Maestría en Fisioterapia y Rehabilitación Mención Cardiorrespiratoria

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Programa de rehabilitación pulmonar en pacientes en aislamiento hospitalario con covid-19
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2022-02-01) Jordán Lescano, Cristina Elizabeth Lcda., Ft.; Ortiz Villalba, Paola Gabriela Lcda. Ft. Mg.
Coronavirus disease 2019 (COVID-19) caused by the SARS CoV-2 virus is characterized by causing lung damage and multisystem failures. Several of the infected people required in-hospital care and pulmonary rehabilitation, which was of great importance in the acute stage to prevent future deterioration and dysfunctions in the patient, the primary objectives of the rehabilitation program are: to improve dyspnea, fatigue, severe muscle weakness, in order to restore functional independence. For this, it was necessary to search by means of a review of scientific information. Based on these investigations, a pulmonary rehabilitation program was designed in patients in hospital isolation with covid -19, which was reviewed and validated by 5 experts on the subject. carried out a satisfaction questionnaire to 12 health professionals from the physiotherapy area of the Ambato General Teaching Hospital. The validation of the program was carried out through the judgment of experts and the content validation calculation of 15 items, a CVCi greater than 0.90 was obtained in 14 items; excellent agreement between experts, in a single item CVCi 0.88; good concordance between experts, at a general CVCt level was 0.95, indicating an excellent level of concordance between experts and allowed the socialization of the program. Regarding the level of satisfaction of the 12 professionals, it scores between 4 and 5 corresponding to partially and totally satisfied. In this way, it can be indicated that the program can be used in daily practice.
Rehabilitación Cardiorrespiratoria en domicilios para mejorar la calidad de vida de personas con discapacidad física de la parroquia Constantino Fernández
(2022-02-01) Sailema Manobanda, Natalia Alexandra Lcda. Ft.; Sandoval Velásquez, Gloria Gabriela MSC.
Cardiorespiratory rehabilitation in homes to improve the quality of life of people with physical disabilities, of the Constantino Fernández parish: it allows to establish an approach of co-responsibility before vulnerable groups, who are in a situation of poverty, with disabling diseases and without health care . The theory addressed, contextualizes important variables, for the development of a new modality of physiotherapeutic care, in order to establish scientific antecedents, which generate the interest of a group of health professionals, to make the design of a cardiorespiratory rehabilitation guide feasible. aimed at patients with motor disabilities in their homes; factoring in the issue that it contributes to a continuous improvement of the quality of life of this population group. Being a qualitative descriptive research, with a social interest paradigm that builds knowledge on the part of the professionals involved; that from a systematic review allows to define a check list, in which the non-parametric difference is statistically reviewed, to verify the hypothesis that the design of the components, procedures and incidents of the guide is carried out to enter the Parish GAD Constantino Fernández and being able to apply it once the sanitary conditions of the COVID 19 pandemic allow it, which will provide comprehensive care to patients, influencing social inclusion.
Intervención sobre cuidado antropométrico y función pulmonar en jóvenes adultos que realizan actividad física moderada en la ciudad de Riobamba
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2022-02-01) Delgado Masache, Gabriela Alejandra Lic. Ft.; Robalino Morales, Gabriela Lic. MSc.
Overweight and obesity are changes in nutritional status and are considered a public health problem due to the high prevalence rates worldwide and their implications in child and adolescent populations. These conditions are related to alterations in lung function, due to significant changes in the dynamics and functionality of the ventilatory system, which causes the accumulation of fat in the thoraco-abdominal region. The evidence is extensive regarding the influence of nutritional status reflected in anthropometric measurements and lung function; Therefore, it was proposed to design a guide for abdominal muscle strengthening exercises to improve lung function in young adults who perform physical activity at the Bushido Dojo in the city of Riobamba; through anthropometric measurements; through a descriptive study; where from a review and screening of the scientific literature, an exercise guide was structured, which was validated by experts and the agreement determined through a CVCi and CVCt of the document; this was socialized to those interested. The results obtained were 11 eligible scientific articles; CVCi equal to and greater than 0.80 in most items and a CVCt of 0.92 that indicates an excellent correlation between experts; the anthropometric measurements of the population were within the normal parameters suggested by international organizations; Except for the maximum values of the BMI of both men and women that indicate overweight, and finally in the socialization, the majority of interested parties qualified the process as partially and totally satisfied. Therefore, it is concluded that the guide to abdominal strengthening exercises to improve lung function is valid and applicable in young populations that perform physical activity.
