Browsing by Author "Huiracocha Tutivén, María de Lourdes"

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Actitudes del personal de enfermería hacia la sexualidad de personas con discapacidad y su relación con factores asociados, en el área 01, del distrito 01 del Ministerio de Salud Pública del Ecuador
(Universidad de Cuenca, 2023-02-22) Sempértegui Díaz, Verónica Cristina; Huiracocha Tutivén, María de Lourdes
Background: There is little information on the attitudes of nursing personnel towards the sexuality of people with disabilities (PWD) and their relationship with associated factors in the setting. Objective: To identify the prevalence of positive or negative attitudes of nursing personnel towards the sexuality of PWD, and to associate it with the following factors: their own sexuality, source of information on sexuality, area of professional practice, age, and sex. Methodology: Is an quantitative, correlational and cross-sectional study. The "Revised Sexual Opinion Survey (EROS)" and the questionnaire "Attitudes towards sexuality of people with Disabilities (ATSD)" were applied to the nursing personnel of district 01, area 01 of the Ministry of Public Health of Ecuador (n=69) (88,4% women and 11,6% men). Results: The ATSD Scale, presented the average value of 2,96, determining predominantly positive attitudes towards sexuality in PWD. As for the association with other factors, only age obtained a statistically significant association score, the participants with the lowest age range have positive attitudes in contrast to their counterparts with the highest rank. Conclusions: Nursing staff attitudes towards PWD sexuality may influence the counseling they provide to this group or their caregivers, in addition to the mentioned factors, further studies are needed to determine other factors that modify these attitudes.
La Alegría, el miedo y la aversión de los niños o niñas internados en el Hospital Homero Castanier Crespo de la ciudad de Azogues
(2005) Lara Velecela, Sonia Vanessa; Huiracocha Tutivén, María de Lourdes
Contents: the health system in Ecuador; theoretical framework; research methodology; results; conclusions; recomendaciones.Conclusiones: about the joy, this feeling is expressed and demonstrated when hospitalized children stay with their mother, because she is a key to managing the child and helps in quick recovery of the patient element. Joy is also observed when children have a place of relaxation, where they can vent their tensions, fears and fears, forgetting that they are placed in a different place to which they are accustomed. In addition, the joy in children occurs when there is a colleague or partner hospital, long as they pass at least 3. Expressions of joy are presented with smiles, laughter, hugs, games, watching TV, running in the halls, tease health personnel; the latter was found to be more common when the child has spent several days in the hospital because he has gradually gained confidence in the doctor or nurse. Fear is the feeling that more raw in almost all hospitalized children, they are afraid to come to the hospital, knowing that there are going to be subjected to medical procedures and trauma nursing; within these procedures, the most common are: channeling vein for administering medications, drawing blood, painful palpation maneuvers for pediatric patients, wound healing without local or general anesthesia. The fear is reflected in children particularly with crying, verbal expressions of rejection, he sticks to parents and clings to them. It has been observed that as the days go hospitalization of a child, the intensity level of fear diminishes, due to the trust that is being created in the pediatric patient-physician relationship; and therefore it becomes less traumatic and difficult the stay of the patient in the ward. As regards the aversion, this feeling shared several common shares with fear, such as physical attacks, displaced, verbal and observations made. It is very common aversion to food by children, they report that hospital food is very bland, tasteless. Expressed aversion kicking, flight, travel, nose puckering
Alimentos fortificados con hierro en niños entre 6 a 23 meses del Hospital Vicente Corral Moscoso en la ciudad de Cuenca-Ecuador 2015
(2016) Contreras Falconí, Alexandra Rocío; Córdova Ortiz, Erika Marcela; Huiracocha Tutivén, María de Lourdes
