en pacientes con cirugía apical atendidos en la clínica Arrascue Nazario y Carlín entre los años 2022 y 2023. Por tanto, se fundamentó en un estudio básico, con implicancia del método hipotético- deductivo, bajo enfoque cuantitativo, sentando sus bases en un diseño no experimental y correlacional, considerándose la evaluación de 60 historias clínicas de pacientes con cirugía apical del periodo de marzo del 2022 a setiembre del año 2023 de la clínica Arrascue Nazario y Carlín, ejecutándose dicho análisis por medio de una ficha de observación para cada variable. Entre los resultados, se encontró que, el valor de correlación de Spearman, el cual reveló un valor de -0,316 con una sig, de 0,014 entre el hueso liofilizado y la inflamación post operatoria. Concluyendo que, si existe relación entre las variables, además la elección de hueso liofilizado como material de injerto desempeña un papel crucial en la reducción de la respuesta inflamatoria en pacientes sometidos a cirugía apical.
Acceso abierto
Intervention of the nurse and its relationship with coping with pain in post-surgical cancer patients at the Alberto Sabogal Sologuren hospital, Callao, 2021
(Universidad Privada Norbert Wiener, 2022-01-23) Buendía Napa, Rossana Elizabeth; Mori Castro, Jaime Alberto
The proper management and intervention of postoperative pain is imperative for successful recovery and rehabilitation after surgery, especially for cancer patients who are the most susceptible to postoperative risks. Objective: To analyze the relationship between the nurse's intervention and coping with pain in post-surgical cancer patients at the Alberto Sabogal Sologuren Hospital, Callao 2021 Material and method: This research has a quantitative approach, because data collection is used to demonstrate the hypothesis based on statistical analysis and analysis of the qualities or attributes described and the technique is the survey and for the instruments it is a questionnaire for both variables validated and with high reliability; to determine the results of the behavior models in a population.
Acceso abierto
Knowledge about the management of Blalock Taussing fistula and the practice of the nursing professional in children under 1 year
(Universidad Privada Norbert Wiener, 2023-08-27) Rodriguez Zamudio, Guicela; Morillo Acasio, Berlina del Rosario
This research aims to: Determine the relationship between the level of knowledge about the management of Blalock Taussing Fistula and the practice of the nursing professional in children under 1 year in the Cardiovascular Intensive Care Unit of the National Institute of Lima 2023. The methodology: the research study will be hypothetical - quantitative deductive, non-experimental, statistically quantified and interpreted, the sample will consist of 80 nurses from the cardiovascular ICU service, the instruments to be used for the research work will be a questionnaire on the level of post-operative knowledge of Blalock Taussing Fistula; contains 20 items, whose final value will be: high, medium and low, with the binomial test and the concordance table the value of p = 0.035 was obtained and a reliability of KR20 = 0.82 therefore it is reliable; the second a checklist will evaluate the practice on the management of the post operated containing 35 items, whose final value is: adequate and inadequate, with the binomial test and the concordance table the value of p = 0.035 was obtained, and a reliability of KR20 = 0.82 therefore it is reliable.
Acceso abierto
Level of knowledge of self-care and its relationship with complications in post-operated cataract patients at Oculaser Clinic, Lima 2022.
(Universidad Privada Norbert Wiener, 2022-07-15) Tovar Mendoza, Diego Alejandro; Cárdenas de Fernández, María Hilda
Objective: To analyze the relationship between the level of self-care knowledge and complications in patients who have undergone cataract surgery at the Oculaser Clinic, Lima in 2022. Material and method: This research has a quantitative approach. The overall level of self-care knowledge is high in 52%, low in 37%, and average in 11%; overall, 46% is high, 40% is low, and 14% is low. There is a relationship between the overall level of self-care knowledge and complications in patients who have undergone cataract surgery in 91%.
Acceso abierto
Non-pharmacological effective interventions for pain management in postoperative patients
(Universidad Privada Norbert Wiener, 2017-08-05) Murga Delgadillo, María del Pilar; Remuzgo Artezano, Anika
Objective: To evaluate evidence on effective non-pharmacological interventions for pain management in postoperative patients. Materials and Methods: A systematic review of 10 selected articles through the databases PubMed, Elsevier, Science Direct, Redalyc, and Dialnet. Of the 10 pieces of evidence, 100% (n=10/10) of the research type was quantitative (19,20,21,22,23,24,25,26,27,28). The 10 articles reviewed systematically included 40% (4) systematic reviews, 30% (3) quasi-experimental studies, 20% (2) experimental studies, and 10% (1) cohort study. Results: The interventions representing 70% (n=7/10) were educational interventions. 40% (n=4/10) included relaxation therapy and music. 30% (n=3/10) involved preoperative evaluation and massage application. Other reviewed factors representing 10% (n=1/10) included breathing exercises, aromatherapy, and distraction. Conclusion: The primary non-pharmacological intervention effective for pain management in postoperative patients is the educational intervention.
Acceso abierto
Nursing care and level of satisfaction of immediate postoperative covid-19 patients in the recovery unit of the maternal perinatal institute, Lima - 2021
(Universidad Privada Norbert Wiener, 2021-12-12) López Hernández, Milagros Del Rosario; Basurto Santillán, Ivan Javier
The research presented here will be developed within the research line of Centro Quirúrgico and is aimed at collecting information regarding nursing care and the level of satisfaction achieved by immediate postoperative Covid-19 patients at the Maternal Perinatal Institute, in order to provide properly supported scope to optimize the work carried out within an area of extreme vulnerability, providing emotional support and humanized care.
Acceso abierto
Nursing care and satisfaction of the immediate postoperative patient in the recovery unit of a public hospital in Lima, 2023
(Universidad Privada Norbert Wiener, 2024-02-04) Cabanillas Vargas, Santa Beronica; Rojas Trujillo, Juan Esteban
Objective: To determine the relationship between nursing care and patient satisfaction in the immediate postoperative period in the recovery unit of a public hospital in Lima, 2023. Materials and Methods: The research follows the hypothetical-deductive method with a quantitative, descriptive-correlational approach. The population will consist of postoperative patients who underwent surgical interventions lasting no longer than one hour, such as knee, shoulder, and wrist arthroscopies; acute appendicitis (appendectomy); cholecystitis (cholecystectomy); cesarean sections; surgical wound care; and outpatient surgeries, including both men and women aged 18 to 60 years. The sample will comprise 40 patients, selected through non-probabilistic snowball sampling, which is particularly suited to identifying users within a defined timeframe. The data collection technique will be a survey, and the instrument used will be a Likert-scale questionnaire to describe the relationship between the two variables. The questionnaire on nursing care, based on Patricia Larson's model, was modified and adapted by Lecca, validated by a panel of 10 experts, and achieved a Cronbach’s alpha value of 0.798, indicating excellent reliability. The questionnaire on immediate postoperative patient satisfaction was validated by Méndez and collaborators in 2021, achieving a Cronbach’s alpha value of 0.93 in the pilot test. Data processing will be conducted using SPSS software version 29, with Excel used for data entry based on a structured matrix designed as a database in alignment with the measurement instrument.