Efectos de un programa de rehabilitación cardiaca en adultos mayores conhipertensión arterial de la parroquia Pasa 2021
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2022-02-01) Sánchez Bonilla, Sofía Silvana Lcda, Ft.; Romero Rodríguez, María Gabriela Lcda. Ft. Mg
High blood pressure is considered one of the most serious chronic diseases worldwide, as it causes serious damage to the body and even death. The most affected organs are usually the heart and the brain, often leaving irreparable sequelae, which cause functional limitations and even disabilities, becoming a social health problem, which requires timely attention. Cardiac rehabilitation programs are responsible for preventing injuries associated with hypertension that are related to exercise, education and changes in the lifestyle of this population. Therefore, in this study it was proposed to determine the effects of the cardiac rehabilitation program in older adults with arterial hypertension of the Pasa 2021 parish; Through the design and application of the program, where the physiological parameters of PA, HR, and Sat O2 were measured, and the Sit to Stand and Borg Scale tests to measure tolerance to exercise, before and after the intervention. The results revealed that all the patients maintained the physiological parameters within normality throughout the program, presenting only significant variations in the Sit to Stand tests and the Borg scale (p = 0.000). Concluding that the cardiac rehabilitation program in hypertensive older adults contributes to maintaining the physiological levels of PA, HR and SatO2 within normality.
Ejercicios aeróbicos interválicos en el estado de salud de pacientes con EPOC
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2022-02-01) Benavides Mayo Lic., Yajaira Nataly; Espin Pastor , Victoria Estefanía Lic. Mg.
The present investigation was carried out on patients from the General Hospital of Latacunga (HPGL), whose main objective is to determine the immediate effects of interval aerobic exercises on the health status of patients with COPD. The COPD is a disorder characterized by having a chronic limitation in airflow with persistent symptoms such as dyspnea, cough ad spectoration. The study corresponds to a quali- quantitative approach because the data and measurements that were obtained were through numerical values and words, of a cross-sectional type, because the data are collected once and of a quasi-experimental level since it was carried out a single group. The population consisted of 30 people, who, through the inclusion and exclusion criteria, remained 8 participants who were applied the IAS (interval aerobic exercise) and the acute cardiovascular effects were analyzed by spirometry and telemetry. The investigation was completed by demonstrating that with IAS there is less flow limitation, an increase in lung capacity and an increase in the caliber of the airways that translates into less obstruction without the presence of bronchospasm during the intervention.
Plan de intervención cardiorrespiratorio mediante fitball en pacientes adultos hipertensos que acuden a consulta externa del hospital básico Sigchos
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2022-02-01) Gutiérrez Pérez, María Luisa Lcda, Ft.; Espín Pastor, Victoria Estefanía, Lcda, Ft. Mg.
Hypertension is a chronic disease that causes high rates of death worldwide, as it is primary to cerebrovascular diseases that are often fatal, the first treatment of choice is pharmacological, which despite its benefits on blood pressure levels, it also causes many side effects; the development and alternative therapeutic interventions that contribute to improving the quality of life and increasing the life expectancy of this population are essential. Thus, in this research, it was proposed to design a cardiorespiratory intervention plan using fitball in hypertensive adult patients who attend the HBS. For this, a bibliographic review of the scientific literature was initially carried out, from which 5 articles were obtained that fulfilled the descriptors, and the inclusion-exclusion criteria, in this way the cardiorespiratory plan was structured through the use of the fitball, with a duration of 3 months, frequency 3 times a week and sessions of 30 minutes. This plan was validated by experts and quantified with a content validation coefficient (CVCt) of 1.00 after the corrections suggested by the experts. The plan was then shared with interested professionals who generally indicated that they were partially and totally satisfied with the plan. Therefore, it is concluded that the cardiorespiratory intervention plan through fitball in hypertensive adult patients who attend the HBS, is valid and applicable to reduce blood pressure levels and reduce the risk of cardiovascular diseases in hypertensive patients.
