Enfermería
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Item Actitud de la embarazada frente a los efectos adversos de la vacuna contra la covid-19(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Enfermería, 2022-10-13) Rodríguez Zapata, Jessyca Daniela; Jiménez Peralta, Ana LuciaIntroduction: Attitudes are the reaction to a phenomenon; these can be positive or negative and depend on the individual. In the case of pregnant women, attitudes towards the adverse effects of the COVID-19 vaccine can be varied. Objective: To analysed the attitude of pregnant women towards the adverse effects of the COVID 19 vaccine. Methods: Qualitative, exploratory study with a phenomenological approach. The study population was pregnant women who had at least one dose of the COVID-19 vaccine in the parish of Mulliquindil, Canton of Santa Ana, in the main area of Ecuador. Semi-structured interviews were conducted with thirteen participants, at which time the information was saturated. The data obtained were transcribed, analysed, and categorized based on the theory of Baez and Pérez. Results: Two categories emerged from the informants' discourse: negative attitudes such as fear, uncertainty, anguish, worry; and positive attitudes such as seeking information on the adverse effects of the vaccine to comply with the indicated scheme. Conclusions: The main attitudes taken by pregnant women regarding the adverse effects of the vaccine against COVID-19, were influenced by the excess of information and unreliable sources that produce a misinterpretation leading to fear, uncertainty even to the abandonment of the vaccination scheme. Likewise, not much importance is given to immunization against COVID-19.Item ACTITUD DE LOS ESTUDIANTES DE LA CARRERA DE ENFERMERÍA HACIA LAS TERAPIAS ALTERNATIVAS Y COMPLEMENTARIAS(Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de Enfermería, 2024-09-03) Pujos Cedeño, Josselyn Zuley; Jiménez Peralta, Ana LuciaIntroduction: The use of alternative and complementary therapies has been increasing over the years in Ecuador and in the world with the advent of favorable health policies towards the use of these practices, due to this growing interest it has been included in health programs. nursing training, therefore, this study aims to describe the attitudes of nursing students at the Technical University of Ambato in relation to alternative and complementary therapies Method: Cross-sectional descriptive observational study, with a population of 341 students and worked with a sample of 126 nursing students. Results: To obtain the results, the Complementary and Alternative Medicine health beliefs questionnaire (CHBQ) was applied. Massage, spirituality/prayer and meditation were the most used therapies among students. 64.3% of students use the Internet as the main source of obtaining information about alternative and complementary therapies. A greater proportion of nursing students with positive attitudes towards alternative and complementary therapies was evident. Conclusion: Nursing students reported a positive attitude towards alternative and complementary therapiesItem ACTITUD PREVENTIVA SOBRE DIABETES MELLITUS Y ESTILO DE VIDA EN EL PERSONAL OBRERO Y ADMINISTRATIVO DE UNA UNIVERSIDAD ECUATORIANA(Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de Enfermería, 2024-05-28) Enríquez Sisalema, Daniela Alexandra; Arráiz de Fernández, CarolinaIntroduction: Diabetes mellitus is a metabolic disease characterized by high blood glucose levels. Lifestyles encompass a set of behaviors and attitudes that impact the health of individuals. Objective: Determine the association between the attitudes of adults towards the prevention of diabetes mellitus and the lifestyle of the workers and administrative staff of an Ecuadorian University. Methodogy: Quantitative, non-experimental, cross-sectional and correlational study, with a sample of 36 individuals (workers and administrators) who work at the Faculty of Health Sciences. Two instruments were used: “Adult Attitudes towards the prevention of type II diabetes”, reliability 0.985 and “Lifestyle”, reliability 0.993. Results: There is a low assessment in all dimensions of Adult Attitudes towards the prevention of type II diabetes, with 66.7% in nutrition; 55.6% exercise; 50.0% fluid intake; 63.9% in medical control; 47.1% consumption of harmful substances; 61.1% in sleep and 55.6% in psychosocial. An average rating in Lifestyle with 36.1% food; 61.1% stress; 50.0% interpersonal development; 47.2% self-realization and 41.7% responsibility, with a low rating in relation to the exercise 44.4%. There