Enfermería

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    CUIDADOS PALIATIVOS PEDIÁTRICOS SEGÚN EL MODELO DE MARJORY GORDON: REVISIÓN SISTEMÁTICA
    (2025-06-17) Vilca Ruiz Joselyn Mayerli; Fernández Nieto Miriam Ivonne; Universidad Técnica de Ambato / Facultad de Ciencias de Salud / Carrera de Enfermería
    Introduction: The main objective of pediatric palliative care is to improve the quality of life of children and their families by alleviating the physical, emotional, social and spiritual suffering associated with serious illness. In order to provide adequate care, nursing staff must perform a first-line assessment that is appropriate, and this is what the theorist Marjory Gordon proposes, which she offers to assess with the eleven functional patterns. Objective: To analyze the studies carried out on pediatric palliative care according to Marjory Gordon's model. Methodology: This is a qualitative, retrospective research, through a systematic review using the documentary technique to collect information in different scientific databases such as Google Scholar, Pub Med, Scielo and Dialnet. In addition, Boolean operators such as "AND", "OR" and "NOT" were used, and the PRISMA statement (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) was used to obtain information. Results: 103 articles were located, which were discarded due to their similarity. We were left with 54 documents, of which 5 met the inclusion criteria, which were articles in English and Spanish, published from 2020 to 2024. The studies mentioned that functional patterns are used for care in clinical practice. Conclusion: Studies showed that nursing theories in palliative practice highlight Jean Watson's Theory of Humanized Care, which allows for interventions that are tailored to the needs of the pediatric patient and family.
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    TETANALGESIA EN LA PREVENCIÓN DE TÉCNICAS DOLOROSAS DEL RECIÉN NACIDO
    (2025-06-17) Morales Tipan, Germán David; Cusme Torres, Nadihezka Amanda; Universidad Técnica de Ambato / Facultad de Ciencias de Salud / Carrera de Enfermería
    Introduction: Tethanalgesia is a recommended technique to provide the neonate breastfeeding in order to reduce pain in the face of painful procedures. Objective: Critically analyze existing scientific literature to evaluate the effectiveness of tethanalgesia in the prevention of pain associated with medical techniques in neonates. Methodology: A systematic review of updated studies was carried out that address the application of tethanalgesia in neonatal medical procedures where the effectiveness of tethanalgesia was evaluated in the reduction of pain in newborns in painful processes and the benefits of tethanalgesia in the Pain reduction in newborns in painful processes. Results: After the analysis, 14 articles were selected for this review where it was found that tethanalgesia is an effective method to prevent pain in newborns against painful techniques in 85% of the studies reviewed. The most frequent painful technique where tethanalgesia is used is blood sampling, followed by vaccines. The main benefits of the use of tethanalgesia in the face of painful techniques are the reduction of pain and crying time. Conclusion: Tetanalgesia is an effective method to reduce pain in neonates that are subjected to painful medical procedures due to their easy application and without side effects or risks.
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    Manejo del dolor en pacientes adultos mayores no oncológicos en fase paliativa
    (Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Enfermería, 2022-10-12) Semblantes Quinche, Deisy Maribel; Quenorán Almeida, Verónica Sofia
    Introduction: Pain is associated with tissue damage, which includes behaviors and emotions that lead to both physical and cognitive dependence, requiring management to provide better care, reducing the suffering of the patients and relatives. Objective: To determine pain management by nursing staff in non oncological older adult patients in the palliative phase. Methods: The investigation corresponds to a quantitative, descriptive, and cross-sectional study. The population was 80 nurses from the from Public Hospital. It was collected through surveys with 12 questions with likert scale, divided into 5 dimensions: pain assessment, medication administration, purpose of medication administration, work of the nursing staff, and knowledge. Results: The nursing staff states that 71.3% perform pain assessment, 63.8% administer medication at fixed times, 66.3% observe the patient being satisfied, 67.5% assess side effects and 75% affirm that morphine it is used in chronic pain. Conclusions: Professional interventions for pain management in non-oncological older adult patients in the palliative phase are favorable, the majority constantly apply the care to reduce pain, however, it is necessary to expand their knowledge according to with administered medication.
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    Comparación de la aplicación de las escalas NPASS y PIPP en la valoración del dolor en el neonato
    (Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Enfermería, 2022-10-12) Tipán Coello, Yadira Elizabeth; Guarate Coronel, Yeisy Cristina
    Objective: To compare the application of the NPASS scale vs the PIPP scale in the assessment of neonatal pain. Methods: A quantitative, descriptive, longitudinal and analytical study was carried out, evaluating pain in hospitalized neonates using both scales. The population consisted of 30 nursing professionals working in this service, being a census sample. Each participant in this study applied both the NPASS and the PIPP scales to assess pain in the neonate, and then answered the questionnaire of feasibility, clinical usefulness and nurses' preference by Xiao-Zhi Huang according to each scale applied. The data were analyzed using SPSS statistical software. Results: The professionals agree that both scales are easy to use; however, the time for their application is an important factor to take into account. Conclusions: The NPASS scale showed a greater preference over the PIPP scale.
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    Espondilodiscitis Piógena Enfocado a la calidad de vida del paciente
    (Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Carrera Enfermería, 2016-10-01) Pila Aynuca, Sandra Viviana; Quishpe Jara, Graciela de las Mercedes Lic. Mg.
    Pyogenic spondylodiscitis is an infection of the vertebral body and disc whose clinic in early stages can be easily confused with other conditions of lower back pain cause. A high degree of clinical suspicion to avoid delay diagnosis is necessary, and take into account the presence of risk factors that might favor its development. Early detection and management can largely avoid disability that causes this condition. In this research the case of a male patient, 46, suffering from the same disease for 6 months without apparent cause occur. Information I was collected from the onset of the disease to date, reviewing developments and conducting nursing assessments with the aim to propose interventions that facilitate improving the quality of life of the patient and the family. The disease began in the patient as a back pain complicated by immobility, which was gradually progressing affecting and preventing him perform daily activities. This analysis was performed in order to identify the nursing process as an instrument to constantly improve the quality of care that are aimed at maintaining the health of people in all its dimensions: physical, mental and social well for this way to meet the needs of individuals, family or community to actual or potential problems of health through health promotion.