Trabajos de Titulación - Sede Azogues - Enfermería
URI permanente para esta colecciónhttps://dspace.ucacue.edu.ec/handle/ucacue/91
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Item type: Ítem , Access status: Acceso Abierto , Mortalidad por enfermedades neurodegenerativas en el Ecuador.(Universidad Católica de Cuenca., 2026-10-07) Díaz Vintimilla, María Belén; Crespo Castro, Josué FranciscoBackground: Neurodegenerative diseases represent a growing public health problem due to population aging. Disorders such as Alzheimer’s disease, Parkinson’s disease, and other dementias generate high levels of disability, dependence, and mortality among older adults. Objective: To determine mortality from neurodegenerative diseases in Ecuador. Methods: An observational, descriptive, cross-sectional, and retrospective study based on secondary data analysis. Results: A total of 1,353 deaths from neurodegenerative diseases in Ecuador were analyzed, with a predominance of women (56%), individuals of Ecuadorian nationality (98%), and older adults, with a median age of 85 years. Alzheimer’s disease was the leading cause of death (51%), followed by Parkinson’s disease (21%) and dementias. Alzheimer’s disease and dementias predominated among women and increased with age, while Parkinson’s disease was more frequent among men. Most deaths occurred at home (69%) and involved urban residents (80%), showing a greater concentration of mortality from these diseases among older adults, especially women and the urban population. Conclusion: The study analyzed 1,353 deaths from neurodegenerative diseases in Ecuador during 2024, showing higher mortality among older adults and women. Alzheimer’s disease was the leading cause of death (51%), followed by Parkinson’s disease (21%). Most deaths corresponded to the urban and mestizo populations. The results highlight the influence of age and sex, as well as the need to strengthen prevention, early detection, and comprehensive care. Keywords: neurological disease, cognitive impairment, older adult, Alzheimer’s diseaseItem type: Ítem , Access status: Acceso Abierto , Análisis Epidemiológico de la prevalencia y factores de riesgo de Cáncer Tiroideo en la provincia del Cotopaxi(Universidad Católica de Cuenca., 2026-10-07) Santander Santander , Pamela Estefania; Correa Chamba, Santander María de los AngelesBackground: Thyroid cancer is the most frequent malignant neoplasm of the endocrine system; it is characterized by a progressive increase in its incidence worldwide. Although it has a high survival rate, its epidemiological behavior shows differences according to sex, age, and geographical context, making it necessary to analyze its distribution at the local level. Objective: To analyze the epidemiological characteristics of the prevalence and risk factors among thyroid cancer cases recorded in the province of Cotopaxi during the period 2019-2024. Methods: A descriptive, cross-sectional, and retrospective study, based on secondary data analysis, was conducted. The population comprised 110 records of thyroid cancer cases (ICD-10: C73) among residents of the province of Cotopaxi during the period 2019-2024. Results: One hundred and ten cases were recorded during the study period, with the highest frequency occurring in 2022 (27.3%). Females predominated, accounting for 83.6% of the cases. The average age was 48.8 years (SD 17.4), with a minimum age of 14 and a maximum age of 85 years; the 40–59 age group (30.0%) and ≥60 age group (32.7%) accounted for the highest proportion. Sixty-eight point two percent of the cases corresponded to urban areas. Most patients were alive at discharge (95.4%), and the average length of hospital stay was 3.9 days. Conclusion: Thyroid cancer showed more predominance among women and had a higher prevalence among middle-aged adults and those from urban areas, with a low incidence of deaths during the study period. Keywords: thyroid gland diseases; epidemiology; thyroid gland neoplasmsItem type: Ítem , Access status: Embargo , Proyecto de titulación embargado para publicación(Universidad Católica de Cuenca., 2026-10-06) Allaico Sinche, Mayra ElizabethItem type: Ítem , Access status: Embargo , Proyecto de Titulación embargado con fines de publicación de impacto(Universidad Católica de Cuenca., 2026-10-06) Pintado Barrera, María FernandaItem type: Ítem , Access status: Acceso Abierto , Proceso de atención de