Especialidad en Medicina Familiar y Comunitaria
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Item Factores laborales asociados a la Intoxicación crónica por inhibidores de la Colinesterasa en trabajadores agrícolas de San Vicente, Cantón Quero 2015-2016(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Dirección de Posgrado, 2016-11-01) Robalino Travez, Teresa LilianaMd.; Sunta Ruiz Dr. Esp, Mario LeopoldoIntroduction: A global pesticide use has increased, which implies a risk for the working population, but unfortunately did not use the correct protective equipment that relates for lack of knowledge, so that there is direct exposure. So the World Health Organization estimates that worldwide more than 750,000 people would present some kind of chronic effect by being in contact with pesticides Objective: To identify factors related to occupational chronic exposure to cholinesterase inhibitors in farm workers, San Vicente, Quero 2015-2016. Methodology: an observational, descriptive, cross-sectional study presents the universe of study constituted 200 farm workers took a sample of 97 but only 78 met the inclusion criteria. Results: It was noted that there is a misuse of pesticides by lack of information and training in 67% of agricultural workers. Protective equipment used boots were 100%, 20.5% mask and gloves 3.8%. In addition low levels of erythrocyte cholinesterase was identified in 84.4% of men and 39.9% in women, exposure time in years and the frequency of use is directly proportional; therefore the longer and more often exposed percent have low values. By analyzing neurological, neuropsychological and cognitive disorders, both men and women had involvement at all scaleItem Intervención educativa para detección oportuna de cáncer cervical en madres de familia. Colegio Saquisilí. 2015 -2016(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Dirección de Posgrado, 2016-11-01) Claudio Reinoso, Mónica Patricia Dra.; Castro Hayes Dr. Esp., Orlando JesúsThe aim of the study was to evaluate the educational intervention for early detection of cervical cancer in mothers. Saquisilí School. 2015-2016 The study was of such intervention, quasi-experimental, Slitting, with pre-assessment and post-assessment. The sample consisted of 113 mothers. SPSS version 20.0 program was used. For statistical significance McNemar test was used with a value of p <0.05 and a confidence interval of 95%. Obtaining, average age 42.4 ± 6.2 years, 52.2% have primary education, 70.8% were married, 56.7% are housewives, 85.8% had STI, 78.8% had early sexual intercourse, 65.5% they have 3 or more children, 44.3% have had two or more sexual partners. 68.8% have psychological barriers and 32.7% have barriers in the Public Health Service. Before the educational intervention 92.9% of mothers had inadequate knowledge about the early detection of cervical cancer, however after the intervention was modified in 86.7% to adequate knowledge. The McNemar test showed that at the end of the educational intervention were significant changes (p = 0.000). Concluding that the educational intervention increased knowledge about the early detection of cervical cancer in mothers of Saquisilí National College.Item Conocimiento sobre tratamiento y complicaciones con Influencia en la meta de control de la presión arterial en personas adultas hipertensas del subcentro de salud la Vicentina 2016.(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Dirección de Posgrado, 2016-11-01) Castillo Borja, Gabriela Fernanda Md.; Torres Torres Dr., Johny MauricioArterial Hypertension (AHT) is a multicausal disease that requires multiple interventions to control it. An observational, descriptive, cross-sectional study was conducted to determine the influence of knowledge on treatment and complications of hypertension in the control of hypertensive adults who attended the outpatient Health Center Vicentina during 2015, from different sociodemographic such as sex, age, educational level and socioeconomic status. There was a predominance of females with 70%, those over 65 years of age with 56.20% and primary schooling 56,20% and low socioeconomic status 51,20%. The 73.80% of the population had knowledge about treatment and complications of hypertension and 61,25 % did meet the goal of control. It is concluded that existed in the patients studied showed significant frequencies influence of knowledge about treatment and complications of hypertension in meeting the goal of control. It is recommended that additional research in the future be conducted with emphasis on risk factors and other relations with hypertensive patients such as the body mass index and stages of the disease to analyze meeting the goal of control of the disease. The application of the proposed guide of prevention of hypertension to be presented in health centers of primary care.Item La Discapacidad y su influencia en la salud familiar, del sector EU04, Pujili. 