Trabajos de Titulación - Sede Azogues - Enfermería
URI permanente para esta colecciónhttps://dspace.ucacue.edu.ec/handle/ucacue/91
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Ítem Acceso Abierto Calidad de la atención en los establecimientos de salud del Distrito 03D01 marzo – agosto 2024(Universidad Católica de Cuenca., 2024) Fernández Ube, María José; Rodríguez Aldaz, Noreidy Maribel; Yambay Bautista, Xavier Rodrigo; 0302984653; 1950056729Introduction: Quality of care is crucial for achieving desired health outcomes for individuals and populations. Objective: To evaluate the quality of care in public health facilities of District 03D01 from March to August 2024. Methodology: The study was observational, including 318 patient records from the appointment system of the Ministry of Public Health facility in District 03D01. The "Service Quality Perception" instrument (SERVQUAL model) was applied. Results: Most patients were women (59.5%) and urban residents (56.6%). Secondary education predominated (38.7%). Regarding occupation, the majority worked in the public sector (22.5%) or were self-employed (22.9%). Among health centers, 24.8% visited Biblián and 23.9% Déleg. About 81.1% arrived in 19 minutes to the facility. The primary reason for consultation was for preventive care (79.9%). About 90.3% received follow-up care, and 73.6% used general medicine services. Concerning service perception, 28.0% were satisfied with the equipment's modernity and cleanliness, and 30.2% valued cleanliness and hygiene. Additionally, 33.6% found the staff's willingness to solve problems adequately. Perception of care was related to the health facility, travel time, care frequency, and service type. Conclusion: Overall, the perception was neutral, suggesting a need for strategies to improve the quality of healthcare. Keywords: Health care perception, demographic variables, health services, frequency of care, type of consultationÍtem Acceso Abierto Salud digital: Oportunidades y desafíos. Revisión sistemática. Universidad Católica de Cuenca(Universidad Católica de Cuenca., 2024) Guapacasa Criollo , José Luis; Yambay Bautista, Xavier Rodrigo; 0106196629Digital health involves using Information and Communication Technologies (ICT) in healthcare. This research aimed to analyze the usefulness of digital health in healthcare settings. The methodological design consisted of a systematic review following the guidelines of the PRISMA 2020 statement. The search was conducted in scientific databases such as Scopus, Web of Science, and PubMed, using key terms in Spanish and English, combined with Boolean operators to identify documents published in the last seven years according to specific inclusion criteria to select relevant studies. The results from 19 publications that met the inclusion criteria explain a marked trend toward using digital health tools, especially since the COVID-19 pandemic. However, challenges or barriers include internet access, financial difficulties, and the perception of impersonal care. It is concluded that digital health and its tools have improved access to healthcare services, especially in remote and resource-limited areas, permitting patients to receive medical care without traveling. It is particularly beneficial for vulnerable populations and in public health emergencies. Keywords: Digital Health, Telemedicine, Health Technology Opportunities, Barriers to Access to Health Services.Ítem Acceso Abierto Factores de riesgo en la depresión posparto(Universidad Católica de Cuenca., 2024) Faican Mora, Verónica Patricia; Godoy Duran , Elvia Narcisa; 0106030885Postpartum depression is a pathological condition that alters mood, behavior, and temperament and can occur between the second and eighth week after childbirth; in some cases, it can extend up to a year later. Objective: To analyze the risk factors for postpartum depression. Methodology: This is a systematic review based on 53 publications obtained from scientific sources such as Scopus, PubMed, LILACS, Web of Science, Redalyc, and SciELO. Results: Among the primary risk factors for developing postpartum depression include being under 30 years of age, a history of violence, depression, and abortions, lack of family support, traumatic experiences during childbirth and breastfeeding, economic status, and unplanned pregnancy. Conclusion: In Latin America, Mexico has the highest prevalence of postpartum depression, followed by Peru and Ecuador. It is very noticeable that manifestations such as sadness and crying, anxiety, frustration or guilt, difficulty in falling asleep, and emotional lability are factors that should be immediately considered after childbirth because they may be conditioning factors that trigger postpartum depression. Keywords: risk factors; depression; postpartum; manifestations; incidence.