Programa de entrenamiento muscular inspiratorio en el club de adultos mayores del cantón Patate
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2022-02-01) Robayo Jácome, Alejandra Estefanía; Robalino Morales, Gabriela Estefanía Lcda Magister,
Pulmonary rehabilitation is a widely used protocol in different population groups, also including older adults. With these people, aging creates generalized muscle deficit, as well as respiratory muscle involvement. Thus, inspiratory muscle training is the treatment of choice for a significant improvement in inspiratory muscle strength and endurance, exercise tolerance, functionality and independence in activities of daily living, and better psychosocial development. The aim of this research has been to design a training program based on the scientific evidence which supports its validity and that turns it into applicable for clinical practice, promoting a high degree of reliability under a prior review by experts. The early establishment of this type of treatment model in older adults may prevent adverse results associated with the loss of respiratory muscle mass which trigger future hospitalizations in future years, thus protecting the integrity of their health.
Adherencia al ejercicio mediante telerehabilitación cardíaca en pacientes con insuficiencia cardíaca
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2022-02-01) Noguera Puga, Jorge René; Maridueña Arciniegas Dra. Esp., Verónica Paulina
Following the SARS-CoV-2 outbreak, healthcare systems were impacted by the outbreak of SARS-CoV-2, which had an impact on care models. Because of these interruptions in care, the implementation of a cardiac telerehabilitation program was sought through video calls. For this reason, the aim of the present study was to determine adherence to exercise through cardiac telerehabilitation in patients with heart failure. This vision seeks for older adults to benefit, through exercise, by reducing or controlling cardiovascular risk factors, thus improving their quality of life and survival. Methodologically, a quali-quantitative approach was applied, the Morisky-Green test; and the results that we measured in Phase I, of the total sample, 5 patients presented low adherence, answering 3 and 4 questions affirmatively, 45.5% of the sample; 4 patients presented moderate adherence, 1 or 2 positive answers, 36.4% of the sample; and 2 patients with high adherence, 4 negative answers equivalent to 18.2%. And at the end of the Phase III intervention, 11 patients answered 4 questions negatively, high adherence, which corresponds to 100% of the sample. When processing with xvii Wilcoxon signed Rank test, if the null hypothesis was rejected, defining that the treatment is adhered for the elderly; And to confirm the benefits of the program, in a cross-sectional and descriptive type, the results of the SPPB test are correlated, when processing with MannWhitney U we point out that it is false since it did not present significance in the scores obtained accepting the nullity of the hypothesis denoting that when starting the program 2 elderly adults are qualified as frail with great limitations, equivalent to 18. 2% and moderate frailty presented 9 which corresponds to 81.8%; and in Phase III adults with mild frailty 2 adults corresponding to 18.2% and without frailty 9 adults corresponding to 9%; And when describing the results of the M6M, at the beginning of the program 11 patients presented bad performance, 100% and at the end of the program 8 patients presented bad performance, 72.7%; 1 patient presented moderate performance, 9.1% and 2 patients reached meters that were considered good performance, which is equivalent to 18.2%.
Entrenamiento cardiorrespiratorio con inspirómetro incentivo de flujo en pacientes post-apendicetomía en el hospital del instituto ecuatoriano de seguridad social Latacunga
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2022-02-01) Peña Fernández, Johana Elizabeth Lcda, Ft.; Robalino Morales, Gabriela Lcda. Ft. Mg.
