Ciencias de la Salud
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Item 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 EnfermeríaIntroduction: 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.Item 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 syndromeItem 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. EspThe 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.Item “El juego simbólico como estrategia para la higiene personal en niños de 4 años.”(Universidad Técnica de Ambato - Facultad de Ciencias de la Salud - Carrera de Estimulación Temprana, 2019-04-01) Ortiz Pérez, Tannia Patricia; Lcda. Raza Suarez, María Cristina Mg,The present investigation focuses on the analysis of "THE SYMBOLIC GAME AS A STRATEGY FOR PERSONAL HYGIENE IN CHILDREN OF 4 YEARS" that took place in the bilingual intercultural educational Units (Quisapincha, Chibuleo, Mushuc ñan, Mansanapamba) and in “ Unidad Educativa Particular los Sauces" in the province of Tungurahua. After a critical and contextual analysis at the macro, meso and micro level it was possible to verify more closely the problematic and the underlying causes, it was created from them the specific justification and the objectives that guided the work. With several bibliographic sources, the study was supported from different approaches, which allowed the hypothesis to be considered. The methodology was descriptive longitudinal, whose instrument of observation was the surveys directed to parents and teachers. The results of their application were analyzed and interpreted to obtain the required data, demonstrating the existing problem in the children, focused in this way on the lack of hygiene and the necessary care in them to have a good state of greeting, from the which were the respective conclusions and recommendationsItem “El vínculo temprano y su relación en el desarrollo de depresión perinatal en mujeres embarazadas”(Universidad Técnica de Ambato - Facultad de Ciencias de la Salud - Carrera de Psicología Clínica, 2019-01-01) Zambonino Jácome, Stalin Rodrigo; Lara Salazar, Cristina Mariela Ps. Inf. Mg.Objectives: To identify the relationship between the Early Link and the development of Perinatal Depression in pregnant women, and to examine the influence of factors associated with the development of this. Material and Methods: The study was of a cross-correlation type with a sample of 60 pregnant patients who attended the Obstetrics offices of the Salcedo Type B Health Center during the month of October and who were from the 16th week of gestation. The Parental Linkage Instrument (PBI) was applied to evaluate the type of bond the pregnant woman had during her childhood, as well as the Edinburgh Perinatal Depression Scale (EPDS) to evaluate depressive symptomatology and the Beck II Depression Inventory (BDI-II) to measure its severity. An information sheet was also used to identify personal data, inclusion and exclusion criteria. Results: 93.3% of pregnant patients have a type of insecure bond, whether resistant, disorganized or avoidant, and according to the data obtained, 41.3% of pregnant women had depression. It was not found that age, marital status and number of children influenced the frequency of depression. Conclusions: Through Pearson's test, there was a significant positive bilateral correlation of 0.01 among the variables, and that the presence of depression in the pregnant women studied was very high, attributing these results to difficulties of affective regulation on the part of their parents, especially the mother figure during childhood. Therefore, special attention must be paid to the development of pregnancy, in order to reach early diagnoses and apply timely treatments that promote, prevent and restore the bond in the mother-child dyad.