2015-2016(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Dirección de Posgrado, 2016-11-01) Vaca Jácome, Patricia ElizabethDra.; Darias Pérez Dra. Esp, Mercedes FléridaDisability constitutes a public health problem, a critical circumstance that can affect the family as a system. For this reason, it is decided to carry out this research in order to evaluate the disability and its influence on the health of the families of the EU04 Pujilí sector. The hypothesis was that the greater the degree of disability, the greater the negative impact. The methodology used has a qualitative and quantitative approach, field modality, is an observational, descriptive cross-sectional study. The study population consisted of 37 people with disabilities and their families. The study focused on an integral characterization of people with disabilities, adaptive resources, social support and the impact of disability in the different spheres of Family Health. For data collection, family records are used as the primary source, and the survey and validated tests of social support, adaptive resources, and the Family Impact Instrument (IRFA), with prior informed consent, are used as secondary sources. The processing and analysis is performed with the SPSS 20 system. The results are that the overall impact was slight with 64.9%, with the predominant negative sign with 70.3%, the family function variable was the least As the mild repercussion was predominantly positive. For verification of the hypothesis, Chi square was used, without significant statistical relationship.Item Conocimientos sobre infecciones de transmisión sexual y acciones preventivas realizadas por adolescentes del sector dos. Saquisilí. 2015 – 2016(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Dirección de Posgrado, 2016-11-01) Salazar Hidalgo, Byron Segundo Dr.; Lozano Heredia, Rebeca Dra. Esp.Knowledge about sexually transmitted infections and preventive actions taken by adolescents in the sector both. Sexually Transmitted Infections currently is a public health problem, especially in the adolescent stage due to conditions such as lack of knowledge that endanger their health by unhealthy sexual behaviors. Objective: To determine knowledge of STIs and preventive actions by teenagers Saquisilí sector 2. Method: The study is qualitative quantitative, descriptive method of cross section. The sample consisted of 138 adolescents aged 10 to 19 years, was used as instrument a questionnaire. Results: Of 100% (138) adolescents; only 66.5% adolescents know about STIs and ways of contagion; information obtained from teachers and some of their parents, 88.7% know how to prevent using condoms followed by checkups (75%) and related to the couple (65%). Conclusion: The highest percentage of adolescents have average knowledge about STIs and their preventive actions, statistical Chi square test shows that there is a statistically significant relationship between the level of knowledge and preventive practices.Item Evaluación de la calidad del programa de detección oportuna del cáncer cérvicouterino centro de salud cevallos. Tungurahua. Junio 2015 - Junio 2016(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Dirección de Posgrado, 2016-11-01) Orquera Andrade, Edgar Antonio Md; Llerena CepedaDra. Mg., María de LourdesThis research project is focused on the evaluation of the quality of the Early Cervical Cancer Detection Program on a Primary Health Care Center in Cevallos, Province of Tungurahua, Ecuador, from June 2015 to June 2016. The research keeps an quantitative as well as qualitative approach through the modality of field research and review of the data. It uses a tranversal design during the period of time mentioned above. Collection of data was made through statistical tools like: surveys, interviews and guided observance, applied to health employees and women between 15 and 64 years old who came to the health center to make a Cervical Cytology Test. We used a non-probabilistic random sampling with a total of 214 patients as population study. In conclusion we show the presence of several errors on certain parameters evaluated like: level of coverage, patient recruitment, collection process, delivery of samples and delivery time of results. We also noted lack of knowledge in the personnel that was in charge of the execution of the research. These reasons made us to take the decision of set up a proposal of intervention based on continuos training and evaluation of the program.Item Conocimientos, actitudes y prácticas sexuales en adolescentes para la prevención de infecciones de transmisión sexual Unidad Educativa “Darío Guevara”, 2016(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Dirección de Posgrado, 2016-11-01) Cindy Grace Dra., Dávalos Barzola; . Patricio Aníbal , Bedoya Vaca Dr EspDuring the stage of adolescence Sexually Transmitted Infections are a public health problem due to situations that threaten their sexual and reproductive health as well as the practice of unhealthy behaviors. Objective: Determine the level of knowledge, attitudes