Ciencias de la Salud

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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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    Síndrome de sobrecarga y calidad de vida del cuidador de pacientes con discapacidad en el primer nivel de atención
    (Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de Posgrados, 2022-03-01) Cárdenas Paredes, Diana Verónica Md.; Garcés Jerez, Katherine Elizabeth Md. Esp.
    The present research work aims to determine the influence of the overload syndrome on the quality of life of the caregiver of patients with disabilities in the first level of care. The care environment that is provided to a person with a disability demands great responsibility with total use of time to provide care to the dependent patient and with it the consequent work overload that in turn will produce negative effects on the physical, emotional, social and quality of life of the caregiver. The study methodology is quantitative, field, bibliographic and correlational. The study population is 50 caregivers of patients with disabilities belonging to the Pilahuín parish. The research techniques and instruments were the survey based on the WHO SF-36 questionnaire to establish the level of quality of life and the Zarit Test was used to determine which population of caregivers suffers from overload syndrome. The results determined that 76% present a medium- high level of quality of life, also 52% present mild overload, while 32% do not suffer from overload and 16% have severe overload. It is concluded that overload syndrome influences the quality of life of caregivers of patients with disabilities, there is asignificant relationship between the variables. The proposal is the design of a health promotion strategy aimed at caregivers of patients with disabilities for the prevention ofoverload syndrome
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    Influencia de los conocimientos y prácticas alimentarias de los cuidadores en el estado nutricional de los niños y niñas de los centros de desarrollo infantil, distrito 05d06, salcedo – ecuador.
    (Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-04-01) Barreno Sánchez, Sergio Teodomiro Md.; Mejía Ortiz, Ruth Aurelia Dra. Esp
    The care in the food and nutrition of preschool children plays an essential and important role in comprehensive health care. A series of demographic, occupational, socioeconomic and varied factors have led to changes in care and, therefore, the eating patterns of children. Malnutrition is the consequence of inadequate access to nutritious and sufficient food for its biological use. Serious and prolonged deficiencies of nutrients such as proteins, vitamins and minerals is one of the main health problems in developing countries, this directly affects infant morbidity and mortality. A malnourished child enters adulthood with a greater propensity to be overweight and to develop chronic diseases. Four children out of ten under 60 months suffer from chronic malnutrition worldwide. Recent studies from Brazil, Guatemala, India, the Philippines and South Africa confirmed the association between chronic malnutrition and lower performance and school attendance, as well as a drop in educational results, which translates into children who will be less productive, when they are adults. Studies estimate an average loss of 22% in annual earnings during adulthood. Nutrition is made up of a complex system, which includes the environment, which influences the selection of food, frequency of consumption, type of gastronomy, size of portions, hours. Addressing children's needs should consider health providers, educators, and caregivers, since their participation can educate parents. It is of great interest that parents and caregivers have knowledge of good eating habits or correct nutrition and from this foundation, establish strategies to build relevant information and contribute to the reduction of malnutrition in Ecuador. The central area of the country has a high rate of malnutrition among the indigenous population, who have inefficient or non-existent basic services, and are geographically inaccessible to health services. In addition, the poor diet of families and belonging to this cultural group are risk factors for developing child malnutrition. The most important moment to satisfy the nutritional needs of a child, occurs during the first thousand days, this period includes from pregnancy to the first two years of age. The possibility of recovering growth later is minimal, the damage caused is largely irreversible.