BACKILOGRAMOROUND: Children aged 6 to 23 months old are vulnerable to micronutrient deficiencies, which is why the WHO recommends iron supplementation. In Ecuador 62% of children aged 6 to 11 months old and 32.4% for children aged 12 to 23 months old, have iron deficiency anemia. GENERAL PUROSE: To describe the iron fortification of foods for children aged 6 to 23 months old, in their homes, prior to admission at the Vicente Corral Moscoso Hospital over a period of five months in 2015. METHODOLOGY: Descriptive study in 171 children aged 6 to 23 months old, of the area of pediatrics at the Vicente Corral Moscoso Hospital of Cuenca from 2015. Demographic data and iron fortification were collected with a form. RESULTS: 50.8% of the children were between 6 and 12 months old, 52% were female, 64.1% had regular nutritional status, 42.1% were hospitalized for pneumonia, 58.5% Children living in urban areas, 53.85% are nuclear families, 76% of caregivers of children are between 19 and 35 years old, 56.1% with basic education level, 64, 3% of caregivers were engaged in household chores. 52% of children received iron-fortified foods. We can say that no significant statistical relationship between intake of fortified foods and demographic variables was found. CONCLUSIONS: The percentage of children receiving iron-fortified foods was 52%, therefore we determine that it is important to promote the intake of foods fortified with iron in almost half of the population to get optimal growth and development in the Ecuadorian children
Análisis hermenéutico de los saberes andinos y salud en el Tambo provincia del Cañar, 2016
(2017) Achig Balarezo, David Ricardo; Huiracocha Tutivén, María de Lourdes; Chilet Rosell, Elisa
ABSTRACT Background. Ancestral wisdom in health are not accept by the science, so run the risk of disappearing. Scientific Medicine coexists with Andean Ancestral Knowledge. Ancestral wisdom have their own Cosmovision, method and experiences that explain health-disease processes. The Tambo town is a county in Cañar province were works erudite people in Andean health traditions that is possible to research. Objective. To analyze, using hermeneutics, the conceptual elements of the Andean worldview expressed in the treatment of Andean pathologies. Material and methods. Qualitative research with an interpretive and hermeneutic focus, analyze the Andean health traditions present in relate of men and women of wisdom. Works in four wise interviews, four patients, one life history and data triangulation with experts. A priori categories were classified into: principles and paradigms, eight Andean pathologies, four diagnosis, two treatment, and two emergent categories were presented: conditions of the healer and coexistence of Andean knowledge with Western medicine. The interviews were write in word text and then codified and processed in the Atlas.ti informatics software. Results. El Tambo wisdoms related to the principles and paradigms of the Andean worldview. The health-disease process is conceived from the paradigm of balance, and is manifested throughout the process: from the conception of pathologies, diagnosis, and treatment with plants and traditional cleanings; in an open system that allows coexistence with Western Medicine
análisis situacional de la atención en la implementación de triaje en el servicio de emergencia pediátrica del Hospital José Carrasco Arteaga Cuenca 2013
(2014) Albán Tigre, Jorge Luis; Alvarado Cañizares, David Gerardo; Arévalo Rojas, Jorge Andrés; Zeas Domínguez, Iván Marcelo; Huiracocha Tutivén, María de Lourdes
Introduction: The triage system reduces costs and also lowers the number of patients in the emergency rooms. This process is based on prioritizing the attention where the medical severity of the patient should serve as a guide at the moment of giving importance to their care. Objective: To analyze the situation of the care to be able to implement for the triage in the emergency service of pediatrics in the hospital “Jose Carrasco Arteaga” Cuenca 2013. Methodology: It’s a descriptive and retrospective study that revises clinical and virtual medical records that are in the system AS400; from the hospital Jose Carrasco Arteaga during the period of January-June 2013, evaluating the real time of waiting with the appropriate time through the diagnosis and medical severity. Results: The average age of patients situated itself at 5.02 years of age with a standard deviation (STD): 4.1 years of age; the level of medical severity 5 was the most numerous with 59.6% observing a decreasing tendency for the other levels of medical severity arriving therefore to 1 with 0.3%; based on the levels of medical severity the waiting times to receive care was of: level 1 = 16.67; level 2 = 35.41 minutes; level 3 = 42.41 minutes; level 4 = 45.92 minutes and level 5 = 45.08 minutes. Conclusion: For patients with levels of care 1 and 2, the waiting periods are over the minimum recommended placing them at risk in health, being able to avoid situations through a system of triage in the service, for which a plan of work needs to be implemented. Key words: TRIAGE/CLASSIFICATION; PEDIATRICS/STATISTICS AND NUMERICAL DATA, SEVERITY INDEX OF THE ILLNESS, MEDICAL URGENCIES/EPIDEMIOLOGY.