and sexual practices of adolescents for prevention of sexually transmitted infections in the educational unit "Dario Guevara". Method: The research approach is qualitative quantitative descriptive method of cross section. The sample consisted of 170 elementary school students enrolled in the ninth, tenth and eleventh grade respectively, a questionnaire was used as instrument. Results: 100% (170) students; only 58.24% of students have average knowledge about STIs and forms of contagion; information obtained through media and with one of their parents, 35.9% never prevented by using condoms. Conclusion: The highest percentage of students have average knowledge about STIs and preventive practices through statistical test Chi Square there is a statistically significant relationship between the level of knowledge and preventive practice.Item "Autopercepción y percepción familiar de la calidad de vida del adulto mayor. ER12, la Victoria, 2015-2016"(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Dirección de Posgrado, 2016-11-01) Borja Tapia, Patricia Elisabeth Dra.; Creagh Bandera. Idalberto Dr Esp.,Nowadays the whole world is experiencing a new phenomenon, which is the phenomenon of demographic transition, where the population of the elderly has increased considerably, according to the World Health Organization that in the year 2000 there were approximately 600 million Old adults, a figure that would double by 2025, all this has been achieved thanks to technological and scientific advances that have reduced mortality rates and increasing life expectancy, so there are more vulnerable individuals, with their own requirements And with little social consideration what would determine their quality of life. Ecuador is also experiencing this process without being the exception the Parish Victoria. In this context the present study whose general objective was performed. Determine the quality of life of the elderly from self-perception and the perception of the family in the ER 12 Victory in 2015-2016. A qualitative and quantitative approach was maintained, it was a descriptive study cross-sectional descriptive study yielded information as older adults perceive their quality of life and how they perceive their families. We worked with 70 older adults and 70 family, using the instrument WHOQOL-BREF developed by OMS with 26 questions, which describes the quality of life in relation to social, biological, physical and psychological determinants studied during 2016. SPSS20program was used with frequency measurements, standard deviation, and chi square. Results: the average age was 70 years. The 60% (42) of seniors reported perceive their quality of life as average and 40% (28) perceived as bad, while 57.1% refer families (40 ) for average quality of life and 41.5% (29) low. According satisfaction with their health 30% will answered satisfactorily, however little dissatisfied 34.3% and 25.7% very dissatisfied, the best results were men, married primary school level and living with their partners.Item Influencia de la Violencia en el Rendimiento Académico de los Adolescentes de la Unidad Educativa Augusto Nicolás Martínez, 2016(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Dirección de Posgrado, 2016-11-01) Wilma Natalia Dra., Hurtado Banda; Guillermo Luis , Montalván González Dr. EspEXECUTIVE SUMMARY: The research was conducted to identify the relationship between violence and academic achievement that occurs in adolescents of the Education Unit Augusto Nicolas Martinez was an observational research analytical cross-sectional, where students who participated in the study met the inclusion criteria also they gave their consent to participate in the survey of violence. This study was conducted with the participation of 153 adolescents randomly selected 10 clusters selected by the Epidata 3.1 program between the ages of 10-16 years. Among the results we can say that 77.80 % of adolescents suffer violence, early adolescence is most affected with 47.70%, the most affected is the male gender with 47.10 % This research also reveals the association between domestic violence and academic performance tested with Pearson Chi square program.Item Factores que influyen en los conocimientos, actitudes y prácticas sobre Salud Sexual y Reproductiva en Adolescentes, sector Er05, Mulliquindil, 2016(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Dirección de Posgrado, 2016-11-01) Angélica Paola Dra., Gaviria Bolaños; Inés Aurora , del Pino Boytel Dra. Esp.THEME: “FACTORS AFFECTING THE KNOWLEDGE, ATTITUDES AND PRACTICES ON SEXUAL AND REPRODUCTIVE HEALTH IN TEENAGERS, SECTOR ER05, MULLIQUINDIL, 2016." AUTHOR: Doctora Angélica Paola Gaviria Bolaños DIRECTED BY: Doctora Inés Aurora del Pino Boytel, Especialista. DATE: 08 de Augusto 2016 Adolescence is a stage of life that brings growth changes, opportunities and often enough risk to sexual and reproductive health Individual and family factors may be related to the knowledge, attitudes and practices