At the Ecuadorian Institute of Social Security Hospital (IESS) in Latacunga, appendix surgeries are often performed, which are complicated in moderate amounts, due to their invasive surgical procedures where they require administering sedation, analgesia and sometimes they are induced to mechanical ventilation, so in some cases there has been a decrease in the capacity of the muscles that help in breathing. Then, in the post - operative period, the patient will require oxygen, pain in the abdominal cavity and therefore they will avoid position changes. The inspiratory capacity will be reduced and causing complications in the future. Therefore, a cardiorespiratory training plan has been designed, made from research documents and scientific journals, the same one that was approved by professionals knowledgeable in the subject and socialized to the rehabilitation staff, therefore, to obtain data, surveys were carried out. of satisfaction, in which it has been concluded that it was a satisfactory job and a help plan for the knowledge of the health personnel of the IESS Latacunga Hospital and thus provide quality care to the patient.
Complicaciones frecuentes en pacientes adultos relacionado con la traqueotomía percutánea en el área de cuidados intensivos
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2022-02-01) Aldaz Sánchez, Rosa Estefanía Lcda. Ft; Reales Chacón, Lisbeth Josefina Dra. Esp.
Airway management is crucial for the health of patients, especially in the intensive care unit, with the aim of preserving its patency. The tracheotomy has been performed for many centuries, this is a surgical procedure that consists of the approach of the anterior wall of the trachea where an incision is made, a cannula is placed that allows the adequate air flow towards the part distal to the trachea. The main objective is to determine the frequency of complications in adult patients related to the percutaneous tracheostomy technique and the benefit of respiratory therapy in the care unit area. This is a retrospective cohort study of 34 patients who underwent percutaneous tracheostomy and open tracheostomy to characterize the complications derived from this procedure and the benefit of respiratory therapy with bronchial hygiene techniques as a predictor of decannulation in tracheostomized patients. The main objective is to determine the frequency of complications in adult patients related to the percutaneous tracheostomy technique and the benefit of respiratory therapy in the care unit area. It is a retrospective cohort study of 34 patients who underwent percutaneous tracheostomy and open tracheostomy to characterize the complications derived from this procedure and the benefit of respiratory therapy with bronchial hygiene techniques as a predictor of decannulation in tracheostomized patients. The characteristics of the patient, type of procedure, immediate complications, late complications, types of bronchial hygiene techniques were observed. To determine the complications of percutaneous tracheotomy and the benefit of respiratory therapy, medical records were used and a data collection questionnaire was recorded in the SPSS system. The data obtained were organized into frequency distributions and the data are presented in graphs, reporting that I perform the percutaneous tracheotomy procedure on 19 patients, corresponding to 56% and 44%, which are 15 patients, who underwent open or surgical tracheostomy, with an age range that ranges from 46 to 61 years, with bleeding being an immediate complication that occur frequently in the ICU and surgical site infection the most frequent late complication in the ICU, to analyze the effectiveness of bronchial hygiene techniques such as ETGOL, DA, TD, TEF, AFE, a total respiratory therapy was performed of 17 patients of which 12 decannulated in the expected xv time of 8 to 15 days and without any respiratory complications while qu e The 5 did not decannulate in the appropriate time because there was no collaboration of the patient or they performed the techniques incorrectly, of the 17 patients who underwent respiratory physiotherapy with bronchial hygiene techniques as a predictor of decannulation, 59% corresponding to 10 tracheostomized patients with percutaneous technique and 41% tracheostomized with surgical technique corresponding to 7 patients noting that there are no significant differences in the clinical area, nor respiratory complications in either of the two techniques whose evolution was satisfactory for both techniques, resulting in the effectiveness of the respiratory therapy with aforementioned bronchial hygiene techniques.