Anemia infantil y entrega de micronutrientes. Cuenca Ecuador 2015. Estudio de prevalencia
(Universidad de Cuenca, 2015-12) Lasso Lazo, Rubén; Chacón Abril, Karla Lorena; Segarra Ortega, José Xavier; Huiracocha Tutivén, María de Lourdes
A cross-sectional research, developed during January to July 2015 in children assessed in Subcentro Salud “Sinincay” whose age rank was 6 to 60 months, determined the prevalence of anemia and its relation with micronutrients intake. Evaluated for five employed medical teams who had received a training course before, the population was of 737 children. Measuring haemoglobin levels using HemoCue ® and blood samples, anemia was established comparing with the cut-off points derived from WHO. Furthermore, the supplementation intake was recorded in a specific medical record called SIVAN. From 737 children, 47.6% belonged to the female sex and 52.4% were boys, the mean-age rank was of 32.24±15.06DS. The study yielded that 30.9% had anemia, 47.8% had received iron or powdered iron (iron, vitamin A, vitamin C, folate and zinc) and 46.5% had taken vitamin A. We found a significant relation between anemia and male (CI: 95%: 1.0-1.3; p=0.018), lacking of Vitamin A intake (CI: 95%: 1.01-1.33; p=0.022). Results should lead us to evaluate and oversee the supplementation in local communities’ services.
Anexploratory investigation of the perspectives of educated parents on the gender roles and stereotypes in child and adolescent sexuality
(2022) Huiracocha Tutivén, María de Lourdes; Orellana Paucar, Adriana Monserrath; Abril Ulloa, Sandra Victoria; Huiracocha Tutivén, Mirian Sofía; Clavijo, María Isabel
The exploratory research presented in this article investigated the perspectives on the gender roles and stereotypes in the care of children and their sexual education of a small group of educated parents, using a patriarchal model. The sample consisted of 30 parents of which 20 participated in in-depth interviews, and 10 in two focus groups, 5 in each group. All 23 women and 7 men possessed a third-level degree, and some held apostgraduate diploma. It was found that even educated parents reproduce patterns they learned within the traditional family. A man decides and enjoys free and dominant sexuality, while a woman is required to have a beautiful body and be a wife who submits sexually to her husband. The study concludes that the caringrole of women, the subalternity and maternalism-marianism of female identity, and the care of the body and the norms of beauty are the female characteristics that still dominate social thinking. However, due to the increasing participation of women in thelabor market, women are becoming gradually more autonomous
Auscultación cervical: alternativa no invasiva en el diagnóstico de disfagia en niños con problemas de neurodesarrollo
(Universidad de Cuenca. Facultad de Ciencias Médicas, 2015-10) Huiracocha Tutivén, María de Lourdes; Rojas Sulbarán, Rubén Darío; Huiracocha Tutivén, Mirian Sofía
The children with neurological disorders often have dysphagia, a condition that causes respiratory infection to repetition, malnutrition, poor quality of life, their early diagnosis allow to decide on the best intervention. The videofluoroscopy and videoendoscopia are invasive diagnostic techniques, which are expensive and therefore difficult to make, causing delay in diagnosis and intervention. Today there are new noninvasive medical technologies that can be very effective, one is the cervical auscultation which listens to the sounds of swallowing through a stethoscope or other measuring device such as placing a microphone or an accelerometer on the surface of the neck. This method has the principle that the sound and/or biological normal swallowing movements are different of the abnormal. In this article we review the social relevance, the diagnosis of dysphagia, the clinical applications of the cervical auscultation and the devices used to perform it, which is presented as a basis to establish its potential use for the detection of dysphagia in children with neurodevelopmental problems. These theoretical orientations allow the doctor to have more successful performances in the comprehensive diagnosis of children with neurological dysfunction
