Sede Azogues - Enfermería
URI permanente para esta comunidadhttps://dspace.ucacue.edu.ec/handle/ucacue/90
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Examinando Sede Azogues - Enfermería por Asesores "Abad Martínez, Nancy Isabel"
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Ítem Acceso Abierto Aplicación del Proceso de Atención de Enfermería en Adultos Mayores con trastornos mentales. Revisión Sistemática(Universidad Católica de Cuenca., 2025-06-20) Arcentales Verdugo, Jessenia Marisol; Abad Martínez, Nancy Isabel; 0302322367Introduction: Mental disorders in older adults pose a significant challenge to modern public health. They are a cause of morbidity and result in high levels of disability, representing a burden for families, society, and the country. The nursing role is crucial in applying the Nursing Care Process to ensure the delivery of quality care. Objective: To analyze the application of the nursing care process in older adults with mental disorders. Methods: A systematic review with a descriptive approach was conducted. The selection of articles followed the PRISMA flow diagram. Scientific articles published in the last seven years were reviewed across databases, including SciELO, Dialnet, ResearchGate, Redalyc, Scopus, and LILACS, using Boolean operators AND, OR, and NOT. Results: The prevalent mental disorders identified were depression, anxiety, and Alzheimer’s disease/dementia. The main NANDA (North American Nursing Diagnosis Association) diagnoses included anxiety, memory impairment, chronic confusion, acute confusion, chronic distress, sleep pattern disorder, social isolation, self-care deficit: feeding, risk of injury. Regarding the application of the PAE (PAE by its Spanish acronym) using the NANDA, NOC (Nursing Outcomes Classification), and NIC (Nursing Interventions Classification) taxonomies, not all studies applied the nursing process in full. A nursing care plan was developed, focusing on the primary problems presented by patients with these conditions. Mental disorders significantly impact the health of older adults, making it essential to implement the NANDA-I, NOC, and NIC taxonomies, which directly influence the quality of life of this vulnerable population. Keywords: Mental disorders, frail older adults, nursing care, NANDA-I terminology, NIC, NOCÍtem Acceso Abierto Cuidados de enfermería en pacientes con complicaciones post- Cesárea. Revisión Sistemática(Universidad Católica de Cuenca., 2024) Tenezaca Guallpa, Manuel Jesús; Abad Martínez, Nancy Isabel; 0302384987A cesarean section is a surgical procedure involving the extraction of the fetus through an incision in the uterus. This intervention is recommended when vaginal delivery is not viable to safeguard the mother’s life. Various factors can lead to the decision to perform this procedure, including complications that may appear during the postoperative period, highlighting the importance of efficient and quality nursing care. Objective: To analyze nursing care in patients with post-cesarean complications. Method: A systematic review with a descriptive approach was conducted. Following the PRISMA methodology, scientific articles published in the last nine years were used, sourced from databases such as PubMed, Redalyc, ScienceDirect, SciELO, Dialnet, and books that met inclusion and exclusion criteria. Results: Key risk factors include age, marital status, educational level, preeclampsia, obesity, diabetes, and fetal aspects such as gestational age, macrosomia, and fetal distress. The most common complications are hemorrhage, infections, and pain. Nursing care focuses on monitoring vital signs, managing hemorrhages, administering medications, and providing emotional support to ensure adequate recovery. Conclusions: Cesarean sections have become a worldwide health issue due to their increasing frequency, caused by various maternal and fetal factors that can lead to complications, for instance, hemorrhage and infections; it underscores the critical role of nursing staff in this context. Keywords: cesarean section, risk factors, post-cesarean complications, nursing careÍtem Acceso Abierto Síntomas no motores en pacientes con enfermedad de Parkinson en el Distrito 03D01(Universidad Católica de Cuenca., 2024) Morquecho Campoverde, Jessica Cristina; Abad Martínez, Nancy Isabel; 0302201769Introduction: Parkinson's disease is a progressive neurodegenerative disease, with a worldwide prevalence of 1 to 3%, presenting motor and non-motor symptoms that affect quality of life. Objective: To identify the presence of non-motor symptoms in patients with Parkinson's disease in district 03D01. Methodology: A non-experimental, quantitative, prospective, observational, cross-sectional, non-experimental study was conducted on patients with Parkinson's diagnosis from health district 03D01. Sample: The sample comprised 98 patients. Instrument: The non-motor symptoms questionnaire was the NMS Quest validated in Spanish. Results: The questionnaire demonstrated high reliability and validity, with values of Cronbach's Alpha at 0.853, McDonald's Omega at 0.856, a Composite Reliability Coefficient of 0.856, factor loadings of 0.854, and an AVE value of 0.50. The prevalent non-motor symptoms are sadness and mood, followed by anxiety and falls; per the patient report, 15.1 symptoms have a symmetrical distribution and moderate variability. Gender has no relevant impact on the presence of non-motor symptoms, and in the stage of the disease, symptoms increase as the Parkinson's stage progresses. Conclusion: The NMS Quest questionnaire is a highly reliable and valid tool for identifying non-motor symptoms, among which affective and other symptoms prevail; the average number of symptoms per patient is 15.1, reflecting the diversity and heterogeneity of the disease. Finally, symptoms worsened as the disease advanced, whereas gender had no notable impact. Keywords: Parkinson's disease, non-motor symptoms, age, gender.