of adolescents of Parish Mulliquindil. Objective: To identify factors influencing knowledge, attitudes and practices on sexual and reproductive health in adolescents industry of Parish of Mulliquindil. Hypothesis Identify the factors influencing knowledge, attitudes and practices on sexual and reproductive health in adolescents industry of Parish of Mulliquindil. Methodology: field mode was used descriptive, observational, type descriptive, observational, type, Universe of the study: 240 adolescents with a sample of 134 Results: In relation to knowledge, attitudes and practices all they proved to be deficient or absent in both sexes. I was shown that between family factors such as aggression and overprotection affect the knowledge and practices of adolescents. Teenagers who have sex had more than one partner Conclusions: It was shown that both individual factors and family influence knowledge and practices of adolescents. Sexual practices are inadequate, as many teenagers who have sex life. They had more than one partner and not used condoms therefore have no good perception of risk.Item Violencia de Género y Estrategias de Afrontamiento en Mujeres de la Población de Anchiliví 2015 – 2016(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Dirección de Posgrado, 2016-11-01) Silvia Rosana, Defaz Taipe Dra.; Becker Santiago Dr. Esp., Neto Mullo,The objective of this study is to determine the coping strategies present in women suffering from gender-based violence in the Anchiliví neighborhood Salcedo Canton in the period 2015-2016. A qualitative-quantitative, field, observational, documentary, descriptive-correlational study. The sample consisted of 114 women between 20 and 40 years of age, married and in free union, two surveys were carried out, the first one assessing if they were victims of violence and second the inventory of coping strategies CSI, the data were Entered in an Excel database and processed in the SPSS program, applying the Chi square statistic with a significance level of p <0.05. Obtaining that 68.42% of women present some type of violence, while 31.58% reported not having suffered, taking into account the type of violence, the psychological represented 100%, physical 34.2% and sexual violence with 5.25%, they were in dependence with the sociodemographic characteristics. It is concluded that women victims of violence have 57.89% of adequate management in the face of violence, this responds to the fact that most of them present coping strategies such as solving the problem and social support. 41.01% presented inadequate management in the presence of violence, because they have desiderative thoughts and are self-critical.Item Satisfacción de los usuarios con la atención de los Postgradistas de Medicina Familiar y Comunitaria. Unidades Docentes Asistenciales. Provincia de Tungurahua. año 2015(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Dirección de Posgrado, 2016-11-01) Paola Alejandra Md., Silva Gutiérrez; Aida Fabiola , Aguilar Salazar Dra. Msc.The main objective of this research is to assess user satisfaction regarding the care provided by the Family and Community Medicine resident in the health care where the graduate faculty develops in Tungurahua province in 2015. This study has a qualitative metodology that can define variables, care provided by the Family and Community Medicine resident as an independent variable, and the satisfaction of users of health services as dependent, for which was evident the difficulties generated through the use statistical instruments, such as the survey, which was administered to 475 household who attend the various health units, it was determinate that there is a significant percentage of dissatisfaction based on the previous analysis intends to carry out new strategies of trainings and workshops in order to minimize this percentageItem Violencia hacia la mujer: efectos sobre la salud. Subcentro de Salud San Andrés 2016(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Dirección de Posgrado, 2016-11-01) Mariana Isabel Md., Velástegui Pérez; Marisela Dinorah , Lorenzo González Lcda. Mg.Violence against women is widespread and deeply ingrained practice in society that has serious consequences on the health and welfare of women. An observational descriptive cross-sectional study was conducted in order to assess the link between the various forms of violence and health disorders in women; through a convenience sample of 250 women victims of violence he was selected. The study variables were violence against women and the effects on health. The study results showed that psychological violence predominated with 73.2%, followed by physical violence with 62%. Regarding the sociodemographic variables marital status, age and economic dependence were statistically significant for physical violence; the level of education and marital status were statistically significant for psychological violence, as economic violence and sexual violence statistically significant variables