Examinando por Materia "Surgical Procedures, Operative"

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Effective interventions for the prevention of surgical wound infection
(Universidad Privada Norbert Wiener, 2019-08-04) Kugkumas Katip, Jesus Never; Calsin Pacompia, Wilmer
Objective: To analyze the evidence on effective interventions for the prevention of surgical wound infection. Materials and methods: Observational and retrospective systematic review. The search was restricted to full-text articles and the selected articles were critically read using the Grade System evaluation to identify their level of evidence. In the final selection, 10 articles were selected, 50% (5/10) systematic reviews, 50% (5/10) cohort studies. 40% of the evidence found comes from Spain, 40% from Peru, 10% from the USA, and 10% from Cuba. Results: 50% of the studies (8, 11, 13, 15, 16) recommend antibiotic prophylaxis, 20% of the studies (7, 11) recommend wound cleaning, and 20% of the studies (10, 13) recommend not removing hair. 10% of the studies (12), report that there is no difference between covering or not the wounds, and report that contaminated and dirty wounds are more likely to generate infection at the surgical site. Conclusions: According to reviewed articles it was confirmed that antibiotic prophylaxis (5/10) articles, wound cleaning (2/10) articles, not removing hair (2/10) articles, there is no difference between covering or not the wounds decrease the risk of infection at the surgical site (1/10) articles, and that contaminated and dirty wounds are more likely to generate infection at the surgical site.
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Effective interventions to improve voice quality in teachers.
(Universidad Privada Norbert Wiener, 2018-01-27) Ramirez Yalán, Rosario Isabel; Pretell Aguilar, Rosa Maria
Objective: To analyze and systematize the available evidence on effective interventions to improve voice quality in teachers. Materials and Methods: The study type is qualitative, and the design used was a systematic review, which aims to answer specific questions through the search for articles. The search was conducted in Pubmed, Medline, ElServier, Scielo, Portal Regional BVS, Trip, Cochrane Plus, Lilacs, EBSCO, Epistemonikos, SCOPUS. The quality of the articles was analyzed using the GRADE system, a method for evaluating the quality of evidence and the strength of recommendations. Results: The sample consisted of 14 articles, with 29% from Brazil, 22% from Germany, 14% each from Italy and Belgium, and 7% from Spain, Iran, and Finland. The study designs were 36% quasi-experimental and case-control each, 14% clinical trial, and 7% controlled randomized study and cross-sectional study. Conclusions: It is concluded that 93% of the studies show that effective interventions improve the quality of teachers' voices because of easier phonation, better vocal well-being, positive impact on vocal capacity, increased subjective vocal tension, better perceptual voice quality, perceived frequency and intensity of voice, and vocal performance. The remaining 7% found that the intervention was ineffective and emphasized the need for deeper studies with a larger sample size.
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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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Effective interventions to reduce the incidence of errors in the administration of medicines in intensive care units.
(Universidad Privada Norbert Wiener, 2018-12-16) Castillo Luna, Heber Edgardo; Lunasco Chávez, Mario; Glenni Garay, Zarely Zabeli
Objective: Systematically review the effectiveness of nursing interventions for reducing medication errors. Materials and Methods: Retrospective Systematic Review, which synthesizes the results of several selected studies, all of which underwent critical reading, using the GRADE system to assign the strength of recommendations. Results: Ten articles were selected. 50% of these (n=5/10) indicated effective interventions, including computerized entry registration and the education mode for nurses in intensive care units; 20% (n=2/10) indicated educational programs, and 30% (n=3/10) highlighted interventions such as the participation of pharmacists, group meetings, among others. Conclusions: The reviewed articles concluded that effective interventions to reduce medication errors include computerized entry registration, nurse education methods, educational programs, pharmacist participation, group meetings, protocols and guidelines, medication reconciliation, and safety promotion.