enfermería aplicado a la atención del paciente adulto mayor con hipertensión arterial: Revisión sistemática y Metaanálisis(Universidad Católica de Cuenca., 2026-07-13) Rodríguez Ávila, Mishell EstefaníaIntroduction: Hypertension in older adults requires a continuous and systematic approach. In this context, the (NCP) Nursing Care Process is proposed as a strategy for organizing care, strengthening self-care, and contributing to clinical management. Methodology: A review was conducted, with studies selected using the PRISMA flow diagram: 76 records were identified, 15 duplicates were eliminated, 61 records were screened, 48 full-text articles were reviewed, and 38 studies were ultimately included. Evidence was retrieved from eight databases, predominantly PubMed (52.6%) and from publications mostly in English. Results: The included studies were distributed as follows: 13 for objective 1, 13 for objective 2, and 12 for objective 3. It was found that the NCP is primarily applied as a cycle of assessment, planning, implementation, and evaluation, with variations in the explanation of nursing diagnoses depending on the type of study and the use of standardized languages. In terms of effectiveness, improvements were observed in blood pressure control and in behavioral variables such as self-care, self-management, and adherence. However, the relationship between clinical control and medication adherence is not always proportional. The implementation of the NCP depends on organizational factors, nursing staff, and the patient/family/context. Conclusion: The implementation of the NCP in older adults with hypertension is associated with clinical and behavioral benefits, but its impact and sustainability depend on the standardization of the process and on institutional and contextual conditions that facilitate its implementation. Keywords: hypertension, nursing care process, older adults, geriatric nursing.Item type: Ítem , Access status: Acceso Abierto , Perfil epidemiológico de la mortalidad por enfermedades tiroideas en Ecuador en el año 2023-septiembre 2025-abril 2026(Universidad Católica de Cuenca., 2026-07-10) Urgilés Celdo, Bryan Damián; Yubi Peralta, Jennifer TatianaBackground: Thyroid diseases are disorders that affect the function of the thyroid gland and disrupt the body’s metabolic balance; when they are not diagnosed or treated promptly, they can progress to serious complications such as thyrotoxic crisis, myxedema coma, or advanced cancer, increasing the risk of death. Objective: To determine an epidemiological profile of mortality from thyroid diseases in Ecuador in 2023 based on data reported by the National Institute of Statistics and Censuses (INEC, in Spanish). Methods: Descriptive, cross-sectional, and retrospective study; the sample consisted of 282 death records attributed to thyroid gland diseases during 2023 in Ecuador. Results: Females accounted for the majority of deaths, representing 67.38%, with malignant neoplasm of the thyroid gland (C73) being the leading cause of death in both sexes (73.05%), followed by unspecified hypothyroidism (17.02%). The mean age was 71.5 years, ranging from 23 to 100 years. By age group, the highest proportion of deaths was concentrated among adults aged 65 to 79 (35.46%) and adults aged 80 and older (35.11%), while the 20–39 age group had the lowest percentage of cases (3.90%). Geographically, the highest concentration was observed in the Coast region, particularly in Guayas (21.28%), and Pichincha has the highest proportion in the Highlands (18.09%). Urban areas predominated, accounting for 74.82% of cases. Conclusion: The results reflect sociodemographic patterns that may inform the planning of prevention strategies, timely diagnosis, and access to specialized care. Keywords: thyroid diseases, epidemiology, hypothyroidism, mortality, thyroid neoplasms.Item type: Ítem , Access status: Acceso Abierto , La Influencia de la Medicina Tradicional Shuar en la Salud de la comunidad de Chuwitayu: Prácticas, Creencias y Cambios Contemporáneos(Universidad Católica de Cuenca., 2026-03-02) Sarabia Chuya, Rosa Angelica; Shiki Kaniras, Samantha YajairaTraditional Shuar Medicine plays a fundamental role in community health, integrating healing practices based on the use of medicinal plants, spiritual rituals, and ancestral knowledge. Objective: To explore the influence of traditional Shuar medicine on the health