Especialidad en Medicina Familiar y Comunitaria
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Item Determinantes socioculturales relacionados con el grado de dependencia y autocuidado del adulto mayor, barrio San Juan, Latacunga(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-04-01) Posso López, Giovanna Paulina Md.; Dra. Meléndez Herrera, Mónica Cecilia Esp.Functionality in the elderly is part of a main axis for actions aimed at strengthening aging, as opposed to the increase in this age group. The various physical conditions or chronic pathologies have a negative effect on their functional capacity, which is why control actions are required in order to reduce dependency that contributes to further deterioration. This research has a quantitative, descriptive approach, with a cross-section of older adults in the Community of San Juan Latacunga in the period from 2019 to 2020. The total of older adults in the community of San Juan is 73 people, data taken from family cards and tests applied to older adults. The sociodemographic and cultural characteristics relevant to the study were: age, sex, marital status, level of education, ethnicity, religion, economic level. For this study, the Katz and Lawton and Brody Test was applied to measure the level of dependency of the older adult. It is evident that 49.32% (36) do not depend on third parties since they maintain their physical health, 36.99% (27) have a slight dependency, 2.74% (2) a moderate dependency, and as relevant data from the study, 10.96% (8) have a serious dependency, I feel related to the high rate of degenerative diseases that impair the vital function of older adults. The perception of self-care and the level of dependency are inversely proportional, since the greater the dependency, the less self-care will beItem Guía anticipatoria para contribuir al cumplimiento de las funciones básicas de las familias del Caserío San Antonio. Parroquia Huambaló, 2015(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Dirección de Posgrado, 2016-11-01) Pilaloa Tamayo,Sergio Emilio Dr.; García Franco Dra. Esp., VilmaThe present study considers the family as a decisive factor of change during the promotion, prevention and recovery of the mental, physical and psychological health of each one of its members in harmony with the internal family environment and the community in general. The family in a decisive way influences the formation and development of ethical, moral and spiritual values that will help to confront the normative and paranormativas crises within each one of the stages of the life that will modulate the quality of life of the present family and of the Following generations. There are risk factors that measure family interactions that take into account affective attachment, adequate assimilation with role application, cohesion, flexibility and communication among family members. These factors must be identified, socialized and tried to be improved or eliminated so that they do not affect the family functionality in its bio-psycho social aspect that is translated in the alteration of the forms and lifestyles reflected in the fulfillment or not of the Basic functions of each family. The economic function is applied in order to get the good administration of monetary resources that guarantee the conservation, well-being and the adequate level of family life. The educational function generates the transmission of historical -social experiences of daily life, the transmission of ethical, moral values, derived from principles, norms and regulations that are obtained from the heart of each family, translating into the individual personality The affective function is the link where basic brotherly love is created in every relationship. The reproductive function is applied to the reproduction and healthy coexistence of each couple.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 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 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 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 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 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 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 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.