Examinando por Materia "Systematic Review"

Mostrando 1 - 20 de 203

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Academic performance of IX and
(Universidad Privada Norbert Wiener, 2019-08-13) Quispe Pariona, Roxana; Calsin Pacompia, Wilmer
Objective: Determine the overall academic performance of students from IX and X Cycle of the UPNW Professional Academic School of Nursing, Semester 2016-I to 2018-II. Materials and Methods: systematic review, use of the Evaluation Record system of IX and X cycle students of the UPNW Professional Academic School of Nursing. Databases: Pubmed, Biomedic Sciences, Elvesier, Medline and Scielo. 40% cohort studies, 30% prospective study, 20% systematic review, 10% cross-sectional study. 60% of the articles are of high quality, strong strength of evidence, 30% moderate quality and strong strength of evidence, 10% low quality and weak strength of evidence. 29.4% belong to the United States, 26.5% Colombia, 17.6% Peru, 14.7% Spain, 5.9% Mexico and Chile, respectively. Results: All the articles reviewed systematically indicate that the nursing students during the internship presented an effective performance that in our categorization coincides with the notable categorization. All the articles reviewed systematically indicate effectiveness in the application of a preventive package to reduce surgical wound infections in the patient during the intraoperative period. Conclusions: The academic performance of the IX and X cycle students of the Professional Academic School of Nursing of the Norbert Wiener Private University, Semester 2016-I to 2018-II. It was rated as Notable.
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Adherence factors involved in the treatment of cancer patients
(Universidad Privada Norbert Wiener, 1905-07-09) Saravia Reyes, Mabel Magaly; Vilca Huallanca, María Esperanza; Gamarra Bustillos, Carlos
Objective: Determine the adherence factors that intervene in the treatment of cancer patients. Methodology: It is a systematic review in different Medline databases - Pubmed, Lilacs, Scielo and Science direct, following the PICO format, the inclusion criteria were: scientific articles published between 2006 and 2016 in Spanish and English, with selection final of 12 articles. Results: Of the 12 articles reviewed, 100% (12/12 articles) that intervened were the sociocultural factor, which had 59% (7/12), while the factor of adverse effects to treatment had 50% (6/12) and the economic factor has 17% (2/12). The quality of the articles was mostly moderate at 75% (9/12). In the most searched articles it was in the country of Nigeria (3/12) with 25.6%, in which the dimension that most intervened for non-adherence to treatment was the economic factor. Conclusions: The associated adherence factor was, according to this review, multifactorial and involves sociocultural factors, adverse effects of treatment, and economic factors. Strategies and alternatives must be generated to develop early interventions that allow for better therapeutic adherence in cancer patients.
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Aspects related to effective communication between nurses and patients' families
(Universidad Privada Norbert Wiener, 1905-07-09) Buendia Rojas, Claudio Dionisio; Chávez Pajuelo, Miriam Francisca; Gómez Gonzales, Walter Edgar
Objectives: Determine the aspects related to effective communication between the nurse and the patients' families in the area. Methodology/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 level of evidence. Results: In the final selection, 10 articles were chosen, we found that 40% (04) correspond to Spain, with 40% (04) we find Colombia, while with 10% (01) we find Peru and Mexico respectively. The majority of Cross-Sectional studies have been studied, with 90%, mainly in the countries of Spain, Colombia, Peru and Mexico. And with 10% we have quasi-experimental studies belonging to Spain. Where the aspects related to effective communication of the nurse with the family members considered in the majority of the articles analyzed were: Verbal aspects (Strategies to facilitate understanding), Non-verbal aspects (social skills), heterogeneous positions on the presence of the family , the identification of the nurse and finally the instrumental aspects. Conclusions: It was evident in the reviewed research that to carry out effective communication it is necessary to consider the aspects of communication.
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Aspiration of subglottic secretions as an effective alternative for the prevention of pneumonia in patients with mechanical ventilation
(Universidad Privada Norbert Wiener, 2020-02-29) Costa Pisfil, Erika Amavila; Elías Garcia, Karen Pamela; Avila Vargas Machuca, Jeannette Giselle
Objectives Systematize evidence on the effectiveness of subglottic aspirations for reducing pneumonia in patients with mechanical ventilation. Materials and Methods: Observational and retrospective systematic review, the search was based exclusively on articles with full text, and the chosen studies were subjected to a critical reading, based on the GRADE evaluation to identify their level of evidence. In the selection, 10 articles were chosen, of which 20% (2/10) correspond to the United States, 20% (2/10) Australia, 10% (1/10) to India, 20% (2/10) ) Canada, 10% (1/10) China, 10% (1/10) France and 10% (1/10) Belgium. Of these there are 2 systematic reviews, 4 meta-analyses, 3 clinical trials and 1 control study, all of high quality. Results: Of the 10 articles reviewed, 100% (10/10) demonstrated that aspiration of subglottic secretions reduces the incidence of pneumonia and edema problems compared to tracheal aspirations. Conclusions: It was shown that aspiration of subglottic secretions is effective in reducing the risk of pneumonia associated with mechanical ventilation.