Ítem Acceso Abierto Intervenciones de enfermería para la prevención y manejo del consumo de sustancias. Revisión sistemática(Universidad Católica de Cuenca., 2024) Simbaina Acero , Jéssica Sofía; Romero Galabay, Ignacia Margarita; 0302892245Nursing interventions are activities with clinical criteria and knowledge performed by a nursing professional for patient care. The consumption of harmful substances such as alcohol, cigarettes, and drugs is a severe public health problem considered a challenge in the field of health. Objective: To determine nursing interventions related to managing and preventing substance consumption. Methodology: A systematic literature review was conducted on nursing interventions for managing and preventing substance consumption. The research used the PRISMA method and specialized databases such as Scopus, PubMed, Redalyc, Google Scholar, Bibliotechnia, LILACS, and Web of Science. Results: A total of 960 articles related to the topic were identified; 394 articles were excluded for not meeting inclusion criteria, 284 were discarded, and 56 were eliminated due to irrelevance or duplication; 54 articles were selected since they met the criteria. Conclusions: It was identified that the prevalence of substance consumption exceeds 50% in all ages, with the most commonly consumed substances being alcohol, cigarettes, and drugs. Consumption factors vary by region, and its effects can lead to cardiovascular diseases and lung cancer. Nursing interventions include promotional and preventive activities tailored to the needs of each individual. Keywords: nursing care, addiction, intervention, consumption factors.Ítem Acceso Abierto Mortalidad Materna: Una revisión sistemática a la realidad latinoamericana(Universidad Católica de Cuenca., 2024) Clavijo Cuzco, Marcia Elizabeth; Merchán Coronel, María Graciela; 0302681275Maternal mortality is considered as the death of a woman while she is pregnant or within 42 days after the termination of pregnancy; it has become a health problem in several Latin American countries as well as worldwide, according to the World Health Organization. This study aimed to analyze the characteristics of maternal mortality in Latin America through a systematic review of available scientific evidence. The methodology was descriptive, retrospective, and cross-sectional, investigating bibliographic and documentary sources and reviewing scientific bases, which enabled the use of the PRISMA method. The results evidenced that the prevalence of maternal mortality in Latin America is 85.2 maternal deaths per 100,000 live births due to complications during pregnancy and childbirth. Keywords: maternal mortality, neonates, pregnancy, maternal healthÍtem Acceso Abierto Shock séptico en pacientes críticos. Revisión sistemática(Universidad Católica de Cuenca., 2024) González Estrella, Karla Ximena; Vásquez Cárdenas , Andrés Leonardo; 0350197406Ítem Acceso Abierto Proceso de atención de enfermería en pacientes con VIH/SIDA. Revisión sistemática(Universidad Católica de Cuenca., 2024) Montero Montero, Mónica Mishel; Abad Martinez, Nancy Isabel; 0106955057Ítem Acceso Abierto Prevalencia de violencia contra los hombres. Revisión Sistemática y Metaanálisis.(Universidad Católica de Cuenca., 2024) Carangui Calle, Anahi Monserrath; Moreira Celi , Melissa Dayanna; Estrella González, María de los Ángeles; 0302961743; 1150013702Ítem Acceso Abierto Prevalencia y factores de riesgo del Síndrome de Behcet: Revisión sistemática y Metaanálisis.(Universidad Católica de Cuenca., 2024) Pichazaca Criollo, Byron José; Ramírez Coronel, Andrés Alexis; 0302656921Ítem Acceso Abierto Caracterización de sobrepeso y obesidad en estudiantes de las carreras de Enfermería y Derecho de la Universidad Católica de Cuenca Campus Azogues, noviembre 2023 – febrero 2024.(Universidad Católica de Cuenca., 2024) Cabrera González, Karla Dayana; Chimborazo Calle, Mónica Vanessa; Aguirre Quezada , María Alejandra; 0350146320; 0350093894Ítem Acceso Abierto Prevalencia y factores de riesgo en la preeclampsia: Revisión sistemática(Universidad Católica de Cuenca., 2024) Brito Once, Paulina Michelle; Minchala Urgilés, Rosa Elvira; 0107532517Ítem Acceso Abierto Prevalencia y factores asociados al síndrome de fragilidad en adultos mayores de la parroquia Guapán noviembre 2023 - febrero 2024(Universidad Católica de Cuenca., 2024) Chimbay Cajamarca, Stefany Juliana; González González, Lady Samantha; Yambay Bautista, Xavier Rodrigo; 0350194031; 0302503768Ítem Acceso Abierto Prevalencia y factores asociados a la depresión y ansiedad en niños(as) de 8 a 12 años. Azogues, noviembre 2023 - febrero 2024(Universidad Católica de Cuenca., 2024) Marquina Salto , Johanna Alexandra; Tenempaguay Sotamba, Edwin Javier; Romero Sacoto, Lilian Azucena; 0303147110; 0350193108Ítem Acceso Abierto Enfermedades no transmisibles: Factores de riesgo cardiovascular, parroquia Guapán, noviembre 2023 - febrero 2024(Universidad Católica de Cuenca., 2024) Chucaralao Chabla, Jeniffer Paola; León Mejía , Lisseth Estefanía; Altamirano Cárdenas, Luis Francisco; 0350151288; 0350201208Ítem Acceso Abierto Factores de riesgo para el consumo de alcohol en adultos jóvenes de 20 a 39 años. Parroquias Guapán y Javier Loyola(Universidad Católica de Cuenca., 2024) Lliguisaca Alvarado, Cinthia Mabel; Oliveros Verdugo, Sthephany Magaly; González León , Fanny Mercedes; 0350103610; 0302984265Ítem Acceso Abierto Calidad del sueño en adultos mayores. Azogues, noviembre 2023 - febrero 2024(Universidad Católica de Cuenca., 2024) Valdiviezo Solórzano, Vanessa Carolina; Yadaicela