Trabajos de Titulación - Sede Azogues - Enfermería
URI permanente para esta colecciónhttps://dspace.ucacue.edu.ec/handle/ucacue/91
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Examinando Trabajos de Titulación - Sede Azogues - Enfermería por Asesores "González León, Fanny Mercedes"
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Ítem Acceso Abierto Adherencia al tratamiento en adultos con enfermedad de Parkinson en el distrito 03D01(Universidad Católica de Cuenca., 2024) Lliguisupa Peláez, Jonnathan David; González León, Fanny Mercedes; 0302694807Background: Adherence to treatment for Parkinson’s disease plays a crucial role in effectively managing the disease and improving the quality of life of those affected. Objective: To identify adherence to treatment in adults with Parkinson’s disease in the 03D01 District, including the cantons of Azogues, Biblían, and Deleg. Methodology: A non-experimental, quantitative, prospective, observational, and cross-sectional study was conducted on patients diagnosed with Parkinson’s disease within the 03D01 Health District Sample: The sample comprised 98 patients. Instruments: The Morisky Green test was used. Results: The mean adherence score of 3.66 suggests that patients with Parkinson’s disease have low adherence. Patients with secondary education demonstrate higher adherence (4.00). Adherence improved with disease progression, reaching a median of 3.88 in stage 4 and 4.25 in stage 5. The presence of a caregiver increased adherence (3.75) compared to those without a caregiver (3.50). Conclusions: In general, the adherence to treatment in patients with Parkinson’s disease is low, negatively impacting their quality of life. Keywords: Adherence, Parkinson’s isease, Prevalence.Ítem Acceso Abierto Hemorragia obstétrica en el posparto. Revisión sistemática(Universidad Católica de Cuenca., 2024) Chacón Estrella, Klever Alejandro; González León, Fanny Mercedes; 0105803860Obstetric hemorrhage is defined as the loss of more than 500 ml of blood during vaginal delivery and more than 1000 ml during cesarean delivery. Objective: To determine the prevalence, causes, complications, and nursing care associated with postpartum obstetric hemorrhage. Methodology: This was an analytical, systematic review study conducted through the reading and analysis of scientific literature from the following databases: SciELO, Scopus, Dialnet, Taylor & Francis, PubMed, ProQuest, and Web of Science, focusing on studies published between 2018 and 2023. The quality of the literature was assessed using the CONSORT-2010 checklist. Results: A global prevalence of 80% was identified, with regional rates of 30.8% in Asia, 33.9% in Africa, and 30% in Colombia. In Ecuador, obstetric hemorrhage ranks as the second leading cause of maternal death and is more prevalent in low-income countries. The most common cause is uterine atony (61.5%), and the most frequent complication is hypovolemic shock. Treatment protocols, such as Ecuador's "Score MAMÁ" and the implementation of the Nursing Care Process based on the NANDA NOC-NIC Taxonomy, are essential. Conclusions: The prevalence of postpartum hemorrhage (PPH) varies, but it is more frequent in developing countries. Uterine atony is the leading cause of PPH, with complications including hypovolemic shock, acute renal failure, and disseminated intravascular coagulation. Timely nursing intervention is critical for prompt care and reducing maternal morbidity and mortality. Keywords: bleeding, hypovolemic shock, code red