is an extremely strong and highly significant correlation between the two variables. Conclusion: The attitude of adults towards the prevention of type II diabetes is low, which increases the risk, an adequate nursing intervention prevents type II DM and promotes health.Item ACTITUDES DE LOS PROFESIONALES DE LA SALUD ANTE LA EUTANASIA(Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de Enfermería, 2024-05-29) Villamarin Diaz, Kerlin Damiana; Cantuñi Carpio, Verónica Del PilarEuthanasia or good death is a medical procedure that causes the death of a patient with chronic and incurable diseases. In Ecuador, despite having high rates of chronic and terminal diseases, Euthanasia is not legal; This is because the Constitution of the Republic guarantees the right to a dignified life. The objective of this research was to determine the attitudes towards euthanasia on the part of health professionals. We worked under a quantitative approach and descriptive research, where the questionnaire for evaluating attitudes towards euthanasia (CAE) was applied to 110 teachers from the Medicine, Nursing, Nutrition, Clinical Psychology, Laboratory and Physiotherapy Careers of the Faculty of Life Sciences. Health of the Technical University of Ambato. The results reflected that the majority of teachers accept the practice of euthanasia, the Nursing, Medicine and Clinical Laboratory careers have an incidence greater than 60 %. 68,18 % of teachers are not influenced by ethical, moral and religious aspects, and the use of palliative care. 50,91 % of teachers feel motivated to apply euthanasia in order to reduce pain, physical deterioration and suffering. 53,64 % support euthanasia due to family issues that affect the economy and well-being. Finally, through Spearman’s Rho coefficient, it was determined that there is a direct relationship between the professional study career and the acceptance of euthanasia.Item Actitudes hacia la salud holística, complementaria y alternativa(Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de Enfermería, 2023-06-08) Jacho Yaguana, Johanna Lizbeth; López Romo, Yolanda ElizabethA síndrome de Burmout é o esgotamento ocupacional definido pela OMS como um fator associado ao risco ocupacional, razão pela qual foi decidido realizar esta pesquisa com o objetivo de descobrir se os produtores de cana de açúcar da paróquia de Facundo Vela, Guaranda Canton, Província Bolívar, sofrem desta síndrome por estarem submetidos por longos períodos a trabalhos forçados e identificar outros fatores que poderiam influenciar esta condição nesta população específica. Uma pesquisa foi aplicada a 100 trabalhadores da área, a metodologia para coleta de informações foi o Maslach Burnout Inventory (MBI); encontrando altos níveis de exaustão emocional na maioria, com a constatação de que 24 dos 100 entrevistados não sofrem de Síndrome de Burnout, o que indica que 76% dos entrevistados mostram sinais da condição de acordo com os valores de referência. Finalmente, foi feita uma proposta para melhorar as características de vida dos agricultores e para prevenir a Síndrome de Burnout neles.Item Actitudes y afrontamiento ante la muerte de los estudiantes de enfermería(Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de Enfermería, 2023-09-28) Masaquiza Chango, Jessenia Maribel; Guarate Coronado, Yeisy CristinaIntroduction: In health care institutions, the health care team and nursing students, during their hospital internships, witness death, considered as a process that exists in life, therefore, the attitude and coping with this situation is important.Objetive:To determine the attitudes and coping with the death of nursing students. Methods. Quantitative, deductive approach, through a statistical analysis. Similarly, it has a non-experimental design, cross-sectional and correlational scope. As an instrument, the Collett - Lester Fear of Death Scale and the Bugen Scale of Coping with Death were applied to a sample of 74 nursing interns who had previous experiences related to the death process, either in the environment of their practice or a relative. Results. It was determined that 100% of the study participants have an inadequate coping with death. According to 28% they have an attitude of fear of death; 22% indicate an attitude of acceptance of escape; 20% show an attitude of avoiding death. Finally, 15% have expressed attitudes of acceptance of accuracy and neutral acceptance. Conclusions: Through this study it is possible to determine that nursing students have an inadequate coping with death and an attitude of fear of death, which means that being in contact