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Benefits of intradialysis physical exercise in hemodialysis users with chronic kidney disease
(Universidad Privada Norbert Wiener, 2019-08-18) Valqui Leonardo, Rocio; Bustinza Orosco, Carolina Carlota; Cárdenas de Fernández, María Hilda
Objective: Systematize the evidence of the benefits that intradialysis physical exercise provides to hemodialysis chronic kidney patients. MATERIAL AND METHOD: In the systematic review of the ten scientific articles found regarding the benefits of intradialysis physical activity in hemodialysis users with chronic kidney damage, they were compiled from the Pubmed database, these were analyzed with the Grade scale thanks to This determined a high quality of evidence. Results: in these ten articles found, 30% (3/10) are of a methodological design of systematic review and meta-analysis, 10% (1/10) are a systematic review and 60% (6/10) correspond to a controlled trial. random. In the ten articles systematically searched, 100% (10/10) reflect positive changes when performing intradialytic physical exercise in hemodialyzed patients with chronic kidney disease. Conclusions: Of the 10 articles read, they reflect changes in the physical functioning and improvement in the quality of life of the hemodialysis user with chronic kidney disease when performing intradialysis physical activity.
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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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The correct cleaning method guarantees the disinfection and/or sterilization process
(Universidad Privada Norbert Wiener, 1905-07-09) Mendoza Vásquez, Jaqueline; Vasquez Herrera, Fiorella Eliana; Gómez Gonzales, Walter Edgar
Objective: Determine whether manual cleaning or automated cleaning reduces greater microbial bioload of surgical medical material. Material and methods: 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, 10 articles were chosen, we found that 50% (05) correspond to Brazil, with 20% (02) we find the United States, while with 10% (01) we find Cuba, Mexico and Peru respectively. Mostly experimental and quasi-experimental studies have been studied, mainly in all countries. Where of the total number of articles analyzed, 100% affirm that manual cleaning in addition to automated cleaning reduces a greater microbial load of medical-surgical material. Conclusions: The 10 articles reviewed show us that the correct cleaning method is achieved with the application of an adequate procedure and automated methods are the most effective, in addition to the fact that an incorrect cleaning method interferes with the disinfection or sterilization process.
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Determination of the appropriate concentration for oral hygiene with Chlorhexidine in the prevention of pneumonia in intubated patients in the intensive care unit
(Universidad Privada Norbert Wiener, 1905-07-09) Chavalía Cóello, Diana Elizabeth; Menacho Vergara, Lissette Carolina; Gómez Gonzales, Walter Edgar
Objective: Determine the best concentration of chlorhexidine used to perform oral hygiene to prevent pneumonia in intubated patients. Materials and Methods: Systematic reviews are an observational and meta-analysis research design, which synthesizes the results of multiple primary investigations. They are an essential part of evidence-based nursing due to their rigorous methodology, which is why a systematic review was carried out with articles in English and Spanish indexed in Cochrane, Embase, Lilacs, Pubmed, Medline, identifying relevant studies to answer specific questions of clinical practice. Results: The SCHEFFE statistical test indicated that of oral hygiene, chlorhexidine showed a statistically significant difference over other forms of hygiene in the reduction of the number of bacterial colonies (p<0.001). The only effect on reducing VAP was found when 0.12% chlorhexidine was used, used in cardiovascular surgery, where Chlorhexidine is used from preoperatively. Conclusions: Oral care, cleaning and antisepsis is a useful strategy for the prevention of pneumonia associated with intubated patients; It was also determined that 0.12% chlorhexidine was effective in reducing colonization of the oropharynx and the incidence of pneumonia associated with intubated patients.