Bajo rendimiento escolar y factores asociados en alumnos de primero a sexto grado de educación básica en la parroquia El Valle, septiembre 2007, enero 2008
(2008) Sáenz Quintuña, Paulina; Sánchez Bermeo, Fernanda; Tapia Carreño, Darwin; Huiracocha Tutivén, María de Lourdes
El bajo rendimiento escolar y su relación con la malnutrición y conducta en los niños del primero y segundo año de educación básica de la escuela Zoila Aurora Palacios Cuenca. 2013
(2014) Pesántez Brito, Ismael Francisco; Farfán Rea, Santiago Andrés; Carpio Ñauta, Bernardo Vladimir; Gonzalez Alvarez, Sandra Elizabeth; Huiracocha Tutivén, María de Lourdes
OBJECTIVE: To determine the relationship of poor academic performance with malnutrition and behavioral problems of students from first and second grades from Zoila Aurora Palacios School. METHODOLOGY: This is a cross-sectional quantitative study of prevalence in all students (n = 184) of the first and second grade from the fiscal school. Poor school performance was considered when the year’s grade point average (GPA) had a score <7. Nutritional status was assessed by anthropometry and tables WHO, and for determining behavioral problems Conners Scale was applied to teachers. Parents of children signed consent for children. The tabulation and analysis were performed in Microsoft Excel 2012 and SPSS 2008 1.7.0.0. RESULTS: The 66.3% of the analyzed population is male, 1.09% have poor school performance. The prevalence of chronic malnutrition is 6 %, 13% overweight and 2.2 % obesity. Poor academic performance with poor nutritional status relationship was found (OR: 3.97 IC: 95%: 0.71 - 1.28 p= 0.0198), together with behavioral problems (IC: 4.33 -2.33 RP 0 p= 0.0198). CONCLUSION: The frequency of poor performance was 1.09 %, although statistically significance relationship between poor school performance with nutrition, and poor school performance with behavioral problems were found; the few cases of poor performance cannot conclude this significance as dependent. . KEYWORDS: MALNUTRITION, CHILDHOOD OBESITY, PERFORMANCE NUTRITION IN CHILDREN BEHAVIOR PROBLEMS
La calidad del sueño en pacientes con artritis reumatoide y su relación con la actividad de la enfermedad. Consulta externa del Hospital Vicente Corral Moscoso y Hospital José Carrasco Arteaga. Cuenca, 2017
(2017) Barahona Huiracocha, Paulina Patricia; Mejía Arévalo, Paola Yessenia; Huiracocha Tutivén, María de Lourdes
ANTECEDENTES: La artritis reumatoide (AR), enfermedad autoinmune crónica con rigidez, dolor y deformidad de las articulaciones, afecta la calidad de sueño y por lo tanto la calidad de vida. OBJETIVO GENERAL: Establecer la percepción de la calidad del sueño en pacientes con AR y su relación con la actividad de la enfermedad. METODOLOGÍA: Estudio analítico realizado en 270 pacientes con AR de consulta externa del Hospital Vicente Corral Moscoso y Hospital José Carrasco Arteaga, la muestra fue calculada con 0.8% de frecuencia de AR en Cuenca, 95% de confianza y 5% de precisión. Para el diagnóstico de la actividad de la AR se empleó la escala DAS 28 y para la percepción de la calidad del sueño la Escala Atenas de Insomnio e Índice de calidad de sueño de Pittsburg. Se categorizó al sueño como “malos dormidores o insomnes” y “buenos dormidores” y a la actividad de la enfermedad como: leve-remisión, moderada y grave. El análisis fue descriptivo y bivariado. RESULTADOS: Prevaleció el sexo femenino con 87.4%, la actividad leve de la AR fue de 55.6%, la media de la edad fue de 51.9 años, la frecuencia de malos dormidores fue de 49.3%. Hubo asociación significativa (p<0.05; RP >1; IC95% >1) entre la percepción de la calidad del sueño y actividad de AR. No existió diferencia entre la percepción de la calidad del sueño con sexo y grupo etario. CONCLUSIÓN: La actividad de la enfermedad podría afectar la calidad subjetiva del sueño de los pacientes con AR
Características clínicas y epidemiológicas de las quemaduras, en el Servicio de Cirugía Pediátrica del Hospital Vicente Corral Moscoso. Enero 2014 – junio 2015
(2016) Rodríguez Cárdenas, Nancy Faviola; Bermeo Guartambel, Ximena Margoth; Huiracocha Tutivén, María de Lourdes