with the patient at the end of his life affects him emotionally, taking him to feel guilty for not having succeeded in prolonging the patient's life.Item Actividad física y su relación con el IMC en docentes de la carrera de enfermería durante el confinamiento(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Enfermería, 2021-09-01) Baño Baño, Mayra Esthela; Herrera López, José Luis Lc. Mg.Introduction: Physical activity and healthy eating are two important parameters in the body weight management, especially in these last year’s where people have adapted to lead a sedentary life style due to confinement, the telecommuting and online education. Objective: Relating the physical activity levels with Body Mass Index (BMI) in nursing teachers during confinement. Methods: Quantitative approach study, descriptive-correlational and cross-sectional, the population was 50 people, an online survey was applied using the international physical activity survey (IPAQ) in order to know the physical activity and BMI. Results: Nursing teachers were more predisposed to body mass indicators associated with overweight and obesity. In another hand, half of the teachers showed a moderate level of physical activity. Regarding to the relationship between our two variables, BMI and Physical Activity, a low positive association was found in the Pearson Correlation tests performed. Conclusions: through the use Pearson correlation test, which showed a weak positive association of 0.25, the existing dependence between the two variables was externalized.Item “Las actividades laborales que realiza el personal que labora en el área de línea blanca y su relación con el aparecimiento de enfermedades lumbares en la empresa FAIRIS c. a. Durante el periodo julio a diciembre 2014”(Universidad Técnica de Ambato - Facultad de Ciencias de la Salud - Carrera de Enfermería, 2015-03-01) Sánchez Yansapanta, María Ernestina; Lic. Mg. Chasillacta Amores, Fabiola BeatrizLa presente investigación se lleva a cabo en el Dispensario Médico de la Empresa FAIRIS C.A. de la Provincia de Tungurahua donde acuden los trabajadores del área de línea de blanca con problemas lumbares. Cabe manifestar que muchos pacientes sufren de problemas lumbares ya sea por posturas inadecuadas, por sobreesfuerzo físico, por movimientos repetitivos, cargas manuales mal levantadas y por largas jornadas laborales. Este trabajo de investigación pretende promover un programa equilibrado de ejercicios encaminados a conseguir cada uno de los objetivos para prevenir que esta enfermedad afecte a las personas , y entre otras cosas permita disminuir el índice de enfermedades lumbares en los trabajadores del área de línea de blanca de la Empresa FAIRIS C.A. y ayude a mejorar su calidad de vida planteando una propuesta encaminada a elaborar una guía de higiene postural y un programa de ejercicios para las personas que sufren de lumbalgias de tal modo que se aplique por parte de las enfermeras y el personal médico ocupacional de la empresa como medida preventiva de salud, fomentando que su actividad laboral no se vea afectada por estas molestias, siendo esto un recurso académico y para los fines colectivos de la sociedad actual.Item ACTUACIÓN DE ENFERMERÍA EN EL TRASPLANTE AUTÓLOGO DE PROGENITORES HEMATOPOYÉTICOS(Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de Enfermería, 2024-10-03) Cedeño Toapanta, Alison Paulina; Chileno Camacho, Luis FelipeBackground: Autologous hematopoietic progenitor transplantation (auto-HPT) is a treatment for hematologic diseases that involves infusion of the patient's hematopoietic stem cells. It requires prior myeloablative conditioning and specialized care. The procedure, potential complications, and nursing care at different stages were described. Methods: Systematic review using the PRISMA approach, with inclusion and exclusion criteria. The search was performed in multiple databases in English, Spanish, and Portuguese, between 2019 and 2023. Twenty full articles that met the criteria were analyzed. Results: The most commonly used source of hematopoietic progenitors at present is peripheral blood. Before infusion, the patient receives conditioning with high-dose chemotherapy. The main complication is infections; overall survival at 5 years is 68-80%. Nursing care in auto-HPCT is indispensable in all its stages because it performs preventive care, patient education, nutritional and emotional support, management of complications, and subsequent reintegration. Conclusion: Specialized and timely nursing care, based on the available evidence, allows improving the results and reducing the complications associated with autoHPT, impacting the survival and quality of life of these patientItem “ACTUACIÓN DEL PERSONAL DE ENFERMERÍA EN LA ASISTENCIA Y SU INFLUENCIA EN LA RECUPERACIÓN DEL PACIENTE POLITRAUMATIZADO ATENDIDO EN EL ÁREA DE EMERGENCIA DEL HOSPITAL PROVINCIAL GENERAL LATACUNGA EN EL PRIMER SEMESTRE DEL 2012.”