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Effectiveness of absorbable versus non-absorbable sutures for incision closure in surgically treated patients
(Universidad Privada Norbert Wiener, 2020-12-06) Champion Tarazona, Victoria Ercilia; Blancas Lavado, Lizeth Angie; Calsin Pacompia, Wilmer
Materials and Methods: This study is qualitative, the design is a systematic review, with a population consisting of 20 articles and 10 articles were considered for the study sample; the instrument was Cochrane Library, British Medical Journal, PubMed, Lancet, Wiley Online Library, Health Systems Evidence, Public Health Group, Scielo and Epistemonikos; taking into account the critical evaluation under the GRADE method for each article. Results: 10 scientific articles were analyzed, of which 30% correspond to the United Kingdom and 30% to China, 20% are from the USA and 10% each corresponding to Sweden and Pakistan. In relation to the designs and types of studies, 40% correspond to a Clinical Trial, 30% to a systematic review and 30% to a meta-analysis. Conclusions: This systematic review concludes that 50% of studies show that the use of absorbable sutures are more effective for closing surgical incisions, unlike 30% that did not show any advantage between them and only 20% showed that Nonabsorbable sutures are more effective.
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Effectiveness of applying a preventive package to reduce surgical wound infections in patients during the intraoperative period
(Universidad Privada Norbert Wiener, 2019-06-30) Fernández Carlos, Marilyn Sayuri; Arevalo Marcos, Rodolfo Amado
Objective: To systematize the effectiveness of applying a preventive package to reduce surgical wound infections in patients during the intraoperative period. Materials and Methods: Systematic review, using the GRADE evaluation system. Databases: Scielo, Pubmed, Elsevier, and Medline. 30% are quasi-experimental studies, 30% cohort studies, 20% systematic reviews, 10% prospective studies, and 10% cross-sectional studies. 50% of the articles are of high quality, with strong evidence strength, 30% of moderate quality with strong evidence strength, and 20% of low quality with weak evidence strength. 70% belong to the USA, 10% to Italy, 10% to Spain, and 10% to Sweden. Results: All systematically reviewed articles indicate effectiveness in the application of a preventive package to reduce surgical wound infections in patients during the intraoperative period. Conclusions: The application of a preventive package to reduce surgical wound infections in patients during the intraoperative period is effective: it decreases the risk of surgical site infections, improves patient care quality, promotes monitoring of surgical wound infection statistics, and prevents bacterial growth with high compliance to strategies aimed at reducing surgical wound infections.
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Effectiveness of chewing gum in reducing paralytic ileus in post-abdominal surgery patients
(Universidad Privada Norbert Wiener, 2019-02-17) Rojas Carbajal, Jackeline Lorena; Félix Chauca, Shirley Lissetty; Pretell Aguilar, Rosa María
Objective: Systematize the evidence on the effectiveness of the use of chewing gum in reducing paralytic ileus in patients after abdominal surgery. Materials and Methods: The systematic review of the 11 scientific articles found in the following databases: Epystemonikos, Pubmed, Medline, Ebsco. They allowed us to find 11 scientific evidence. The search has been restricted to articles with full text and the selected articles were subjected to critical reading, using the Grade System evaluation to identify their level of evidence. Within the 11 evidence, the type of research is 64% (n=7/11) systematic review and 36% (n=4/11) are meta-analysis. Results: In the final selection, 11 articles were chosen, the parameters being the flatulence time, the time of passage of bowel movements and length of hospital stay. In which we found that 81.9% (9/11) of the evidence is effective in reducing paralytic ileus in patients after abdominal surgery. 18.1% (2/11) show to be discordant because they did not have a significant effect on hospital stay in post-operated patients. Conclusions: 9 of the 11 articles reviewed showed that chewing gum is effective in reducing paralytic ileus in post-abdominal surgery patients.
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Effectiveness of early ambulation to reduce headache and low back pain in patients with epidural anesthesia in the immediate postoperative period
(Universidad Privada Norbert Wiener, 2017-07-22) López Rengifo, Lady Kelly; Tello Vásquez, Marilu; Gómez Gonzales, Walter Edgar
Objective: To systematize the available evidence on the efficacy of early ambulation in reducing headache and lower back pain in patients with epidural anesthesia in the immediate postoperative period. Materials and Methods: A systematic review of 05 scientific articles on the efficacy of early ambulation to reduce headache and lower back pain in patients with epidural anesthesia in the immediate postoperative period, which were found in the following databases: Ebsco, Scielo, Medline, and Cochrane Plus. All of these studies correspond to the following types and designs: 01 systematic review, 01 randomized clinical trial, 01 experimental study, and 02 cross-sectional studies. Results: Of the 05 reviewed articles, 60% (n = 03/05) with the highest quality of evidence and strength of recommendation show and suggest that early ambulation is the best intervention to reduce headache and lower back pain in patients with epidural anesthesia in the immediate postoperative period. Conclusions: Early ambulation is the best intervention to reduce headache and lower back pain in patients with epidural anesthesia in the immediate postoperative period.