Intervención educativa en asistencia respiratoria para cuidadores de pacientes con parálisis cerebral espástica en la parroquia Calpi
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2022-02-01) Moyano Albán, Diego Estalin Lcdo.; Espín Pastor, Victoria Estefanía Lcda. Mg,
The topic: Educational intervention in respiratory assistance for caregivers of patients with spastic cerebral palsy in Calpi parish has the following research problem; How does the educational plan improve the knowledge in respiratory support of caregivers of patients with spastic cerebral palsy, the general objective was; Educating in respiratory assistance to caregivers of patients with spastic cerebral palsy in the parish Calpi, for the elaboration of the training plan, we worked on three specific objectives, evaluating knowledge, intervening with the educational plan, and checking the effectiveness of the educational plan was based on bibliographic sources both from the Internet and physical books, to collect information from recognized authors on the educational plans and respiratory assistance, the intervention design was used, quasi-experimental, knowledge was evaluated by a survey before and after the intervention, the results were useful for the elaboration of the Educational Guide, the main conclusion was that, the educational plan applied to 30 caregivers of patients with spastic cerebral palsy, dealt with important topics such as breathing techniques, passive posture techniques, position to feed, position of the head to sleep, to avoid drowning of the minors, in the same way, the postural control, the movements of the child to facilitate breathing were acted, through theoretica lpractical classes and You Tube videos, of respiratory hygiene, these topics agree with what Yera Casas manifests, thanks to the statement that it is important to educate with educational videos to support caregivers in the acquisition of knowledge.
Plan educativo para enfermeras sobre aerosolterapia en niños con neumonía adquirida en la comunidad impartida en aula simuladora. Riobamba
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2022-02-01) Cadena Núñez, Alexandra
Impacto de la fisioterapia respiratoria en el manejo intrahospitalario de pacientes COVID-19 atendidos en el Hospital General Docente Ambato
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2022-02-01) Santamaría Santana, Gabriela Alexandra Lcda.; Espín Pastor, Victoria Estefanía Lcda. Mg
COVID-19 is a disease that produces several respiratory complications and sequelae associated with this virus, in such a way that the patient presents complications at the muscular level, respiratory functional capacity and quality of life. Therefore, the objective of this research is to identify the impact of respiratory physiotherapy on the in-hospital management of patients COVID-19 treated at the Ambato General Teaching Hospital. The type of research was descriptive and observational, so observation cards were used where the information was collected, with a qualitativequantitative approach since the data obtained were represented in numerical and descriptive form, the intervention data through the quantitative analysis were the statistical data of the COVID-19 patients treated in the isolation area of the Ambato Regional Teaching Hospital, and the descriptive data without manipulating the independent variable to obtain relevant information to identify the impact of respiratory physiotherapy on the in-hospital management of COVID-19 patients. analyze the results the probability that a patient who has received respiratory physiotherapy techniques has a successful recovery from COVID-19 and survives increases by 8.65% compared to people who have not been applied any kind of therapy. Therefore, it is concluded that indeed the application of physiotherapy has a positive effect on the recovery of patients admitted with COVID-19.
Fisioterapia respiratoria en la recuperación de pacientes post covid-19
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2022-02-01) Bustos Saltos, Lorena Alexandra Lcda. Ft.; Espín Pastor, Victoria Estefanía Lcda. Ft.Mg
Despite the fact that most cases with Covid-19 are mild, a considerable percentage develop severe infections; Of these, 75% will have a long hospitalization and the rest will have to enter intensive care. Therefore, the prevalence of complications associated with bedridden factors and the prone posture that the patient with Covid-19 must maintain is high; thus they develop respiratory symptoms, fatigue, functional limitations, among others; being indispensable to recover the respiratory condition, the functionality and to reinsert the patient to his habituality. The objective of the study was to establish a respiratory physiotherapy program in the recovery of post-covid-19 patients; Through a search for scientific information in high-impact databases, to structure a plan, the plan was subsequently validated under the judgment of experts and finally the plan was shared with interested health professionals. The results of 50 articles obtained and a total of 5 selected articles, after applying an algorithm for selection: 5 bibliographic reviews, 1 relational descriptive study, 1 convenience sampling study, 1 case studies, 1 controlled trial, 1 cross-sectional study; The program was structured with a duration of 6 and 8 weeks after hospital discharge, with an initial frequency of 3 to 5 times a week and progresses to 5 to 7 times a week, the duration of the session is initially 20 to 30 minutes and progresses to 30 to 45 minutes and the repetitions of the exercises at the beginning 1 to 2 sets of 10 repetitions per exercise that progresses to 3 to 5 sets of 10 repetitions per exercise; It was validated by the criteria of 5 experts, with a concordance of 0.95 CVCt; When the program was socialized, the level of satisfaction of the professionals was partially satisfactory and totally satisfactory. Therefore, it can be concluded that the respiratory physiotherapy program in the recovery of the post Covid-19 patient is a reproducible and applicable instrument in the practice of physiotherapy.