(2013-11-18) Figueroa Zapata, Mayra JackelineEl presente trabajo de investigación aplicado en el Servicio de Emergencia del Hospital Provincial General Latacunga en el que se ha detectado que la actuación del personal de enfermería en la atención del paciente politraumatizado es de gran importancia pero no se cumple a cabalidad, esto no favorece la evolución del paciente politraumatizado, puesto que necesita que el personal tome decisiones de forma ágil que favorezca la estabilización mediata del mismo evitando acciones que puedan producir complicaciones que causen discapacidades permanentes e incluso la muerte. Por tanto el objetivo principal de la investigación es establecer la actuación del personal de enfermería en la asistencia y recuperación del paciente politraumatizado, atendido en el área de Emergencia del HPGL, garantizando la estabilización hemodinámica de las funciones vitales y disminuyendo futuras complicaciones que pongan en peligro la vida. La investigación aplica una metodología, un enfoque cualitativo, cuantitativo, de campo, documental, bibliográfico, de tipo descriptivo, explicativo y retrospectivo: mediante técnicas como encuestas, fichas de observación permitiendo recopilar información suficiente del problema. Llegando a la conclusión que los cuidados que brindan los profesionales de enfermería a los pacientes politraumatizados influye mucho en la recuperación parcial o total de los mismos, estos profesionales no se encuentran debidamente capacitados para el manejo de pacientes de esta índole. Gracias a los resultados obtenidos se ha visto la necesidad de crear un protocolo de atención al paciente politraumatizado en la cual se dé a conocer los cuidados y el manejo preciso, conciso que se debe tener con estos pacientes encaminados a su pronta recuperación.Item “ACTUACIONES DE ENFERMERÍA EN EL SEGUIMIENTO DEL PROGRAMA MADRE CANGURO Y SU INFLUENCIA EN EL CRECIMIENTO Y DESARROLLO DEL NIÑO PREMATURO Y DE BAJO PESO AL NACER EN EL SERVICIO DE CONSULTA EXTERNA DEL HOSPITAL PROVINCIAL DOCENTE AMBATO PERÍODO ENERO JULIO 2014”.(2014-12-09) Toasa Ortiz, Fernanda PaulinaEl Programa Madre Canguro es una técnica de cuidado para niños prematuros de bajo peso al nacer que fue creada y desarrollada por un grupo de pediatras en el Bogotá, Colombia en el año de 1979. Los componentes del programa son: contacto piel a piel, posición canguro, lactancia materna, amor, los estudios realizados han demostrado ser una alternativa efectiva y segura para mejorar el estado de salud y emocional de niño, además favorece el vínculo madre – hijo. Es importante que a los niños canguros se les realice el seguimiento oportuno cuando ha egresado del hospital, debido a que pueden ocurrir complicaciones durante el manejo del recién nacido en el hogar. Los controles médicos deben ser permanentes para así detectar cualquier cambio que se produzca en el desarrollo neuro-psicomotor- sensorial. El personal profesional de enfermería desempeña un papel muy importante en la valoración y educación a la madre del niño canguro, debido que la guiará para que se encuentre capacitada en los cuidados en el hogar, debido a que si no recibe la adecuada educación la madre sobre el programa, se sentirá incapacitada para cuidar de su hijo y no podrá seguir estrictamente las recomendaciones del programa, además esto puede causar complicaciones o consecuencias devastadoras en el niño que no alcanza su peso adecuado para sobrevivir, inclusive pueden llegar a ocasionar la muerte del mismo.Item Actualización de la semiología del pulso arterial en el proceso enfermero(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Enfermería, 2021-09-01) Quinga Pérez, Geovanna Katherine; Castillo Siguencia, Rosa Mercedes Lic.Introduction: the present study was aimed at obtaining the results of previous research on the semiological update of arterial pulse measurement, since it is a vital parameter that allows the patient's state of health to be assessed, contributing to the prioritisation of nursing interventions during the development of the nursing process. Objective: to determine the semiology of the pulse in the nursing process. Methodology: this consisted of a compilation of information on the measurement of the arterial pulse, which was explored in the different existing