of the Chuwitayu community by analyzing practices, beliefs, and contemporary changes that impact physical, spiritual, and emotional well-being in the context of interaction with modern medicine. Methods: The research was conducted using a qualitative approach with an ethnographic and experiential design to understand the practices, beliefs, and contemporary changes in traditional Shuar medicine in the Chuwitayu community (Data were collected) through interviews and focus groups, applying thematic analysis, data triangulation, and an intercultural perspective. Results: The study findings show that traditional Shuar medicine continues to play a central role in the health of the Chuwitayu community, serving as the first line of treatment for common ailments and for restoring physical and spiritual balance. The most representative practices include the use of medicinal plants. Likewise, spiritual beliefs directly influence perceptions of illness and healing. However, contemporary changes associated with migration, formal education, and access to modern medicine were identified. Conclusion: The community recognizes the complementarity of both health systems, valuing traditional medicine for its cultural proximity and modern medicine for its problem-solving capacity in complex cases. Keywords: Traditional medicine, community health, traditional practices, indigenous beliefs.Item type: Ítem , Access status: Acceso Abierto , Proyecto de titulación embargado para publicación(Universidad Católica de Cuenca., 2025-11-12) Rivas Garzón, Gladys AlejandraItem type: Ítem , Access status: Acceso Abierto , Síndrome de HELLP: Manejo Multidisciplinario y Desafíos en la Práctica de Enfermería(Universidad Católica de Cuenca., 2025-11-12) Abad Ávila, Jessenia JanethHELLP syndrome is a severe and potentially fatal obstetric complication that significantly affects hepatic, hematologic, and renal functions. Its prevalence is estimated at between 0.5% and 0.9% of pregnancies. Objective: To analyze the challenges faced by nursing staff in the multidisciplinary management of HELLP syndrome, considering incidence, maternal-fetal complications, nursing interventions, and organizational barriers that condition comprehensive and safe patient care. Methodology: A systematic review was conducted following PRISMA 2020 guidelines, in eight scientific databases covering the period 2020–2025, with 29 studies selected that met criteria for methodological validity, thematic relevance, and peer review. Results: The main risk factors were advanced maternal age, primiparity, and arterial hypertension. The most effective nursing interventions were based on the application of the Nursing Care Process (NCP) and the NANDA, NIC, and NOC taxonomies, prioritizing hemodynamic control, monitoring of urine output, and preventive education. Barriers identified included limited resources, training deficiencies, and slowness of administrative processes. Conclusions: Strengthening professional training, interdisciplinary coordination, and adequate resource provision are key elements to optimize patient safety and reduce associated maternal morbidity and mortality. Keywords: HELLP syndrome, nursing care, preeclampsia, systematic review.Item type: Ítem , Access status: Acceso Abierto , Proceso de atención de enfermería en ESTUDIO DE CASO DE OSTEOGÉNESIS IMPERFECTA marzo-agosto 2025(Universidad Católica de Cuenca., 2025-10-23) Peñafiel Pacheco, Lissbeth MagalyIntroduction: Osteogenesis imperfecta is caused by a rare genetic disorder worldwide, mainly due to mutations in the genes that encode type I collagen. These alterations lead to abnormal collagen synthesis, which predisposes patients to bone fragility, recurrent fractures, and growth and developmental abnormalities. Objective: To develop the nursing care process in a case study of Osteogenesis Imperfecta. Method: This is an observational case report of a 9-month-old male patient diagnosed with osteogenesis imperfecta at 5 months of gestation. Results: Through the assessment of Marjory Gordon’s functional health patterns, alterations related to growth, nutrition, mobility, and development were identified. Nursing diagnoses were established according to NANDA taxonomy, including: ineffective sucking and swallowing response, inadequate nutritional intake, delayed motor and child development, impaired physical mobility, risk of infection, risk of falls, and