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Effectiveness of early ambulation to reduce headache and low back pain in patients with epidural anesthesia in the immediate postoperative period
(Universidad Privada Norbert Wiener, 2017-07-22) López Rengifo, Lady Kelly; Tello Vásquez, Marilu; Gómez Gonzales, Walter Edgar
Objective: To systematize the available evidence on the efficacy of early ambulation in reducing headache and lower back pain in patients with epidural anesthesia in the immediate postoperative period. Materials and Methods: A systematic review of 05 scientific articles on the efficacy of early ambulation to reduce headache and lower back pain in patients with epidural anesthesia in the immediate postoperative period, which were found in the following databases: Ebsco, Scielo, Medline, and Cochrane Plus. All of these studies correspond to the following types and designs: 01 systematic review, 01 randomized clinical trial, 01 experimental study, and 02 cross-sectional studies. Results: Of the 05 reviewed articles, 60% (n = 03/05) with the highest quality of evidence and strength of recommendation show and suggest that early ambulation is the best intervention to reduce headache and lower back pain in patients with epidural anesthesia in the immediate postoperative period. Conclusions: Early ambulation is the best intervention to reduce headache and lower back pain in patients with epidural anesthesia in the immediate postoperative period.
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Effectiveness of health promotion and occupational disease prevention programs in the workplace
(Universidad Privada Norbert Wiener, 2018-12-12) Conde Labio, Margoth Marlene; Martínez Duran, Werner Omar; Calsin Pacompia, Wilmer
Objective: To analyze and systematize the evidence on the effectiveness of the quality of nursing care in surgical patients for the prevention of complications. Material and Methods: A systematic review of 10 scientific articles found in the following databases: SCIELO, MEDISAN, Habana de Ciencias Médicas, among others. According to the results of the systematic review, 80% (8/10) are systematic reviews, and 20% (2/10) are cross-sectional studies. The GRADE method was used for the evaluation of the articles. Results: 70% (7/10) of the evidence found indicates the effectiveness of the quality of nursing care in surgical patients for the prevention of complications, while 30% show no effectiveness. The articles come from the following countries: Cuba (30%), Peru (30%), Brazil (20%), Ecuador (10%), and Colombia (10%). Conclusions: The reviewed studies provide evidence that the quality of nursing care in surgical patients is effective in preventing complications, especially when based on standardized nursing protocols in surgical centers.
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Effectiveness of music therapy for pain management in patients undergoing surgery
(Universidad Privada Norbert Wiener, 1905-07-08) Guzmán Moreno, Sisy Cecilia
Material and methods: The PICO instrument was applied and a systematic bibliographic search was carried out through recognized search engines such as LILACS, PubMED, ELSEIVER, etc. Classifying the information through the use of Caspe templates and the level of evidence and degree of recommendation by the GRADE system. Results: 100% of the articles show evidence of the positive influence that music exerts in the different stages of the perioperative period, showing not only the significant decrease in pain but also the decrease in the level of anxiety, 2 articles found showed patients with functional stable vital signs, decreased administration of analgesics and anesthetics, even when the patient is under general anesthesia. Conclusions: Music can be used and implemented as a simple, safe and effective method of reducing potentially harmful physiological responses caused by pain in patients during the perioperative period.
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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 nursing education to reduce anxiety levels in patients undergoing surgical intervention
(Universidad Privada Norbert Wiener, 1905-07-09) Leonardo Amarillo, Angela Melina; Mendoza Taype, Isabel Juana; Gómez Gonzales, Walter Edgar
Objectives: Determine the effectiveness of nursing education to reduce anxiety levels in patients undergoing surgical intervention Materials and Methods: 10 bibliographic and documentary reviews were carried out based on evidence due to its rigorous methodology, identifying relevant studies to answer specific questions. of clinical practices, in databases Scielo, Dialnet, Index, Pubmed, Virtual Health Library. Results: In the final selection, 10 articles were chosen, we found that 40% (04) correspond to Spain, with 20% (02) we find Colombia, while with 10% (01) we find Peru, Venezuela and Brazil. respectively. Most of the quasi-experimental studies have been studied, with 40%, mainly in the countries of Venezuela, Peru and Spain, with 30% we have clinical trial studies in the countries of Spain and Brazil and with 30% cross-sectional descriptive studies belonging to to Colombia and Brazil where of the total number of articles analyzed, 80% affirm that nursing education is effective in reducing anxiety levels in patients undergoing surgical intervention. Conclusions: Within all the systematic reviews, 80% (n=08/10) demonstrated that nursing education to reduce anxiety levels in patients undergoing surgical intervention was effective since it significantly helps in coping with the process in the patient. postoperative.