were marital status and economic dependence. Regarding health disorders and various forms of violence, headache dominance in women victims of psychological and economic violence, sleep disorders predominated in victims of physical, economic and sexual violence. Muscle aches are more associated with physical, psychological and economic violence. There is also the serious impact that violence has on mental health, and so that all forms of violence trigger emotional consequences such as anxiety and depression. Genitourinary problems such as urinary tract infections and dyspareunia were present in women victims of sexual violence. An investigation into a cross-sample, does not establish violence as a cause of a problem of timely health, our study establishes health-related events present in these women.Item Factores relacionados con la Inclusión Social en las personas con discapacidad. Parroquia Totoras. enero a julio 2016(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Dirección de Posgrado, 2016-11-01) Violeta Elizabeth Dra., Medina Bermúdez; Vilma , García Franco Dra. Esp.In this paper the factors related to social inclusion in the disability Totoras parish during the period January to July 2016. It is an observational, descriptive, cross-type design, with qualitative and quantitative approach, conducted investigated 50 people with disabilities, where we study four areas: the social and family inclusion, holistic health, inclusive education and employment integration was studied. Among the results the average adult is the most representative with 34.0%, with a slight predominance of the male gender, most personan maintain a stable relationship (married and cohabiting). 44.0% have primary level education. The main type of disability is physical (64.6%) being the most common cause is acquired 68.0% recorded moderate disability. Undifferentiated scheduling (44.0%) is the predominant factor hindering accessibility to local health services. Disabled people refer feel supported by their families. 91.0% are beneficiaries of human development bonus. Only 33.0% reported having been included in educational field equal opportunity, people who meet the clinical and legal conditions for labor 62.5% have been included in the labor sector. Among the factors that are directly related to the lack of social inclusion of people with disabilities at local health, are not differentiated scheduling, and lack of training of professionals.Item Determinación del Cortisol como Marcador Oportuno de Síndrome de Burnout en los profesionales del Área de Laboratorio Clínico y Enfermería del Hospital General Docente Ambato(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Dirección de Posgrado, 2016-11-01) Molina Cepeda, José Israel; López López, Paola Catalina Bqf.Burnout Syndrome or burned worker syndrome is a kind of occupational stress known as chronic, called emotional exhaustion, depersonalization and reduced personal accomplishment syndrome occurs with higher prevalence in health care workers who work directly physician-patient, characterized by progressive physical and mental exhaustion, it is a condition that occurs as a prolonged stress response that a person has to emotional and interpersonal stressors related to work, the lack of motivation in daily tasks to accomplish and work overload, and especially reflect relevant changes of behavior in sufferers. Change in attitude, usually involving aggressive behavior, bad manners and irritating treatment towards others or their own coworkers creating an unpleasant environment. This research was conducted at the General Teaching Hospital Ambato, whose objective was to quantify cortisol as appropriate marker burnout syndrome in professionals in clinical laboratory and nursing. The research was descriptive and explanatory diagnostic type because it was based on thoroughly describe the procedure and correlate results of cortisol by the laboratory with clinical data obtained by the test of Maslach and its relationship with burnout syndrome, with which it proved the utility and reliability of the determination and in turn the alternative hypothesis. This study worked with a sample of 60 health professionals General Teaching Hospital Ambato formed by 16 area of clinical laboratory, 18 nurses emergency area, 15 nurses area intensive care unit, and 11 nurses Area maternity, which results as altered levels of serum cortisol and correlation with test Maslach, in the area of Clinical Laboratory 1 case of burnout syndrome representing 6.25% of 16 was identified in the area Emergency 7 cases of Burnout representing 39% of 18, in the area of Intensive Care Unit 4 cases of Burnout representing 27% of 15, in the area of maternity identified 1 case of burnout identified were identified representing 10% of 11, reflecting the more prone to chronic job stress is the emergency area. The total sample 13 cases of Burnout equivalent to 22% of 60 professionals studied were identified, and the remaining 78% are stressed to a lesser degree for which they are at risk of developing the syndrome and checking the alternative hypothesis states that the determination of cortisol levels do relate to burnout syndrome because it is useful as an appropriate marker for this syndrome.Item Salud Familiar y Funcionalidad del Adulto Mayor del sector EU 23. Latacunga. 