chronic pain. Based on these diagnoses, a care plan was developed using NANDA, NOC, and NIC taxonomies, aimed at improving the patient’s nutrition, mobility, safety, and comfort, thereby promoting comprehensive development. Conclusion: This study demonstrates that the application of the Nursing Care Process, supported by standardized taxonomies, facilitates a comprehensive and humanized approach to patients with osteogenesis imperfecta, allowing the design of specific care interventions, prevention of complications, and strengthening of the family’s role to improve quality of life. Keywords: osteogenesis imperfecta, nursing care, nanda, nic, noc terminology, child.Item type: Ítem , Access status: Acceso Abierto , Determinantes del estrés laboral y nivel de riesgo psicosocial en docentes universitarios de medicina y enfermería de la Universidad Católica de Cuenca, Campus Azogues marzo-agosto 2025(Universidad Católica de Cuenca., 2025-10-23) Huillcatanda Jerez, Johanna del Rocio; Paida Yumbla, Johanna LissethWork-related stress and psychosocial risk have a direct impact on the health, well-being, and performance of university faculty. Identifying these factors is essential for implementing prevention strategies and promoting healthy work environments. However, their magnitude and associated factors vary depending on the context, academic program, and characteristics of the work environment. Objective: To analyze the determinants of work-related stress and psychosocial risk in medicine and nursing faculty at the Catholic University of Cuenca, Azogues campus, during March-August 2025. Methods: A cross-sectional, descriptive, and correlational study was conducted with 81 professors. Stress was assessed using the Perceived Stress Scale (PSS-10) and psychosocial risk using the Complex Regional Pain Syndrome (CRPS). Sociodemographic and work-related data were collected, and associations were analyzed using Pearson correlations, Student's t-tests, and Mann-Whitney U tests. Results: The sample was predominantly female (58%) with a mean age of 38.7 years. Most participants reported low stress (56.8%) and low psychosocial risk (76.5%), although nursing faculty showed greater helplessness and lower self-efficacy than medical professors. A significant negative correlation was found between perceived stress and dimensions of psychosocial risks, particularly with workload and pace of work (r = -0.49; p < 0.001). Conclusions: The results confirm that academic and work factors influence teacher stress and psychosocial risk. Although overall levels are low, certain specific determinants require preventive attention. These findings provide valuable evidence for workplace wellness strategies and future research in similar contexts. Keywords: health determinants, work-related stress, risk factors, psychosocial functioning, university facultyItem type: Ítem , Access status: Acceso Abierto , Experiencia de los estudiantes de enfermería en la aplicación de la taxonomía nanda noc y nic durante las prácticas en unidades hospitalarias, periodo septiembre 2024- febrero 2025. Revisión de Campo(Universidad Católica de Cuenca., 2025-10-23) Sotamba Reinoso, Katherine Lisset; Cárdenas Sucuzhañay, Lesslie PamelaBackground: The application of the NANDA, NOC, and NIC taxonomies during hospital internships is essential for developing clinical skills and critical thinking in nursing students. However, their implementation is limited by insufficient resources, inadequate supervision, and variations in knowledge levels. Objective: To determine the experience of nursing students in applying the NANDA, NOC, and NIC taxonomies during internships in hospital units. Methods: A descriptive, quantitative, non-experimental, and cross-sectional design was employed. The sample consisted of 145 nursing students from the third to the ninth academic semester at the Azogues Campus. A sociodemographic questionnaire and the APEIS-08 instrument (α = 0.854) were applied. Data were analyzed in SPSS through frequencies, percentages, and Pearson’s chi-square test for correlations. Results: Sociodemographic characterization showed a predominance of students aged 19 to 23 years (84.8%), predominantly female (77.9%), with the sixth (25.5%) and eighth (16.6%) semesters showing the highest representation. Most students (58.6%) completed their practical training at ‘Homero Castanier Crespo’ Hospital. Regarding