Sede Azogues - Enfermería
URI permanente para esta comunidadhttps://dspace.ucacue.edu.ec/handle/ucacue/90
Examinar
Examinando Sede Azogues - Enfermería por Asesores "González León, Fanny Mercedes"
Mostrando 1 - 3 de 3
- Resultados por página
- Opciones de ordenación
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 redÍtem Acceso Abierto Revisión sistemáticas y metaanálisis del síndrome metabólico y riesgo de cáncer en adultos(Universidad Católica de Cuenca., 2025-06-13) Ludizaca Llerena, Gina Paola; Naranjo Guallpa, Ana Gabriela; González León, Fanny Mercedes; 0302396338; 0350300059Metabolic syndrome is a cluster of signs and symptoms characterized by a multifactorial disorder that increases the risk of cardiovascular diseases, diabetes, and cancer. Objective: To examine the scientific literature on metabolic syndrome and cancer risk in adults through a systematic review and meta-analysis. Methodology: A systematic review was conducted using scientific databases from 2020 to 2025, including PubMed, Scopus, SciELO, Dialnet, Google Scholar, and Redalyc, following the PRISMA 2020 guidelines. Inclusion criteria comprised studies published in English and Spanish. Results: Sixteen articles were included in the study. The findings revealed a significant association between metabolic syndrome (MS) and various types of cancer, particularly gastrointestinal, breast, prostate, and endometrial cancers. The meta-analysis indicated that individuals with MS have a higher relative risk of developing cancer, with odds ratios and hazard ratios, in some cases, doubling or tripling the risk. The most influential variables were sex, abdominal obesity, hypertension, and insulin resistance. In Latin America, a high prevalence of MS was identified in people with cancer, highlighting its role as a significant comorbidity. Internationally, cohort studies confirmed this relationship, reinforcing the importance of preventive interventions. Conclusion: Metabolic syndrome is a relevant risk factor for various types of cancer in adults. Early identification and management may contribute to reducing the cancer burden, particularly in populations with high rates of obesity and metabolic disorders. Keywords: Metabolic syndrome, cancer, risk factors, prevalence, disease