Objective: Describe the clinical and epidemiological characteristics of burns of patients in the pediatric surgery ward of Vicente Corral Moscoso Hospital during January 2014 to June 2015. Methodology: Descriptive study that included all patients under sixteen years old hospitalized by burns, clinical assessment were performed to burns classification, clinical files were checked to extract treatment data, legal caregiver signed an informed consent to authorize their participation, patients that abandoned the ward before complete the data collection or that were hospitalizaed for treatment of old burns were excluded. From the qualitative data were obtained frequencies and percentages, from quantitative data were obtained minimal and maximal values, standard deviation and middle values. Information was processed using SPSS statistical software. Results: 80 children were admitted with burns, most of the patients (36,3%) were in pre-scholar age, according to sex, burns ocurred with more frequency in male teenagers. 83,8% of the patients hospitalized suffered burns in their homes, while their parents were watching them (78%); thermical burns (hot liquids or surfaces) were the most common cause of burns (92,5%). Lower limbs were the most affected area (25,6%); superficial second – degree burn was rhe mos frequent burn type reported. Silver sulfadiazine- ointments were the antibiotic most used during the patients inward. Average stay was 13,4 days. Skin graft were needed in 18% of the cases, no deaths were reported Conclusions: Almost all burns ocurred in home while were in their parents surveillance, we hope that the results in this study allow the development of strategies to prevent burns , especially in home
Características epidemiológicas y clínicas de la parálisis cerebral, en el servicio de Hospitalización de Pediatría del Hospital Vicente Corral Moscoso. Enero 2014-Junio 2015
(2016) Arias Armijos, Miriam Patricia; Huiracocha Tutivén, María de Lourdes; Morocho Malla, Manuel Ismael
Objective: to determinate the epidemiological and clinical characteristics of children with cerebral palsy who enter at Vicente Corral Moscoso Hospital pediatric’s service. Cuenca January 2014 to June 2015. Methodology: descriptive study of patients diagnosed with cerebral palsy who were admitted to the pediatric service of the Vicente Corral Moscoso Hospital´s of Cuenca. All children under 16 were included. Information taken from the patient's history, filling a questionnaire, based on the Latin American Center for Perinatology / Women's Health and Reproductive (CLAP) questionnaire. The information was processed in SPSS V15 and was obtained: frequency, percentage, mean and standard deviation. Results: it was found that 72 patients admitted 37 children (51.4%), the average age at enrollment was 6.2±4 years; middle-aged mother during pregnancy was 25.3±7.66 years; townhouse 61.1%; lower middle socioeconomic status 42.1%; 75% highly functional families. According to prenatal history: 83.3% prenatal controls; urinary infection in 36.1%; premature labor 22.2%; bleeding during pregnancy 15.3%; preeclampsia 12.5%. Native characteristics: 62.5% vaginal delivery; proper weight in 47.2%; Apgar above 7 in 34.7%; 38.9% received resuscitation; entered in neonatology at 54.2%. Postnatal characteristics: neuroinfection 6.9%; kernicterus 4.2%; traumatic brain injury 1.4%. Type of spastic cerebral palsy 84.7%. Comorbidities: epilepsy 80.6%; cognitive deficits 75%; malnutrition 62.5%; strabismus 31.9%. Cause of admission: 43.05% respiratory infections; seizures 23.61%; hip dysplasia 20.8%. Age means of diagnosis was 12.39±10.75 months. Hospitalizations during the study for 1 occasion in 76.9%
Características epidemiológicas y clínicas de pacientes pediátricos con parálisis cerebral. Hospital Vicente Corral Moscoso. Cuenca, 2014 - 2015
(2020) Arias Armijos, Miriam Patricia; Huiracocha Tutivén, María de Lourdes