databases in the different scientific search engines, such as Google scholar, Scielo, Pubmed and web pages of official bodies such as the WHO and guides of the Ministry of Public Health of Ecuador, using descriptors such as arterial pulse, vital signs, vital signs. Results: 39 valid bibliographic citations were obtained. Subsequently, an exhaustive reading and analysis was carried out, where the relevant articles were selected for this review. Conclusion: in this research we found relevant results about the arterial pulse in terms of atomic zones, technique and reference values that are useful during the application of the nursing care process.Item Adherencia de la dieta mediterránea en una población urbana de la sierra ecuatoriana(Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de Enfermería, 2023-06-08) Chimborazo Caizaguano, Mayra Alexandra; Cantuñi Carpio, Verónica del PilarIntroduction: mediterranean diet is characterized by being balanced, varied, and includes the necessary nutrients for the life of the human being, the moderate intake of red wine has antioxidant characteristics, it prevents atherosclerosis becoming a cardiovascular protector, likewise the nuts contribute to the reduction of triglycerides. Objective: determine the adherence to the Mediterranean diet in an urban population of the Ecuadorian highlands. Methods: quantitative research, with a non-experimental descriptive correlational approach, cross-sectional, carried out in August 2022, which uses a questionnaire as a tool which was applied to a population of 133 people who constitute the sample of participants. Results: the results were tabulated using the Excel 2016 version software, obtaining scientific data. The study reflects that 66,2 % of the population shows low or poor adherence and 33,8 % show good adherence to the consumption of a Mediterranean diet, in many of the respondents the intake of carbonated drinks, high-calorie products such as cakes or commercial confectionery has become a habit forming these as a fundamental part of their diets. Conclusions: the mediterranean diet is a new concept for our country, however, there is a large amount of scientific evidence of the benefits that it brings to the nutritional status in addition to the prevention of noncommunicable diseases such as diabetes and hypertension.Item Adherencia terapéutica y apoyo familiar del paciente con enfermedad renal crónica(Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de Enfermería, 2023-06-07) Arias Rosero, Mateo David; López Pérez, Grace PamelaIntroduction: Chronic Kidney Disease is characterized by being a pathology that affects the functionality of the kidneys, preventing them from fulfilling the function of filtering the blood adequately, strictly necessary drugs must be used, in adequate doses and intervals, during the necessary time, patients dependent on care have difficulties in adapting to their therapeutic treatment, becoming a public health problem. Objective: To analyze therapeutic adherence and family support of patients with Chronic Kidney Disease. Method: The research is mixed, cross-sectional. In the qualitative phase, the information was collected through semi-structured interviews with 10 family members, at which time the information was saturated, and the quantitative phase through the MoriskyGreen Test, applied to 36 patients in the hemodialysis area of the Ambato General Teaching Hospital. Results: It was evidenced that 52.8% of the patients present adherence to the treatment while 47.2% of the patients presented hypocompliance, in relation to the management by the relatives, it was evidenced that they try to comply with the established indications, however, when administering the medication they are mixing it, which can generate drug interactions. Conclusions: Therapeutic adherence is related to family support to fully comply with the treatment, therefore, help and support measures are implemented so that they can lead their lives without complicationsItem Adiposidad central en escolares y adolescentes en el período de la pandemia por covid-19(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Enfermería, 2021-03-01) Toaquiza Licta, Tannia Lucia; .Arráiz, Carolina de Fernández, Med. EspIntroduction: The pandemic caused by COVID-19, generated challenges in the world population, to avoid its spread measures were taken like isolation and confinement, which has generated greater sedentary lifestyle, greater number of hours doing work online, greater access to the kitchen of the house, what it could lead to obesity in children and teenagers. Objective: To