knowledge levels on the nursing care process, 55.2% demonstrated a medium level, 43.4% a low level, and 1.4% a high level. In terms of attitudes, 44.8% were positive and 38.6% neutral. For skills, 40% reached an intermediate level, 30.3% a high level, and 29.7% a low level. A significant association was found between academic semester and both knowledge (p = 0.002) and attitudes (p = 0.001); no association was observed with age, gender, or internship institution. Conclusion: The study revealed conceptual limitations in knowledge, intermediate skill levels, and favorable attitudes that directly affect the quality of care provided. Keywords: students, nursing care, standardized nursing terminology, hospital unitsItem type: Ítem , Access status: Acceso Abierto , Determinantes del estrés laboral y nivel de riesgo psicosocial en docentes universitarios de medicina y enfermería de la Universidad Católica de Cuenca, Campus Azogues marzo-agosto 2025(Universidad Católica de Cuenca., 2025-10-22) Huillcatanda Jerez, Johanna del Rocio; Paida Yumbla, Johanna LissethWork-related stress and psychosocial risk have a direct impact on the health, well-being, and performance of university faculty. Identifying these factors is essential for implementing prevention strategies and promoting healthy work environments. However, their magnitude and associated factors vary depending on the context, academic program, and characteristics of the work environment. Objective: To analyze the determinants of work-related stress and psychosocial risk in medicine and nursing faculty at the Catholic University of Cuenca, Azogues campus, during March-August 2025. Methods: A cross-sectional, descriptive, and correlational study was conducted with 81 professors. Stress was assessed using the Perceived Stress Scale (PSS-10) and psychosocial risk using the Complex Regional Pain Syndrome (CRPS). Sociodemographic and work-related data were collected, and associations were analyzed using Pearson correlations, Student's t-tests, and Mann-Whitney U tests. Results: The sample was predominantly female (58%) with a mean age of 38.7 years. Most participants reported low stress (56.8%) and low psychosocial risk (76.5%), although nursing faculty showed greater helplessness and lower self-efficacy than medical professors. A significant negative correlation was found between perceived stress and dimensions of psychosocial risks, particularly with workload and pace of work (r = -0.49; p < 0.001). Conclusions: The results confirm that academic and work factors influence teacher stress and psychosocial risk. Although overall levels are low, certain specific determinants require preventive attention. These findings provide valuable evidence for workplace wellness strategies and future research in similar contexts. Keywords: health determinants, work-related stress, risk factors, psychosocial functioning, university facultyItem type: Ítem , Access status: Acceso Abierto , Intervenciones de enfermería en adolescentes con desórdenes alimenticios. Revisión sistemática(Universidad Católica de Cuenca., 2025-10-21) Iñiguez Samaniego, Claribel DalilaIntroduction: Eating disorders (EDs) in adolescents, such as anorexia nervosa, bulimia nervosa, and binge eating disorder, represent a health problem that affects the physical, psychological, and social levels of adolescents. Nurses play a key role in prevention, diagnosis and treatment. Objective: To describe nursing interventions in adolescents with eating disorders reported in the literature through a systematic review based on the PRISMA protocol from the past five years. Methodology: A systematic review was conducted using the PRISMA framework. Databases consulted included Dialnet, Elsevier, SciELO, PubMed, MDPI, and Springer.eSH and DeCS descriptors were used combined with Boolean operators. Inclusion criteria were applied:(2018-2024, open-access availability, full-text articles, and content in Spanish or English). Results: Most studies reported a predominance of female adolescents and ages between 13 to 17 years. Nursing interventions identified included nutritional education, psychosocial therapy, emotional support, family participation, clinical monitoring, and the use of NANDA-I, NIC, and NOC taxonomies. In binge eating disorder, greater use of group and digital modalities was observed. Conclusion: Nursing interventions for adolescents with EDs require a