Objective: to determine the epidemiological and clinical characteristics of pediatric patients with cerebral palsy at the Vicente Corral Moscoso Hospital, Cuenca. 2015Methodology: it is a descriptive, cross-sectional study, performed in patients less than 16 years old with cerebral palsy. The study variables, which were taken from the medical records, were: prenatal, natal and postnatal characteristics, socioeconomic status, family functionality, symptoms of cerebral palsy (CP), comorbidity. A descriptive analysis was carried out.Results: 72 patients were found with a mean age of 6.2 years (± 4 SD), the mean age of diagnosis was 8 months (± 10.8 SD), 80.6% had epilepsy, 53.9% in CT had brain atrophy, and in 43.1% the cause of admission was respiratory infection. Of the prenatal and neonatal antecedents, 54.2% were admitted to the neonatology unit, 38.9% received resuscitation, and 6.9% had neuro-infection. The 42.1% of the children's families had low-medium socioeconomic status.Conclusions: The epidemiological profile of children with CP in the study, which does not differ from the results of other studies, guide decision-making in the formation of CP care teams in the Hospital
Child development and nutritional status in Ecuador
(2019) Huiracocha Tutivén, María de Lourdes; Orellana Paucar, Adriana Monserrath; Abril Ulloa, Sandra Victoria; Huiracocha Tutivén, Mirian Sofía; Palacios Santana, Gicela; Blume, Stuart
We assessed the development, nutritional status, and complementary feeding of 12- to 23-month-old children from Cuenca, Ecuador in 2013. Ecuador, an upper-middle-income country, developed a child policy in accordance with World Health Organization (WHO) guidelines. We collected cross-sectional survey data. Child development was assessed using the Integrated Management of Childhood Illness Guide–2011. The nutritional status was defined with WHO Child Growth Standards−2006. We investigated nutrient density, WHO Infant and Young Child Feeding Indicators, and nutrient supplementation intake of the complementary feeding. In all, 11.7% of children had “possible developmental delay,” stunting was identified in 29.4% of the children, and 25.3% faced overnutrition (overweight risk/overweight/obesity). The complementary feeding composition can be summarized as having adequate fat, high energy (MJ/day) and protein, and low iron and zinc. Children with “possible developmental delay” received less iron (P <.05) than children with normal development. Overall, 30.4% of children had minimum dietary diversity. A total of 47.7% of children received nutrient supplementation. This epidemiological profile of infants remains a challenge for Ecuador’s health programs.
Conocimientos de los cuidadores en relación al manejo y diagnóstico de la fiebre y factores asociados en los niños de 3 a 36 meses, en el servicio de emergencia del Hospital Vicente Corral Moscoso, Cuenca 2014
(Universidad de Cuenca, 2016-11-11) Viteri Barriga, María Fernanda; Bermeo Guartambel, Ximena Margoth; Huiracocha Tutivén, María de Lourdes
Objective: To determine the knowledge of caregivers in relation to the management and diagnosis of fever and associated factors in children 3-36 months who presented to the emergency room of the Hospital "Vicente Corral Moscoso" Cuenca 2014. Methods and Procedures: Cross-sectional study of 399 caregivers of children 3-36 months about their knowledge of diagnosis and management of fever; information was taken directly by validated survey. The information was processed in SPSS 15.0 and was obtained: frequency, percentage, mean, standard deviation, chi square, Tau-b of Kendall and Kendall Tau-c and correspondece analysis. Results: The caregivers more interviewed were mothers, aged 15-24 (44.1%). 56.1% of caregivers dedicated to QQDD and married (45.9%). The predominant group of children were infants, younger males. The most frequent diagnosis was infection of upper airway (27.6%). The time evolution had a median income of 24 hours, and the average temperature of 38.2ºC income. 99.2% of respondents had insufficient knowledge. 8.8% of caregivers indicate that fever is beneficial. 86.5% and 72.4% of surveyed indicate that fever may cause convulsions at any age and lead to brain damage respectively. It is detected by touch (70.4%), 21.1% use the thermometer. Antipyretics used 79.2% and 70.8% paracetamol. Mothers have insufficient knowledge (P: 0.043). Significant differences between demographic variables and certain general knowledge and management were found
Creencias y conocimientos sobre lactancia materna en mujeres en período concepcional y postconcepcional del Hospital Vicente Corral Moscoso Cuenca, 2017.