2016(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud- Centro de posgrado, 2016-11-01) López Guerrero,Ana Abigaíl Md.; Neto Mullo Dr. Esp,Becker SantiagoNowadays, the technological advances have allowed reducing the birth rate and mortality, as well as improving social conditions, the older population is growing, and its health care is becoming a problem of public health and social security. According to the year 2025, there will be approximately 600 million older adults, increased longevity has requirements that cannot be ignored. The present research aimed to explore the dimensions of family health affected according to the functional status of older adults, in order to have better elements that guarantee a successful aging. It was remained a qualitative and quantitative approach, relational and transversal research based on the theory of decoupling of Cumming and Henry, applied to 55 families with seniors US 23 sector - Latacunga. Collection techniques are observation, interview, family files, clinical files, geriatric test, FF-SIL and family of risk features list. The data were processed in Excel, tabulated in SPSS and statistically significant with chi2. It concludes that family health that predominates is family dysfunction with a level of extreme criticality in more than a half, identifying risks of critical economy, low educational level, disability, negligence in care or abuse and poor hygiene. The categories of operation affected more harmony and adaptability. The functionality of the older adults determined by implemented activities over are dependent, in basic activities most are independent, the cognitive deterioration is moderate and there is a high social risk. It is recommended to improve the homes with optimal family relationships to develop functional status and increase the self-care of the elderly and improving family health.Item Síndrome de fragilidad en el adulto mayor y su repercusión en la salud familiar, Parroquia Cunchibamba 2015 - 2016(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Dirección de Posgrado, 2016-11-01) Garcés Jerez, Katherine Elizabeth Md.; Linares Valdés Dra Esp, HortensiaIntroduction: Ecuador presents, currently, an accelerated aging process, a phenomenon that causes health problems among older adults, including the fragility that is a relatively new concept in geriatrics. The frailty syndrome is a pre disabled state, a state of vulnerability, or is detected and thus can address the situation to delay adverse events or overlooked and the elderly can cross the thin line separates fragility of disability. Objective: To identify frailty syndrome in the elderly and their impact on family health. Methods: Cross-sectional, descriptive, observational, with mixed approach of a total population of 200 adults over 65 years of sectors served by postgradistas of Family and Community Medicine, parish Cunchibamba, Study 2015/2016 period. Results: The frequency of frailty in the elderly was 163 (81.5%), the age range of 71-90 years predominated with 48.5%, 59.6% were women. It was classified according to the degree of functional impairment, mild weakness in 71 (43.5%), moderate 57 (34.9%), severe 35 (21.4%). Among the sociodemographic characteristics, marital status married 87 (53.4%), the level of instruction illiterate - incomplete primary 102 (62.5%) and employee work status 86 (52.8%) had significant percentages in different degrees of fragility. factors associated with the frail elderly, polypharmacy, hospitalization, depression, cognitive level and comorbidities with statistically significant results were identified. The family impact before the event frail old man, was coded by level of impairment, mild 47 (29.0%), moderate 49 (30.0%) and severe 21 (13.0%). Conclusions: A high level of fragility was identified in the elderly, with moderate impact on family health, mainly affecting the economic area, without underestimating the socio-psychological areas and family functioning.Item Salud Familiar y Funcionalidad del Adulto Mayor del sector EU 23. Latacunga. 