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Determination of the safe disinfectant Orthophthaldehyde versus Glutaraldehyde used by nurses in the High Level Disinfection Process
(Universidad Privada Norbert Wiener, 1905-07-09) Idrogo Maita, Zaida Karina; Ruiz Campos, Deysi; Gómez Gonzales, Walter Edgar
Objectives: Determine the safe disinfectant Orthophthaldehyde vs glutaraldehyde to be used by nurses in the high-level disinfection process. Materials and Methods: Observational and retrospective systematic review, the search has been restricted to 8 articles with full text, and the selected articles were subjected to critical reading. Published and indexed in scientific databases, dating back to the year 2000 and responding to articles published in Spanish, English and Portuguese. In the final selection, 4 articles were chosen, we found that 25% (01) corresponds to England, with 25% (01) to Spain, with 25% (01) to Brazil and while another 25% (01) we find Japan; Two systematic reviews and two cross-sectional studies were included. Results: 80% of the articles reviewed show that glutaraldehyde, compared to orthophthaldehyde, is the one that produces the most cytotoxicity at work, but that orthophthalaldehyde is still toxic. Orthophthaldehyde vs glutaraldehyde, in both cases its greatest adverse reaction when used is in the respiratory tract Conclusion: of the liquid chemical substances used as high-level disinfectants Orthophthaldehyde vs Glutaraldehyde It was evident that Glutaraldehyde is a volatile product that emanates cytotoxic substances causing effects adverse effects on the person who handles it, while Orthophthaldehyde, being exposed through inhalation, turns out to be a sensitizing this. The direct handling of high-level disinfectant substances focuses exposure on the inhalation route, requiring the use of personal protective equipment.
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Education as a nursing intervention to improve the quality of life of the cancer patient
(Universidad Privada Norbert Wiener, 2019-09-22) Huaynate Canorio, Rosario Bertha; Ramos Salazar, Fiorella Miluska; Basurto Santillán, Ivan Javier
Objective: Systematize the evidence obtained on education as a nursing intervention to improve the quality of life of cancer patients. Materials and Methods: The systematic review of the ten selected scientific articles on education as a nursing intervention to improve the quality of life of cancer patients was found in the following databases: Scielo, Pubmed, Epistemonikos and Medline. The analysis of all these articles was carried out according to the GRADE Scale in order to determine their strength and quality of evidence. Results: The results showed that, of the 10 articles reviewed, 90% corresponded to the systematic review design and 10% to the meta-analysis design. While in 90% of the articles evidence of education as a nursing intervention to improve the quality of life of cancer patients was found. Conclusions: Of the ten articles reviewed, in (9/10) evidence of education as a nursing intervention to improve the quality of life of cancer patients was found.
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Educational interventions in older adults with arterial hypertension
(Universidad Privada Norbert Wiener, 2020-02-16) Díaz Díaz, Liz Verónica; Farfán Arestegui, Julia; Cárdenas de Fernández, María Hilda
Objective: Systematize the available findings on educational intervention for the control of high blood pressure in older adults. Material and methods: Systematic review of a total of ten scientific articles found on educational intervention for the control of high blood pressure in older adults. which were selected in the databases: Pubmed, Google Scholar and Scielo. They were analyzed using the Grade scale to establish the quality of evidence, as well as the strength. Results: 100% of reviewed articles are of experimental design. 100% of the articles demonstrate the effectiveness of educational intervention for the control of high blood pressure in older adults. Conclusion: Of the 10 articles systematically reviewed, 100% (n=10/10) of them show that educational interventions for blood pressure control in hypertensive older adults are effective.
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Effect of confinement by Covid-19 on lifestyles linked to nutrition: systematic review
(Universidad Privada Norbert Wiener, 2021-11-11) Farfan Aurora, Valeria; Bohórquez Medina, Andrea Lisbet
Objective: Determine the effect of confinement related to covid-19 on lifestyles. Methods and materials: Systematic review, based on the PRISMA statement. Searches were carried out in the databases: SCOPUS, PUBMED, WEB OF SCIENCE, EMBASE, OVIDMEDLINE. 452 articles were identified that answered the main research question. Of this, 110 duplicate studies were discarded, the final population was 10 articles that met the admission criteria for the research. The search strategy was covid-19, covid-19 Virus Disease, covid-19 Virus Infection, 2019-ncov Infection / Coronavirus Disease-19 / 2019 Novel Coronavirus Disease / Coronavirus Disease 2019 / SARS Coronavirus 2 Infection / SARS-cov-2 Infection / SARS cov2 Infection / SARS-cov-2 Infections / COVID-19 Pandemic Results: An increase in body weight, sedentary lifestyle, consumption of snacks and snacks (carbohydrates), stress, depression and anxiety, and a decrease in physical activity, sleep, quality of life and mental health, all of this during confinement related to covid-19. Conclusions: The effect of confinement due to covid-19 on lifestyles, the 10 studies evaluated in this systematic review demonstrated a negative effect.
