Examinando por Materia "Pressure"

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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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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.
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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 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.
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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 the home care program in ulcer care
(Universidad Privada Norbert Wiener, 2017-08-05) Franco Valdez, Yohanna Ivette; Gonzáles Saldaña, Susan Haydee; Mendigure Fernández, Julio
In the final selection, 10 articles were chosen, with 30% (03) we found Brazil, 20% (02) corresponded to Spain and Chile, while with 10% (01) we found Argentina, Costa Rica and Mexico. respectively. Most of the systematic reviews have been studied, with 30%, 10% Meta-analysis and 10% experimental clinical studies, mainly in the countries of Spain, Brazil and Costa Rica. Among the descriptive quantitative studies we find the countries of Brazil and Chile, with 20%, with 10% we have cross-sectional quantitative studies belonging to Brazil, with 10% we have the cohort study belonging to Mexico and a descriptive observational study belonging to Spain. Where, of the total number of articles analyzed, 100% affirm that pressure ulcer care is effective in home care.
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Efficacy of Cuff Pressure Control in Patients With Endotracheal Tube
(Universidad Privada Norbert Wiener, 1905-07-09) Aguilar Tafur, Sory Marianita; Socla Cadenas, Paulina Yaqueline; Gamarra Bustillos, Carlos
Objective: Systematize and analyze the effectiveness of cuff pressure control in patients with an endotracheal tube. Methodology: Observational and retrospective systematic 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. Results: In the final selection, 10 articles were chosen, we found that 30% (03) correspond to Iran, with 10% (01) we find the United States, France, Switzerland, Spain, India and Venezuela respectively. It has been studied that the majority of these were quasi-experimental studies, with 40%, mainly in the countries of Iran, India, Venezuela and Mexico. A Meta-analysis of France was found, with 10%, with 20% randomized clinical trials, mainly in the countries of the United States and Spain, likewise 20% we have experimental studies and 10% descriptive studies in Iran. Where of the total articles analyzed; 80% affirm that the use of a manometer to control cuff pressure in patients with an endotracheal tube is the most effective and the digital palpation technique is not a reliable measure to estimate pressure. Conclusions: It was evident in the reviewed research that the use of a manometer to control cuff pressure in patients with an endotracheal tube is the most effective and palpation is not a reliable measure to estimate the pressure, thereby reducing the risk. of tracheal mucosal lesions in patients treated in critical units.
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Efficacy of extra virgin olive oil (EVOO) against hyperoxygenated fatty acids (agho) to prevent pressure ulcers in patients in intensive care units
(Universidad Privada Norbert Wiener, 1905-07-09) Arredondo Suyco, Evelyn Kelly; Zambrano Briones, Leslye Geraldine; Bonilla Asalde, César Antonio
Systematize the evidence on the effectiveness of extra virgin olive oil (EVOO) against hyperoxygenated fatty acids (HOFA) to prevent pressure ulcers in patients in Intensive Care Units.
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Efficacy of hydrocolloid dressings in the treatment of pressure ulcers in intensive care unit patients
(Universidad Privada Norbert Wiener, 1905-07-09) Barrera Elguera, Soledad Pilar; Pujay Aponte, Yanet Alicia; Avila Vargas Machuca, Jeannette Giselle
Systematize the evidence on the effectiveness of the use of hydrocolloid dressings in the treatment of pressure ulcers in patients in the intensive care unit. Methodology: Systematic Review, 10 articles were chosen, which were studied, of which 70% are systematic reviews and meta-analysis, mainly in the countries of the United States and China, and 30% are cross-sectional analytical studies that were developed in the countries from Brazil, Spain and Peru Results: Of the articles studied, 70% show that products for the treatment of UPPs based on cure in a humid environment such as hydrocolloids have greater clinical efficacy than traditional treatment in the intensive care unit.Conclusion: The results of the review we have carried out show the existence of evidence in favor of the greater clinical effectiveness of dressings based on healing in a humid environment in the healing of pressure ulcers, lower overall cost and They are changed every three to five days, although they can remain in situ for up to seven days. And they are less effective than polyurethane foam (hydropolymer) dressings since they have a greater capacity for absorbing exudate and are easier to apply. removal than hydrocolloid dressings.