determine central adiposity in schoolchildren and teenagers in the pandemic period by COVID-19. Methodology: Field research, descriptive cross section, the sample was made up of 71 students of 7-15 years old, the anthropometric parameter used to determine central adiposity was waist/hip ratio, using the application of two validated questionnaires, the analysis of data has been made in Microsoft Excel, frequencies were used, percentages, mean, standard deviation and confidence interval 95% for each variable. Results: Of a population of 125 students the 57% (n=71) had criterion of central adiposity, within of the irrigation factors were found that more than 50% of students occupy 5-6 hours to leisure activities inverse relationship with physical activity, feeding daily base on fast food (29,58% to 35,21%). Conclusions: It was evidenced that during the pandemic period by COVID-19 more than half of the studied population presented criterion of central adiposity, within of the predisposing factors was found feeding with high calorie content, limited physical activity, typical middle stratum, and grade of complete primary schooling of parents.Item Adopción del rol del cuidador principal del paciente adulto posterior a una estancia hospitalaria(Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de Enfermería, 2023-06-08) Garcés Barros, Pablo Joan; Mejías de Duarte, MarianelaThe fundamental axis of the patient and his family produces a change within the family nucleus, a situation of hospitalization demanding a greater dedication of time to the affected person and leaving aside daily situations such as work, education, personal care, rest, etc. Fostering a situation of stress and anxiety that increases over time and makes this a burden, generally making the caregiver ill. Objective: To know the role of the main caregiver of an adult patient after a hospital stay. Methodology: The present study has a quantitative, nonexperimental descriptive approach; The study population is made up of 120 main caregivers who are in charge of adult patients discharged from the hospital unit. The data collection was through a physical survey for the analysis of the data collected for the assessment of the role of the caregiver of the chronic patient. Results: The main caregiver of an adult patient after a hospital stay, for the most part, answers always with the majority of the questions asked in the survey having a percentage of 23%, while they answer that almost always a percentage of 19%, sometimes with a percentage of 20%, almost never with a percentage of 19% and, never with a percentage of 19%, this indicates that caregivers focus on their role for the longest time. Conclusions: The experience of caring involves great responsibility and enormous effort, causing an increase in caregiver burdenItem Afecciones ocupacionales de la piel en las manos, presentes en el personal de enfermería del área de neonatología(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Enfermería, 2022-03-01) García Albán, Gabriela Viviana; Herrera López, José Luis Lic. Mg.Introduction: Occupational hand disease is the inflammation caused by the environment and exposure to harmful agents. The frequency of hand hygiene, the application of disinfectants and the use of protective clothing which contribute to its appearance. Objective: To identify the presence of occupational skin diseases on the hands, present in the nursing staff in the neonatology area by applying the Hand Eczema Severity Index instrument. Methods: Descriptive study with a quantitative approach of cross-sectional cohort, the population was 33 nurses who work at Ambato’s Regional Teaching Hospital. The instrument "Hand Eczema Severity Index" was applied to the photographs obtained from the population and a survey was carried out to identify risk factors. Results: 91% presented mild affections, 3% mild-moderate and 6% mild, moderate and severe. The clinical indications were erythema, scaling and fissures, with an extension of 25 to 50 %. The risk factors were: 100% washed their hands more than 10 times with liquid soap-chlorhexidine, they made frequent temperature fluctuations from cold to hot and humid. 73% used antiseptic gel after hand washing, 60% presented conditions due to the use of gloves. Conclusions: The occupational diseases presented by the nursing staff are: erythema, fissures and desquamation, predominantly on the back of the hands and wrists. 