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Effect of noise intensity on the newborn hospitalized in the neonatal ICU
(Universidad Privada Norbert Wiener, 2021-02-28) Checglio Cusi, Jessica Sadith; Santamaría Olivos, Elida; Pretell Aguilar, Rosa María
Objective: Systematize the available evidence on the effect of noise intensity on newborns hospitalized in the neonatal ICU. Material and methods: Systematic observational and retrospective review, quantitative, the 10 articles found on the effect of noise intensity in the newborn hospitalized in the neonatal ICU, were found in the databases PubMed, Sciencedirect, Scielo, Wiley Online Library, Elsevier, Epistemonikos. Results: Of the total articles found, 60% were systematic reviews, 10% quasi-experimental, 20% descriptive and 10% experimental and all referred to the effect of noise intensity on newborns hospitalized in the neonatal ICU. 20% corresponds to Colombia and 10% to France, the United States, Spain, Mexico, Canada, Italy, Brazil and Iran with 10% respectively. Of the total evidence, 80% were of high quality and 20% of low quality. The intensity of noise in neonatal intensive care units affects the development of the hospitalized newborn. The evidence also mentions that noise affects the newborn, both physically and neurologically, leaving them hospitalized for several days. Studies indicate that not only the newborn is affected, but also the health personnel since they are the ones who spend most of the day in these units. Conclusion: The 10 articles show that the intensity of noise in the neonatal intensive care unit affects the development of the newborn physically and neurologically, leaving them hospitalized for several days.
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Effective interventions for the control of congestive heart failure in emergency units
(Universidad Privada Norbert Wiener, 1905-07-09) Avila Salazar, Jesela; Huaman Grandez, Maria Liseth; Gamarra Bustillos, Carlos
Objective: Establish effective interventions for the control of congestive heart failure in emergency units. Materials and methods: A systematic review was carried out, which synthesizes the results of multiple primary investigations. They are an essential part of evidence-based nursing due to their rigorous methodology, identifying relevant studies to answer specific questions of clinical practice. Results: 10 systematically reviewed scientific articles on effective interventions for the control of congestive heart failure in emergency units were included in the review. The articles were located in the Lilacs, Medline, Ebsco and Pubmed databases; 70% (n = 07/10) of the articles reviewed agree and show that the administration of ASA diuretics, which act on the medullary portion of the loop of Henle, inhibiting sodium reabsorption in the thick ascending portion of the loop of Henle, Henle; belonging to Group II such as: furosemide, bumetanide, torsemide, ethacrynic acid, in bolus or infusion, are the most used; on the other hand, 30% of the articles reviewed (03/10) of the authors agree that educational interventions based on formative education is effective in improving the control of congestive heart failure. Conclusion: The articles reviewed show that the most effective intervention for heart failure in older adults is ASA diuretics and educational interventions based on training education are effective in improving the control of congestive heart failure in emergency units. .
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Effective interventions for the prevention and management of oral mucositis in cancer patients
(Universidad Privada Norbert Wiener, 1905-07-09) Pajuelo Coronel, Carmen Guadalupe; Pizarro Paucar, Maribel Felicitas; Mendigure Fernández, Julio
100% of the studies included in the systematic review show that effective interventions for prevention are: Systematic oral hygiene, amifostine, antibiotic tablet or paste, ice tablets, zinc supplements, bicarbonate rinses sodium, cryotherapy, plantain rinses, chlorhexidine rinses, and laser therapy; and for treatment they are: hydrolytic enzymes, morphine rinses, sodium bicarbonate rinses, zinc supplements, cryotherapy, chlorhexidine rinses and the topical application of pure honey.