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Efficacy of preventive nursing measures in the prevention and control of pressure ulcers in the elderly
(Universidad Privada Norbert Wiener, 1905-07-09) Peña Castillo, Yesenia Pilar; Gómez Gonzales, Walter Edgar
Objectives: Determine the effectiveness of preventive nursing measures in the prevention and control of pressure ulcers in older adults. Materials and Methods: Observational and retrospective systematic review, the search has been restricted to articles with full text, and the selected articles were subjected to a critical reading, using Jover's evaluation to identify their degree of evidence. Results: In the final selection, 5 articles were chosen, we found that 80% (04) correspond to Spain, with 20% (01) correspond to Brazil. Systematic reviews have been studied with 40% corresponding to the country of Spain. Likewise among the quasi-experimental studies, with 40%, from the country of Spain. And with 20% we have the cross-sectional descriptive study belonging to Brazil and Spain. Whereas of the articles analyzed, 100% affirm that preventive nursing measures are effective in the prevention and control of pressure ulcers. Conclusions: It was evident in the reviewed research that there is effectiveness of preventive nursing measures in the prevention and control of pressure ulcers in the elderly.
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Efficacy of the I-Gel Supraglottic Device in Pediatric Patients Based on First Attempt Insertion Success Rate
(Universidad Privada Norbert Wiener, 2020-02-08) Castro Najarro, Kike Renzo; Pumahualca Pérez, Lory Tahuana; Matta Solis, Eduardo Percy
Objective: Systematize the evidence on the effectiveness of the i-gel supraglottic device in pediatric patients according to the insertion success rate on the first attempt. Materials and Methods: the study design was a systematic review, the population consisted of 28 articles, and the sample was 10 scientific articles published and indexed in scientific databases, the instrument was a database search: Scielo, PubMed, EBSCO and Wiley Online Library, the GRADE method was used to evaluate the articles, which evaluated the quality of evidence and the strength of recommendation. Results: According to origin, 10% (1/10) corresponds to the United States, 10% (1/10) Switzerland, 10% (1/10) Japan, 10% (1/10) India, 30% (3/10) 10) South Korea, 30% (3/10) United Kingdom 30% (3/10). According to design, 80% (8/10) is a randomized clinical trial, 20% (2/10) is a systematic review. According to evidence, 100% (10/10) evidence efficacy of the i-gel supraglottic device in pediatric patients according to the insertion success rate on the first attempt. Of the 10 articles reviewed, it is shown that the insertion success rate on the first attempt was 70% to 100%, with an insertion time of 13.5s to 25s, a good vision of the fiber optic of 74%. to 97%, as well as a good insertion of the gastric tube with a value of 90% to 100% and finally obtained a leak pressure of 20cmH2O at 25 cmH2O. Conclusions: There is evidence of the effectiveness of the i-gel supraglottic device in pediatric patients based on the insertion success rate on the first attempt.
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Factors associated with alcohol consumption in adolescents
(Universidad Privada Norbert Wiener, 1905-07-09) Meniz Romero, Elia Nancy; Romualdo Quillahuaman, Gloria Janet; Rivera Lozada de Bonilla, Oriana
Objective: Determine the factors associated with alcohol consumption in adolescents. Methodology: The systematic review of the 14 scientific articles reviewed were found in the databases Lipecs, Lilacs, Scielo, Medline, Adolec and BDENF, all of them correspond to the type and design of studies Systematic, cohort, cross-sectional, correlational and descriptive reviews, The search was restricted to articles with full text and they were subjected to critical reading to identify their level of evidence. Results: In the final selection, 14 scientific articles from different countries were chosen, 43% corresponding to Brazil; 14.5% Spain and Colombia; 7% Cuba, Argentina, Bolivia and Peru. Of the articles reviewed, 100% (14) agree that adolescence is one of the stages where alcohol consumption begins (between 8 and 16 years with an average age of 12 years), frequent use from the age of 15, 50%(7) of studies refer to the presence of risk and protective factors for alcohol consumption mediated by family influence; 3(21%) influence from friends and peers, 8(57%) social pressure. Conclusions: it was evident that the factors associated with alcohol consumption in adolescents are related to the early appearance of use, media influence, problematic relationship with parents, use by family members, sexual abuse, domestic violence. , low self-esteem, curiosity, peer pressure, among others.