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Effectiveness of simulation-based training to improve team skills in the operating room
(Universidad Privada Norbert Wiener, 2018-11-10) Pineda Barriga, Yessenia Maribel; Ramirez Galvez, Katherine Milagros; Calsin Pacompia, Wilmer
Systematic review, subjected to critical reading and using the GRADE evaluation system to identify the degree of evidence of the articles published in the following databases: Sciencedirect, Epistemonikos Scielo, PubMed, Researchgate. Of the 10 articles systematically reviewed, 90% (n= 9/10) are systematic reviews, 10% (n= 1/10) are cohort studies and come from Australia (40%), followed by the United States. United States (20%), New Zealand (10%), Ireland (10%), Denmark (10%) and Mexico (10%). Conclusion: 80% (n=8/10) of the studies show that simulation training was effective in improving the skills of the team in the operating room, reducing the degree of manipulation and possible complications in the patient's health, providing this way warmth and comfort in each of our patients who undergo surgical interventions. And 20% (n=2/10) evidence that simulation training was not effective in improving the skills of the team in the operating room, which is why they often decide to carry out the interventions in situ.
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Effectiveness of the use of double gloves as a surgical barrier in the surgical center team
(Universidad Privada Norbert Wiener, 2019-08-25) Julcarima Gonzales, Jeanette del Pilar; Salazar Ricci, Lynda Cintya; Pretell Aguilar, Rosa María
Objective: Analyze and systematize the evidence linked to the effectiveness of the use of double gloves as a surgical barrier in the surgical center team. Material and methods: The systematic review of the 10 scientific articles evidenced on the effectiveness of the use of double gloves as a surgical barrier in the surgical center team. They were analyzed according to the Grade system to determine the strength and quality of the evidence. Of the 10 articles, 40% (4/10) correspond to the methodological design of randomized controlled trials, 20% (2/10) systematic reviews, 10% (1/10) experimental, 30% (3/10 ) are cases and control. 30% of articles come from the US and 10% are found in Nigeria, Canada, China, Spain, Türkiye, the Republic of Macedonia and Ethiopia. Results: According to the evidence found, 100% of the authors demonstrate that the use of double gloves is effective as a surgical barrier in the surgical center team, avoiding the perforation of the gloves during surgical procedures, thus reducing contact with blood and fluids. body fluids. Conclusions: Of the 10 articles reviewed, 10 indicate that the use of double gloves is effective as a surgical barrier for surgical center equipment, preventing perforation of the gloves during surgical procedures and thus reducing proximity to fluids.
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Efficacy of laparoscopic inguinal hernia surgery versus conventional inguinal hernia in patients who have undergone this surgical intervention
(Universidad Privada Norbert Wiener, 2017-07-02) Vargas Rengifo, Liz Yuliana; Paucar Zuasnabar, Graciela; Remuzgo Artezano, Anika
Materials and Methods: In the final selection, 10 studies were chosen, the systematic review of the 10 scientific articles on the effectiveness of laparoscopic inguinal hernia surgery versus conventional inguinal hernia in patients who have undergone this surgical intervention, were found in the following Lilacs, Scielo, Pubmed, Medline and Cochrane databases, all of them correspond to the type and design of studies Meta-analysis 01, Systematic Review and Meta-analysis 01, Systematic Review 07 and Randomized Clinical Trial 01. Results: The 10 articles systematically reviewed, 80% (n=08/10) of these, show the better effectiveness of laparoscopic inguinal hernia surgery compared to conventional surgery, it has a better result and is a viable and safe strategy for the patient undergoing this surgical intervention, in addition to reducing the days of hospital stay. Conclusion: The evidence confirms that the best intervention for cases of inguinal hernia is laparoscopic surgery.