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Effective interventions to reduce occupational risks in personnel working in the operating room
(Universidad Privada Norbert Wiener, 2019-09-29) Allende Burga, Esmeralda; Rivera Lozada de Bonilla, Oriana
Objective: Systematize the evidence on effective interventions in reducing occupational risks in personnel who work in the operating room. Materials and Methods: Observational and retrospective systematic review, which synthesizes the results of multiple primary investigations. They are an essential part of evidence-based nursing due to their rigorous methodology, identifying relevant studies to answer specific questions of clinical practice, the search has been restricted to articles with full text, and the selected articles were subjected to critical reading. using the grade system to assign recommendation strength. Results: Of the total number of articles analyzed, 10/10 show effective interventions to reduce and/or prevent risks to which personnel working in a surgical center are subjected. Of which the majority, 6/10, represent systematic review studies, 3/10 represent experimental studies and 1/10 represent a quasi-experimental study. Conclusions: The research reviewed showed that there are effective interventions that prevent risks and should be applied in the surgical center, such as the use of double gloves and blunt needles in surgeries, as well as the use of personal protective equipment, specifically masks. Have special equipment to reduce exposures, and the hepatitis B vaccine (VDP) among others. In this way favoring the prevention of occupational risks to which personnel working in a surgical center are exposed.
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Effective scale to assess the risk of pressure ulcer in pediatric patients
(Universidad Privada Norbert Wiener, 1905-07-09) Calla Ruiz, Oriele; Salvador Valenzuela, Norma Haydeé; Gómez Gonzales, Walter Edgar
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, using the Grade evaluation to identify the degree of evidence. Results: In the final selection, 07 articles were chosen, 58% (4) correspond to Spain, with 14% (1) found in England, 14% Colombia and 14% Brazil. Likewise, according to the type of study, 43% correspond to Systematic Reviews, 14% Prospective Cohort, 29% Descriptive, 14% Cross-sectional Study. Conclusions: According to the results obtained from the systematic review, they show that of the total of 7 studies, equivalent to 58% corresponds to demonstrating that the Braden scale is effective in evaluating the risk of pressure ulcer in pediatric patients.
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Effective strategies to improve communication among health personnel in a surgical center
(Universidad Privada Norbert Wiener, 1905-07-09) Huarcaya Vaca, Clarissa Domitila; Chung Luna, Jackeline; Remuzgo Artezano, Anika
This is a systematic review of 10 scientific articles that respond to articles published in Spanish, English and Portuguese no older than 5 years. Data collection was carried out through a bibliographic review of both national and international research articles. and where they were found in the following databases Scielo, Pubmed, Elsevier, Scielo, BvsPeru, Lilacs. The main theme was effective strategies to improve communication among surgical center health personnel; Of all the articles that were found, the most important ones were included according to the level of experience and the least relevant ones were excluded. The selected articles were subjected to critical reading, using the grade system to assign the strength of recommendation.
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Effectiveness in the prevention of neoplasia with the administration of the human papillomavirus vaccine in men
(Universidad Privada Norbert Wiener, 2020-09-20) Uchuya Chávez, Edgardo Manuel; Arevalo Marcos, Rodolfo Amado
Objective: to systematize the evidence on the effectiveness in preventing neoplasia with the administration of the Human Papillomavirus vaccine in men. Methodology: it is a Systematic Review where it synthesizes some results from various investigations. Likewise, it is an essential part of Evidence-Based Nursing, therefore the search has been restricted to scientific articles with high quality of evidence and with an appropriate strength of recommendation. Results: in the exhaustive selection, at the end, 10 scientific articles were chosen, among which we found systematic reviews, randomized controlled clinical trials and case-control studies where of the total articles collected, 100% affirm that the application of the vaccine against HPV in men is effective in preventing neoplasia and other infections. Conclusions: it was evident that the included investigations show a high degree of immunological effectiveness, therefore, when HPV vaccines are administered it results in prevention of the development of genital warts, pre-cancerous lesions, and most importantly, adequate prevention. of HPV infection, in this sense all of this contributes to a possible decrease in various types of neoplasms related to men.
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Effectiveness of a nursing educational intervention for the integration into the family and community of the patient with psychiatric disorder
(Universidad Privada Norbert Wiener, 2020-12-27) Cámara Carrasco, Rosa Elvira; Melchor Rojas, Marili Beatriz; Basurto Santillán, Ivan Javier
Introduction: The WHO, visualizing the gap in community psychiatric treatments, promotes the global mental health action program by giving recommendations based on evidence and available treatments, so that health providers can assist without the need for a specialty. Objective: Systematize the evidence on the effectiveness of a nursing educational intervention for the integration of patients with psychiatric disorders into the community. Methodology: Systematic review of the 8 scientific articles found that analyzed as the main topic the effectiveness of an educational nursing intervention. nursing for the integration of the psychiatric patient into the family and community, were found in the following database, Cochrace, Scielo, PubMed, Medline, all of them were located according to a grade scale to identify their strength and quality of evidence.