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Knowledge and practices of the primary caregiver for the prevention of pressure injuries in the general surgery service of the Hermilio Valdizan Medrano- Huánuco hospital - 2022
(Universidad Privada Norbert Wiener, 2022-01-30) Vásquez Salazar, Mariella; Cárdenas de Fernández, María Hilda
The present research study aims to determine the relationship that exists between the knowledge and practice of the primary caregiver for the prevention of pressure injuries in the general surgery service of the Hermilio Valdizan Medrano Hospital - Huánuco - 2022. Materials and methods: This study adopts deductive and observational research methods. We will work with a population made up of 85 primary caregivers (family members of the postoperative patient, etc.). According to the objectives of the study, two instruments will be used: a knowledge questionnaire consisting of 22 closed questions including the 4 dimensions: skin assessment 3 questions, hygiene 9, feeding and mobilization 5. As a second instrument, a caregiver practice observation guide consisting of 19 items was used, which was evaluated with the Likert Scale. These instruments were developed by Quispe Huamán, Y Lucero; Mamani V, Delia; Quispe C, Marisol. The data processing plans will be entered into the Microsoft Excel program, they will be analyzed using IBM, to later graph tables and charts. Applying a descriptive analysis and then an inferential analysis with a Chip square hypothesis test.
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Knowledge and practices on prevention and care of pressure injuries (PLP) in nurses from the topic of non-medical procedures of the Rebagliati Network - Essalud, Lima 2022
(Universidad Privada Norbert Wiener, 2022-12-18) Escobedo Ocampo, Maribel; Fernández Rengifo, Werther Fernando
Introduction: Pressure injuries (PLI) are one of the 5 most frequent injuries experienced by patients in the world. In Peru, LPP have a prevalence between 11.4 and 16%; hence the need for knowledge, management and nursing care. Objective: Determine how knowledge is related to practices on prevention and care of pressure injuries (LPP) in nurses from the topic of non-medical procedures of the Rebagliati Network – EsSalud, Lima 2022. Methodology: The type of research will correspond to the applied one. , the approach to be addressed will be quantitative, and the proposed design will be observational, with a scope called correlational. This research, intentionally and for convenience, will be limited to a census sample of 80 licensed nursing professionals (nurses), who will be surveyed with two documentary instruments: the Mass-Valle LPP Prevention Knowledge Questionnaire, and, the Zurita LPP Nursing Care Practices Questionnaire; which have a reliability determined by KR-20=0.69, and Cronbach's Alpha=0.87 respectively. Data processing and analysis: the statistical analysis will be carried out using descriptive and inferential statistics using the Spearman correlation coefficient as the variables are qualitative in nature.
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Knowledge and preventive practices of pressure injuries applied by caregivers of the elderly treated at the FAP central hospital, 2020
(Universidad Privada Norbert Wiener, 2020-10-11) Chumioque Chávez, Lilia del Pilar; Uturunco Vera, Milagros Lizbeth
The purpose of this academic work has a quantitative approach, through scope and correlational descriptive analysis according to the period and sequence of the research, it is cross-sectional and according to the time of the events, it is prospective. The sample will consist of all relatives of older adults hospitalized on the 6th floor south-Geriatrics Unit of the FAP Central Hospital in 2020, applying inclusion and exclusion criteria set out in this research. The sample size will consist of 80 study subjects and the type of sampling will be non-probabilistic and non-random due to cohabitation. To measure the knowledge of family members about prevention of pressure injuries, the Lucero Y questionnaire instrument will be used.