2016(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Dirección de Posgrado, 2016-11-01) Ana Abigaíl Md., López Guerrero; Becker Santiago , Neto Mullo Dr. EspNowadays, the technological advances have allowed reducing the birth rate and mortality, as well as improving social conditions, the older population is growing, and its health care is becoming a problem of public health and social security. According to the year 2025, there will be approximately 600 million older adults, increased longevity has requirements that cannot be ignored. The present research aimed to explore the dimensions of family health affected according to the functional status of older adults, in order to have better elements that guarantee a successful aging. It was remained a qualitative and quantitative approach, relational and transversal research based on the theory of decoupling of Cumming and Henry, applied to 55 families with seniors US 23 sector - Latacunga. Collection techniques are observation, interview, family files, clinical files, geriatric test, FF-SIL and family of risk features list. The data were processed in Excel, tabulated in SPSS and statistically significant with chi2. It concludes that family health that predominates is family dysfunction with a level of extreme criticality in more than a half, identifying risks of critical economy, low educational level, disability, negligence in care or abuse and poor hygiene. The categories of operation affected more harmony and adaptability. The functionality of the older adults determined by implemented activities over are dependent, in basic activities most are independent, the cognitive deterioration is moderate and there is a high social risk. It is recommended to improve the homes with optimal family relationships to develop functional status and increase the self-care of the elderly and improving family health.Item Estrategia de Integración al Sistema de Salud Pública Ecuatoriano de Parteras/Os, Parroquia Quisapincha, Ambato, 2016(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Dirección de Posgrado, 2016-11-01) Lorena Jazmín Md., Santana Mera; Alejandro Jesús Dr.Esp., Velasco Boza,Strategy Obstetric and Neonatal Care Essential in Ecuador provides for the participation of midwives / accoucheurs community in reducing morbidity from these causes mortalitad. A descriptive cross-sectional study was conducted with the objective of determining the integration of midwives / accoucheurs to Care Strategy Essential Obstetric and Neonatal, parish Quisapincha, Ambato, 2016. Method and materials: the universe was made up of 24 midwives / accoucheurs and 20 professionals Quisapincha Health Center. a survey filled out midwives / accoucheurs, for their sociocultural characteristics and a structured survey of health personnel was applied. Results: We found that accoucheurs surveyed, 33.3% are male and 66.7% female, 45.8% are between 46 and 60 years, 70.8% illiteracy predominance of female gender, 79 , 2% identify themselves as indigenous, 75,0% live more than 5 km of the health center. According to 58.4% level of knowledge it has 41.6% average level and low level. According to the causes that influence integration, 45.8% trust the health services; 50.0% feel accepted by health personnel; only 50.0% have attended training. 20 Health Center workers, 75.0% accept midwives / accoucheurs as part of the health team, but only 50.0% trust the activities carried out by midwives and 50.0% believe that they are able to recognize warning signs. Conclusions: The level of medium and low knowledge shows that midwives / accoucheurs are not trained in maternal and child care, there are different causes that influence their participation in the public health system, which is insufficient integration into the Care Strategy Essential obstetric and Neonatal.Item Capacidad funcional del ddulto mayor relacionado con el abandono familiar. La Calera centro, Latacunga(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Dirección de Posgrado, 2016-11-01) Villarroel Vargas, Jenny Fernanda Md; Miranda Vázquez Dra. Esp., Josefa MargaritaPopulation aging is inevitable, it is estimated that between 2000 and 2050 the aging population rise from 11 to 22 %, thereby increasing the various diseases or disorders own age among other difficulties. The aim of the study was to establish the relationship between functional capacity of the elderly with family abandonment in neighborhood La Calera Center, Latacunga.A descriptive study of crosscut population was composed of 70 adults over the community who prior informed consent is applied scales for assessing the capability it works Index modified Katz and scale Lawton and Brody modified and the survey was conducted abandonment assess family and socio-demographic aspects of the population. For statistical analysis Pearson Chi square was used with a significance level of 0.05. In the study, the predominant age group was between 65 to 74 years (elderly) with 59% of the population and the long-lived category with 3%. The average age is 73.96, a minimum age is 65 years and maximum of 91 years, female gender predominance . neglect in 75.7 % of seniors reported and had significance with regard to functional capacity. Significant results were in the relationship between AVD and AIVD with geriatric age p: 0.001 and p: 0.002 respectively , as well as the AIVD with the occupation being x2 : 38.939 p : 0,000 other significant result was the family abandonment and family structure p : 0,002.Se can conclude that there was significant relationship between functional capacity , family structure and abandonment.