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Efficacy of the use of external active heating devices in the perioperative period to reduce hypothermia in patients undergoing surgical intervention
(Universidad Privada Norbert Wiener, 2020-02-16) Erribari Sulluchuco, Mirtha Nitza; Giraldo Vicente, Betzabé Maira; Gamarra Bustillos, Carlos
Objective: Systematize the evidence on the effectiveness of the use of external active heating devices in the perioperative period to reduce hypothermia in patients undergoing surgical intervention. Materials and Methods: A retrospective systematic review was carried out, which summarizes the findings of various primary studies. These investigations are an important part of evidence-based nursing to answer clinical questions. Thus, it was restricted to documents using the GRADE system, which allowed the recommendation power to be strengthened. Subsequently, the selected investigations were subjected to critical analysis. Results: Finally, 10 articles were selected, carried out in the present study, the active heating methods are efficient, although some seem to be more efficient than others. Better findings were obtained when warming was extended to the preoperative stage to reduce the occurrence of perioperative hypothermia. For this reason, intervention measures are necessary in order to prevent hypothermia and maintain normal temperature before and during the operation. Conclusions: Active warming methods were shown to be effective in maintaining perioperative normothermia. Being an effective measure (efficient and effective), since it increases body temperature and thermal comfort, patient satisfaction and facilitates venous cannulation, it reduces bleeding, infection of the surgical wound, mechanical ventilation time, use of fluids, vasodilators, morphine and antibiotics, blood pressure and cardiac disorders, reduces hospitalization time and costs. Warming during the intraoperative period is sufficient to effectively prevent hypothermia, both at this stage and in the postoperative period.
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Evaluating the effectiveness of interventions to reduce hospital readmissions in patients with heart failure.
(Universidad Privada Norbert Wiener, 2018-12-02) Alza Landeo, Aurorita del Carmen; Gomez de la Cruz, Bertha Yakelin; Pretell Aguilar, Rosa Maria
The systematic review of 10 scientific articles, no older than 10 years, on the effectiveness of interventions to reduce hospital readmissions in heart failure patients, found in the databases: Scielo, Cochrane Plus, Lilacs, Pubmed, Medline, and analyzed according to the Grade scale to determine their evidence quality and strength of recommendation. RESULTS: Of the 10 articles reviewed: 40% randomized controlled trials, 20% systematic reviews and meta-analyses, 20% retrospective and prospective cohort studies, 10% multicenter quasi-experimental trial, and 10% experimental study. 80% of the reviews indicate that various interventions significantly reduce hospital readmissions, highlighting individualized consultations by each professional, with the nurse as the manager in individualized education promoting self-care; telephone follow-ups, home visits, early post-discharge care, the use of day hospitals for decompensations, and telemedicine. However, 20% indicate no differences, and in some cases, readmissions are not reduced, due to the heterogeneity of interventions and the few existing studies. CONCLUSIONS: Of the 10 articles reviewed, 8 indicate the effectiveness of interventions to reduce hospital readmissions in heart failure patients, and 2 articles are discordant regarding some interventions to decrease hospital readmissions.
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The intermittent pneumatic compression system for the prevention of deep vein thrombosis in surgical patients
(Universidad Privada Norbert Wiener, 2019-08-18) Rondon Soria, Lourdes Joana; Ruiz Celis, Gladys Rocio; Pretell Aguilar, Rosa María
Objective: Systematize the evidence linked to the intermittent pneumatic compression system for the prevention of deep vein thrombosis in surgical patients. Material and methods: The systematic review of the 10 scientific articles evidenced on the intermittent pneumatic compression system was obtained from the following databases, Medline, Pubmed, Epistemonikos and Google academic. They were analyzed according to the Grade scale to determine the strength and quality of the evidence. Of the articles investigated, 50% (5/10) correspond to the methodological design of a Case and Control Study, 30% (3/10) are Systematic Review, 10% (1/10) are Meta-analysis, and 10% (1/10) is Randomized Controlled Trial. Results: Of the 10 articles reviewed, 100% (10/10) demonstrate that the intermittent pneumatic compression system prevents and reduces deep vein thrombosis in surgical patients. Conclusions: Of the 10 articles reviewed, 10 show that intermittent pneumatic compression prevents and reduces deep vein thrombosis in patients undergoing surgical procedures.
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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).