Intervención educativa sobre rehabilitación pulmonar para el manejo de la disnea del paciente con Covid-19 a estudiantes de Terapia Física
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2022-02-01) Solórzano Vela, Geomara Paola Lcda. Ft; Reales Chacón, Lisbeth Josefina Dra. PhD
The current situation in the world about the pandemic, it forces to the entire health department to do the appropriate training in order to be able to attend and solve the consequences on people from the pandemic. Due to the importance of having proper personal well trained, it is necessary to educate all the new students, who get involved with all the responsibilities of the hospital, and are about to complete their degree from the University National of Chimborazo faculty of Physical Therapy and Sportsmanship. In regards to training, it is elaborated as an educational purpose which is involved at full at the pedagogy development. Despite of the method of training - online or in class - the final result will indicate the facts and values to be easily applied as part of this educational training. As part of the training, students assimilated, interpreted and applied all the lesson learned related to the symptoms of COVID-19. It is recommend to mandate this type of training to all the Universities in Ecuador that currently have a physical therapy program.
Análisis de la capacidad funcional cardiorrespiratoria en pacientes de 30 a 60 años post COVID-19 del Hospital Alfredo Noboa, 2021.
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2022-02-01) Inca Robalino. Lcdo. Ft., Darío David; Sandoval Velásquez, Gabriela Lcda. Magister.
Functional capacity describes the physiological capacity that supports the execution of physical tasks that demand intervention of the cardiorespiratory system. Patients post COVID 19, for this reason the present study sets the objective, to analyze the cardiorespiratory functional capacity in patients aged 30 to 60 years post COVID19. From this perspective, it aims to understand which parameters are affected in cardiorespiratory capacity and thus be able to improve the quality of life of patients through adequate and individualized rehabilitation. Methodology, a quantitative and qualitative approach was applied, as well as the 6-minute walk test that measures cardiorespiratory functional capacity, we worked with a total of 25 patients who attended the Alfredo Noboa Hospital. Results, it was evidenced with a p value 0.001 <0.05, the null hypothesis in favor of the alternative was rejected and it was concluded that there is a significant effect due to commotion on the cardiorespiratory functional capacity of patients 30 to 60 years after COVID 19, that is say at least one of the average distances traveled by patients is different. Keywords. Functional capacity, COVID 19, comorbidity.
Diseñar un programa de ejercicios respiratorios para pacientes post cirugía abdominal del hospital general Ambato
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2022-02-01) Bayas Coba, Rosa Estefanía Lcda. Ft.; Robalino Morales, Gabriela Estefanía Lcda. Ft.Mg.