Salto, Angélica Jessenia; Pogyo Morocho, Gloria Luzmila; 0350114765; 0302627716Ítem Acceso Abierto Prácticas de medicina ancestral, alternativa y complementaria. Azogues, noviembre 2023 - febrero 2024(Universidad Católica de Cuenca., 2024) Guamán Santos, Jennifer Estefanía; Sanango Guartan, Wellington Manuel; Estrella González, María de los Ángeles; 0928994763; 0302767132Ítem Acceso Abierto Indicadores de calidad de la atención de enfermería. Revisión Sistemática(Universidad Católica de Cuenca., 2024) Tenezaca Tenezaca, Alex Javier; Merchan Coronel, María Graciela; 0302549399The quality of nursing care reflects the responsibility that nursing professionals must have in order to be able to execute activities, providing a service whose objective is to satisfy the needs of the users. The objective of the present study was to provide information on nursing care quality indicators. The type of research was a systematic review. The key words used were: nursing, quality care and indicators. In addition to the Boolean operator AND, the databases used to extract the scientific articles included Web of Science, Scopus, and Pubmed. The inclusion criteria for the selection of studies were: studies from the year 2018, articles in the English and Spanish languages, systematic review articles, and descriptive, correlational, and applicative field studies. The article selection process was reflected in the flow chart belonging to the PRISMA method (Preferred Reporting Items for Systematic reviews and Meta-Analyses). The result was 46 relevant studies after an exhaustive review where 34 were analyzed, concluding that quality in nursing care is vital for effective and safe care, evaluating efficacy and efficiency through key indicators and interventions, which goes beyond the clinical, including patient experience and environmental safety, being essential staff training, evidence-based protocols and innovative technologies are essential for patient-centered care and continuous improvement in nursing, ensuring quality and patient satisfaction.Ítem Acceso Abierto Prevalencia y Factores de riesgo de la Violencia Ginecológica revisión sistemática y metaanálisis(Universidad Católica de Cuenca., 2024) Dutan Urgiles, Evelin Gabriela; Ramírez Coronel, Andrés Alexis; 0302366695Introduction: Gynecological violence refers to practices performed by healthcare staff during gynecological care, encompassing actions ranging from psychological and physical violence to inappropriate behaviors such as commenting on women's bodies, intentionally painful procedures, disrespect for autonomy and dignity, lack of privacy during gynecological exams, usage of derogatory or intimidating language, among other forms of abuse. Objective: To examine the prevalence and risk factors of gynecological violence through a systematic review and meta-analysis of scientific literature. Methodology: A systematic review of the scientific literature from 2019 to 2023 was conducted on Scopus, Web of Science, and PubMed databases. The PRISMA method recommendations were followed to ensure the rigor of the process. Results: Meta-analysis of proportions regarding prevalence reveals a 24% incidence of gynecological violence while concerning the most common risk factors among the 27 selected articles are gender and age. Conclusion: The importance of establishing public health policies aimed at prevention to reduce the prevalence of gynecological violence is evident. These measures should address awareness and education and the implementation of clear protocols and preventive measures in gynecological healthcare settings. Keywords: gynecological violence, prevalence, risk factorsÍtem Acceso Abierto La Medicina Herbaria utilizada en el proceso de gestación y postparto en el Ecuador: Revisión Sistemática(Universidad Católica de Cuenca., 2024) Chauca Quizhpi, Evelyn Verenice; Estrella González, María de los Angeles; 0303162408The changes faced by pregnant or postpartum women develop a scenario of risk for various ailments or discomforts, making it essential to attend all prenatal check-ups and avoid administering chemical drugs as they may affect the well-being or survival of the mother and the baby. Objective: To systematize scientific evidence from different theoretical foundations on herbal medicine used during pregnancy and postpartum in Ecuador. Methodology: A systematic review study approached from a qualitative perspective was conducted, with a descriptive scope and design, through the application of the PRISMA 2020 statement, considering the selection of articles from scientific databases such as PubMed, Scopus, Lilacs, Web of Science, Redalyc, and SciELO. Results: During fetal development, anise, flaxseed, lemon balm, and chamomile can be used. During labor and postpartum, rosemary, parsley, avocado seed, eucalyptus, and anise can be consumed. Pennyroyal, rue, and basil are contraindicated in pregnancy due to their abortive properties. Conclusion: In many cultural groups, herbal medicine is a significant option, especially in contexts with limited economic resources, where beliefs and customs persist, and there is limited access to healthcare services. Keywords: medicinal plants; pregnancy; postpartum