comprehensive, individualized approach to each diagnosis, combining clinical, educational, and family strategies to promote recovery and prevent relapses Keywords: Eating disorders, anorexia nervosa, bulimia nervosa, binge eating disorder, nursing careItem type: Ítem , Access status: Acceso Abierto , Factores asociados a la adherencia a la medicación para psicofármacos en adultos con trastornos mentales(Universidad Católica de Cuenca., 2025-10-17) Verdugo González, Cristhian Javier; Moreno Rodríguez, Katherine GiselaIntroduction: Adherence to psychotropic medication in adults is a global problem, considered a public health challenge affecting millions of adults. Objective: The study aims to determine the factors associated with adherence to psychotropic medication in adults with mental disorders. Methodology: A quantitative, non-experimental, comparative study with a retrospective cohort was conducted with a sample of 362 patients. The Morisky-Green scale was applied to measure adherence to psychotropic drugs. Results: Adherence to psychotropic drugs was low, at 60.2%. The relationship between the group of drugs and levels of adherence was low for anticholinergics 2.8% and similar for sedatives 0.5%. Thus, it can be inferred that the type of medication does not condition adherence. Associated factors included chronic conditions such as diabetes mellitus and arterial hypertension, with low adherence. Keywords. associated factors, adherence, psychotropic drugs, adults, mental disorders.Item type: Ítem , Access status: Acceso Abierto , Adherencia a la medicación para psicofármacos en adultos ecuatorianos con trastornos mentales(Universidad Católica de Cuenca., 2025-10-16) Gómez Aponte, Luis Alexander; Zhunaula Sánchez , Bryan PatricioIntroducción: En el tratamiento de trastornos mentales la adherencia farmacológica es fundamental, pues contribuye al éxito terapéutico y al pronóstico de la enfermedad. Objetivo: Determinar la adherencia a la medicación Morinsky (MMAS-8) para psicofármacos en adultos con trastornos mentales ecuatorianos. Metodología: Se ejecutó un enfoque investigativo cuantitativo, no experimental de tipo comparativo con cohorte retrospectivo. De los 363 pacientes recogidos de la base de datos, en cuanto a la muestra el 54,8% son mujeres (n = 199) y el 45,2% hombres (n = 164). Resultados: La escala de Morisky es una herramienta válida para medir adherencia en el manejo y tratamiento de los trastornos mentales, especialmente cuando se utilizan psicofármacos; el estudio demuestra que gran parte de los pacientes presentó adherencia baja al tratamiento (60,1%), una adherencia media de (38,3%) y sólo el 1,7% tuvo una alta adherencia. En cuanto a la prevalencia se analizó por género, observando una baja adherencia en las mujeres (35,3%) en comparación que los hombres con (24,8%). Dentro del grupo medicamentoso se obtuvo baja adherencia en antidepresivos, en consecuencia, el tipo de medicación no influyó de manera determinante en la adherencia de los participantes. Conclusión: La escala de Morisky MMAS-8 demostró ser eficaz en la valoración de la adherencia al tratamiento, permitiendo identificar a los pacientes que podrían estar enfrentando dificultades para seguir sus hábitos de medicación. La cual se sugiere el uso de esta herramienta primordial para mejorar los tratamientos en salud mental.Item type: Ítem , Access status: Acceso Abierto , Determinantes del estrés laboral y nivel de riesgo psicosocial en docentes de Enfermería de la Universidad Católica de Cuenca, Cañar, La Troncal y Macas, marzo-agosto 2025(Universidad Católica de Cuenca., 2025-10-14) Dután Tacuri , Emily Elizabeth; Vázquez Méndez , Jéssica ElizabethWork-related stress is a global health issue that negatively impacts productivity and well-being. In the teaching field, it has intensified due to work overload and a lack of resources. Objective: To establish the determinants of work-related stress and the level of psychosocial risk among nursing faculty members at the Catholic University of Cuenca on its four campuses. Methods: A descriptive-correlational cross-sectional research study with a quantitative approach was conducted. The sample consisted of sixty-five faculty members. The Perceived Stress Scale (PSS-10) and the Psychosocial Risk Questionnaire (CRPS) from the Ecuadorian Ministry of Labor were used. Results: Most faculty members presented low levels of stress (53.9%) and