The most frequent complications after abdominal surgery are mainly related to cardiorespiratory problems, which affect the physical condition and quality of life of patients. Considering that timely postoperative physiotherapy allows to reduce hospital stay times, complications associated with prolonged bed-ridden and eventually associated morbidity and mortality rates; The study proposed to design a respiratory exercise program for post abdominal surgery patients at Hospital General Ambato. For this, a systematic review of scientific information was initially carried out in the main data bases, obtaining after a selection and screening process 5 articles that supported the respiratory exercise program with a duration of 3 to 4 weeks; This was reviewed by 5 experts and validated through the calculation of the content validation coefficient (CVC) after applying the suggestions; The program was then socialized with interested professionals and the level of satisfaction was measured with a liker scale. The results showed that respiratory exercises in all the analyzed studies were effective in reducing postoperative pulmonary complications of abdominal surgery; while in the CVC by item and total, after applying the suggestions, a coefficient of 1.0 was obtained, indicating an excellent level of agreement between the experts' criteria. Finally, in the socialization of the program to the professionals, a score between partially and totally satisfied was obtained; reflecting an acceptance and possible application of the program in the practice of physiotherapy professionals.
Programa de movilidad temprana en pacientes con insuficiencia respiratoria aguda en la unidad de cuidados intensivos
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2022-02-01) Vargas Vieira, Gabriela Alexandra Lcda. Ft; Dra. Ortiz Villalba Lcda. Mg, Paola Gabriela
Acute respiratory failure is the inability of the body to maintain adequate gas exchange. Patients admitted to the ICU suffer from impaired mobility, so early mobilization has been proposed as a strategy to counteract acquired muscle weakness, so the objective of this study is to implement an early mobility program in patients with Acute respiratory failure in the intensive care unit of Hospital General Ambato. For this, a total of 30 hospitalized patients in the intensive care unit were taken as a reference, where the scale of the Medical Research Council (MRC) and the ICU Mobility Scale (IMS) were applied at the beginning and end of the intervention. By analyzing the results obtained from this study, it was possible to reduce the hospital stay of the patient, in such a way that we could establish preventive measures and have therapeutic options, which indicates that the applied technique is effective after being applied four times a week with a duration of 30 minutes each session, establishing in the patient an intensive physiotherapy treatment during his hospital stay.
Plan de manejo de secreciones traqueales en pacientes ventilados en el área de cuidados intensivos
(2025-03-17) Álvarez Vásquez, María José; Molina Molina, Danilo Eduardo; Universidad Técnica de Ambato / Facultad de Ciencias de Salud / Centro de Posgrados
Entrenamiento Respiratorio y sus efectos en el índice Bodex en pacientes con Enfermedad Pulmonar Obstructiva Crónica
(2025-03-17) Carvajal Escobar, María Belén; Sandoval Velásquez, Gloria Gabriela; Universidad Técnica de Ambato / Facultad de Ciencias de Salud / Centro de Posgrados
Respiratory training has emerged as a crucial strategy in the management of chronic respiratory diseases, especially in patients with chronic obstructive pulmonary disease (COPD). This therapeutic approach aims to optimize lung function and improve quality of life through specific breathing techniques and physical exercise. The effectiveness of respiratory training can be evaluated using the BODE index, a comprehensive tool that measures the severity of COPD and its impact on patient health. Given the details outlined above, respiratory training can positively influence the components of the BODE index, providing a clear understanding of its benefits and its role in the treatment of COPD. Objective: To determine the impact of respiratory training on the BODE index in patients with Chronic Obstructive Pulmonary Disease. Methods: To comprehensively evaluate the status of COPD, the BODE index was used. Lung function was measured using spirometry, while PImax was used to assess the strength of the inspiratory muscles and the elastic recoil of the lung tissue. Additionally, BMI was calculated considering the height and weight of each patient. Various scales, such as the mMRC, were used to assess dyspnea, and vital signs were monitored both at the beginning and at the end of respiratory training. Results: Respiratory training can lead to an improvement in the BODE index, with reductions in dyspnea symptoms and increased functional capacity. Patients showed an improvement in quality of life, a greater ability to perform daily activities, and a decrease in COPD exacerbations. Conclusions: Respiratory training represents an effective intervention for improving the BODE index and, consequently, the quality of life in patients with COPD. The implementation of respiratory training programs should be considered as an integral part of the management of COPD, with the aim of improving lung function, reducing dyspnea, and enhancing exercise capacity, contributing to better overall health and well-being of patients.