6% underwent through three phases: mild, moderate and severe. The risk factors were: frequent hand washing with chlorhexidine, temperature fluctuations, and the use of antiseptic gel and gloves.Item Afrontamiento de la familia frente al duelo(Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de Enfermería, 2023-09-29) Tipán Pérez, Dayana Lizbeth; Rojas Conde, Luis GeovannyIntroduction: due to the loss of a loved one, mourning occurs, considered as the process of coping and psychosocial reorganization that corresponds to a series of personal and family interactions due to the death of a human being. Objective: to determine the family’s coping with grief. Method: the study was carried out from a quantitative approach, with a non-experimental, cross-sectional and descriptive design. The instrument used was the “Revised Texas Grief Inventory” adapted to Spanish by García García (2005). Which evaluates two dimensions: behavior in the past and current feelings, this was applied to 100 relatives of deceased patients from the Tisaleo canton. Results: in the dimension of behaviors in the past, the definitive absence of a family member leaves emotional consequences that are difficult to overcome and not proceeding with alternative solutions leads to even deeper situations that affect their work, family and self-performance, by as in the dimension of current feelings, the pain of a death becomes more acute, because the environment for the mourners is not favorable and on many occasions they find relief in inappropriate resources. Conclusions: family coping is the process that a person goes through after losing a relative or a loved one, which presents anxiety and depressionItem Afrontamiento del covid-19 en el personal auxiliar de enfermería(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Enfermería, 2022-10-12) Ramírez Maiquiza, Doménica Yadira; López Pérez, Grace PamelaIntroduction: The global crisis due to COVID-19, has produced changes in health institutions, affecting the mental health of health personnel, so it has been necessary to implement coping strategies to adapt to the situation. Objective: To identify COVID-19 coping in auxiliary nursing staff. Methodology: This is quantitative research of non experimental design, cross-sectional, with a descriptive scope. The study population was 100 nursing assistants of the Hospital General Docente Ambato. The information was collected through a survey with 21 closed questions, divided into 3 dimensions: adaptation or assimilation, adequate management of emotions and social limitations. Results: The coping strategies used were problem solving with 55%, worry solving with 47.5% and resistance to difficulties with 56%; the nursing assistants presented a medium level of coping with a percentage of 41%. Conclusions: COVID-19 coping has been progressively improving, healthcare professionals have changed their way of thinking and acting in the face of illness, allowing their work development, for such reason, it is essential that coping strategies continue to be applied and encouraged among workers, in order to maintain their health both physically and psychologicallyItem Afrontamiento del covid-19 y sus efectos en el desempeño de las funciones del personal de seguridad(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Enfermería, 2022-10-12) López Barona, Lizeth Mishell; Benavides Rovalino, Esther del RocíoIntroduction: COVID-19 has generated diseases that have especially affected the respiratory system of mankind and even led to death, it has also generated mental imbalances, psychological disorders in security personnel, creating confusion, fears, due to changes in routines. Objective: To analyse COVID-19 coping and its effects on the performance of the functions of security personnel. Methodology: This research is quantitative, field-based, descriptive and cross-sectional. It was carried out by means of a census sample in which the population consisted of personnel working in the Tungurahua Police Sub-zone No. 18, with a Community Police Unit (UPC) of 50 active duty personnel designated for the study. Information was collected by means of a questionnaire, which contains 9 scales that have been validated with Cronbach's Alpha. Results: Compliance with preventive measures to avoid contagion of the coronavirus is shown. 92% use the mask when leaving home and 64% keep their distance from other people, and 44% have felt very anxious or afraid, very sad or depressed during the pandemic. Conclusions: The coping with COVID-19 in security personnel has improved significantly, allowing them to carry out their work functions in a normal way, therefore it is essential to continue promoting strategies in the servers to maintain a state of physical and mental health in good condition.