psychosocial risk (81.5%). However, significant associations were identified between work stress and profession, work campus, and contractual status. A significant negative correlation was found between stress and the number of dependent children. Conclusion: Although most faculty members remain resilient, subgroups vulnerable to stress were identified. Employment status and specific sociodemographic and professional characteristics are key determinants of stress, showing a relationship with psychosocial risk. Keywords: Health Determinant, Work Stress, Risk Factor, Psychosocial Functioning, ProfessorsItem type: Ítem , Access status: Acceso Abierto , Aspectos ético-legales en el cuidado de enfermería.Revisión sistematica(Universidad Católica de Cuenca., 2025-07-16) Vélez Timbi, Nicole LizbethBackground: Ethical-legal aspects are fundamental to nursing practice, as they ensure the quality of care, the protection of patient rights, and professional responsibility. Objective: To analyze the ethical-legal aspects of nursing care through a systematic review based on PRISMA 2020 guidelines. Methods: A systematic review was conducted to analyze the ethical and legal aspects in nursing. Studies published between 2015 and 2024 in English, Spanish, and Portuguese were included; non-peer-reviewed publications were excluded. The search was carried out in PubMed, Scopus, SciELO, and LILACS using MeSH/DeCS terms. The selection process included three phases: identification, screening, and inclusion, which were documented using the PRISMA diagram. Relevant data were extracted in Excel, and a narrative synthesis of the main findings was elaborated. Results: Twenty-one studies were included, addressing three main areas: bioethical principles, regulatory frameworks, and ethical dilemmas. Uneven application of bioethical principles was observed, influenced by the level of training and institutional support. Legal frameworks, especially in Latin America, were found to be fragmented and outdated. Ethical dilemmas were frequent in critical contexts where institutional guidance was scarce. Conclusions: Ethics in nursing requires a comprehensive approach that integrates practical training, current regulations, and organizational structures that support clinical decision-making. It highlights the need for policies that strengthen the ethical and legal components of nursing practice. Keywords: bioethics, nursing ethics, legal standards.Item type: Ítem , Access status: Acceso Abierto , “AUTOPERCEPCIÓN SOBRE SEXUALIDAD EN ADULTOS MAYORES. REVISIÓN SISTEMÁTICA Y META ANÁLISIS”(Universidad Católica de Cuenca., 2025-06-23) Chuqui Salazar, Karla Tatiana; Guamán Guerrero, Lissbeth del RocíoBackground: Sexuality in older adults has historically been an overlooked topic in scientific research, despite its influence on overall well-being. Substantial gaps remain in the literature regarding how age, cultural norms, and social stigmas affect sexual self- perception in this population. Objective: To identify the self-perception of sexuality among older adults, focusing on cultural, socioeconomic, and demographic factors, through a systematic review and meta-analysis. Methods: The systematic review focused on empirical studies and reviews published between 2019 and 2024 that analyzed sexual self-perception in older adults, following the PRISMA 2020 guidelines. Results: The 20 studies included revealed that sexuality in older adults is a complex dimension influenced by cultural, emotional, physical, and social factors. Sexual self-perception is often conditioned by sexual education, emotional health, and access to information. Attitudes toward sexuality vary based on family context, religious beliefs, and social environment. Significant differences were also observed based on gender, age, and marital status. Finally, a strong association between sexual expression and overall well-being was identified, highlighting the importance of addressing it from a comprehensive perspective. Conclusion: Sexuality in old age requires holistic attention, considering biopsychosocial factors that influence experience, perception, and well-being. Keywords: older adults, sexual behavior, self-perception, socioeconomic factors, public healthItem type: Ítem , Access status: 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 MarisolIntroduction: 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, NOC