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Level of knowledge and safe practices in the prevention of pressure injuries, of nursing professionals, in a national hospital Lima - 2021
(Universidad Privada Norbert Wiener, 2021-10-10) Rojas Pajuelo, Gayda; Gamarra Bustillos, Carlos
The formation of pressure injuries in different health institutions is part of a global problem; Therefore, the articulated efforts of different social actors are urgently needed; in order to prevent and avoid its formation; since its scope affects the patient, caregiver and increases the costs of the health system. The study will use the deductive method and is limited within the quantitative approach; Likewise, by nature it is correlational and transversal; whose execution projection will be between the months of September and November 2021. The population considered for this research is made up of all the nurses who work at the Guillermo Almenara National Hospital, whose sample will be those who work in the COVID 19 hospitalization service of the aforementioned institution. To measure the level of knowledge, the survey technique will be applied, through the questionnaire; while safe practices will be evaluated through a checklist.
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Nursing care in the application of continuous positive neonatal airway pressure in premature newborns in the neonatal intensive care unit of the Daniel Alcides Carrión del Callao national hospital – 2021
(Universidad Privada Norbert Wiener, 2021-09-05) Templo Vicharra, Julisa; Cárdenas de Fernández, María Hilda
The present research arises from the interest in knowing the nursing care in the application of continuous positive neonatal airway pressure in premature newborns in the neonatal intensive care unit of the Daniel Alcides Carrión del Callao National Hospital - 2021, it was also proposed as objective to determine nursing care in the application of this continuous positive pressure in the newborn's airway. The research method has a quantitative approach and type of applied research, likewise the research design is non-experimental, descriptive and cross-sectional since the survey was carried out in a single time. A sample of 30 nurses who work in the Neonatal ICU will be considered. For data collection, the observational technique will be used and as an instrument it will be an observation guide on the nurse's care of the newborn in the administration of continuous positive airway pressure adapted by Quezada, whose reliability is 0.05. composed of 24 questions. To obtain results, the percentage distribution tables will be worked on, in which the reached levels of the variable and its respective dimensions will be revealed, and in order to evaluate the variable studied, the chi-square statistician will be used.
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Overload and quality of life of the caregiver of schizophrenic patients in an Ayacucho Hospital – 2022
(Universidad Privada Norbert Wiener, 2022-12-04) Fernandez Vargas, Mirtha Natali; Montoro Valdivia, Marcos Antonio
The present research work: “overload and quality of life of the caregiver of schizophrenic patients in a hospital in Ayacucho - 2022”, the goal was to verify the categories of overload of caregivers of schizophrenic patients, given the quality of life of the caregiver of a Ayacucho hospital. Physical labor, societal pressure, and financial restrictions can cause caregivers to eventually suffer from physical and emotional exhaustion, that is, stress. The increase is a risk of collapse, depleting resources, influencing the mental, physical and social health of the person in charge, and devaluing their quality of life. The caregiver surcharge is a perception of the care of individuals who depend on the caregiver or manager. The main purpose of the study is to define the relationship between overload and quality of life of schizophrenic patients in a hospital in Ayacucho -2022. This research uses correlational and quantitative methodology. The population sample is 100 caregivers of schizophrenia patients from a hospital in Ayacucho from June to December 2022. To clarify the link between the quality of life of those in charge and the recharge, the Zarit Reever and Col scale (1980) is used. ), a tool that records 22 items, and three body, emotional and social dimensions, with a confidence level of 0.87, with the statistic, Alpha of Cronbach. The questionnaire approved by Testa, 1996 was used with a Cronbach's Alpha confidence factor of 0.92. The main conclusions reached are: There is a moderate level of quality of life for family caregivers of schizophrenic patients; Also in its dimensions the standard of living is moderate.
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Quality of care and application of preventive measures for pressure injuries in nurses at the intensive care unit service in a hospital in lima, 2022
(Universidad Privada Norbert Wiener, 2022-03-06) Benites Galindos, Kennydi Jhonatan; Pretell Aguliar, Rosa María
The method that will be followed by the present scientific research will be deductive, cross-sectional, quantitative approach, applied type and non-experimental, correlational design. The population will be made up of all the nursing staff of the ICU Service of the Hospital. Data Collection Techniques and Instruments: two questionnaires with a Likert scale will be applied to the defined population that allow studying the measurable aspects of the quality of care and the application of preventive measures for pressure injuries, through the survey technique. Both instruments have validation and reliability. Statistical Analysis: A descriptive analysis of the variables and an inferential analysis will be performed in order to verify the hypotheses raised.