(2018) Blacio Castillo, Yuleisi Dayana; Cruz Román, Rosa Mercedes; Huiracocha Tutivén, María de Lourdes
OBJECTIVE: To determine beliefs and knowledge about breastfeeding in women in the conceptional and postconceptional period of the Hospital “Vicente Corral Moscoso” Cuenca 2017. METHODOLOGY: A quantitative study was carried out at the "Vicente Corral Moscoso" Hospital in Cuenca city. The sample (n = 384) was made taking from yearbook of Hospital Production of the Vicente Corral Moscoso hospital-2016, with the exclusive breastfeeding percentage of 2.7 months of ENSANUT (39.6%). The data were collected in forms on demographic data, a questionnaire by Ferro M. and Flores; and modified by Fiorela Zapata Carnero, to determine the knowledge in breastfeeding, and a third of 17 questions of the UNICEF to identify breastfeeding beliefs, for this analysis were used frequencies and percentages. RESULTS: The prevailing age in this group was between 20 and 35 years old (79.9%), the marital status in 60.4%, is common law marriage; the basic education level of 45.8%, the source of information revealed that 96% of mothers prefer to listening advice on breastfeeding by medical staff. The level of knowledge about breastfeeding in 23.4% was good, 69.2% was regular and 7.2% was poor. CONCLUSION: The quality of the information provided to the mother in both cases, the conceptional and post-conceptional period, significantly influences in all activities that she will realize with her baby. Their doctor and all medical staff have the responsibility to give them correct information about breastfeeding to help avoid inappropriate practices.
El desarrollo psicomotor y la calidad de la atención temprana
(Universidad de Cuenca, 2012-12) Huiracocha Tutivén, María de Lourdes; Robalino Izurieta, Gladys; Huiracocha Tutivén, Mirian Sofía; García Alvear, Jorge Luis; Pazán Torres, Carmen Germania; Angulo Rosero, Aydeé Narcisa; Almeida Delgado, Carlos Alberto
A transversal study was conducted to determine the relation between alert psychomotor development of children, 0 to 5 years old, and the quality of early attention of public and private Child Development Centers in the Municipality of Cuenca. The survey was conducted from August to December 2009 and consisted in measuring the attention process, the professional level of caretakers, available infrastructure, and family involvement. Using a simplified cluster sampling approach, 30 centers were randomly selected out of 166 centers. The composition of the sample of children was based on the following considerations: 5% delay in development, 3% error of inference, 95% confidence interval and 10% loss, resulting in a sample of 447 (n) out of a total study population of 8145 (N) children excluding the children with previous diagnosis of disability. To test the children’s delay in development the scale of Nelson-Ortiz (1999) was used. 23,3% of the centers were public, 23,3% had no legal registration, 10% of the centers were serving children with disability, 20% were rated as having very good quality, 3,3% good and 76,7% poor. Of the children surveyed 26% were not evaluated in their respective centers, 72,7% had teachers without professional qualification. The prevalence of children with alert development was 10,5% (IC 95%: 7,8 to13,7%), of these 79,6% had no record of detection and 93,9% were not referred for diagnosis or intervention or curricular adaptations. A significant relationship (p < 0,05) between the quality of early attention and the alert development of children was found.
Dificultades alimentarias y estrategias inadecuadas de alimentación del cuidador durante la alimentación de niños y niñas de 2 a 4 años en centros de desarrollo infantil privados urbanos de Cuenca. 2015
(2015) Arteaga Huiracocha, Andrea Belén; Fernández de Córdova Vivanco, Ana Gabriela; Huiracocha Tutivén, María de Lourdes
Background: The feeding difficulties are problems of eating and which may have consequences in children’s growth and development. The prevalence of food difficulties is between 25-45 % in young children with normal development and up to 80 % of children with developmental delay. Child eating behavior among others depends on the practices of the caregiver with the child. Objective: To determine the relationship between feeding difficulties in children aged 2-4 years old of two Urbans Privates Centers of Child Development of Cuenca and the risk factors: Caregiver strategies for feeding children, type of caregiver and caregiver educational level. Method: The cross quantitative study of 228 children aged 2-4 years old of two Urbans Centers of Child Development of Cuenca: CEIAP University of Azuay and the Angels FEUE, applying two questionnaires to the caregivers: CCDA -N1 -APS and for caregiver strategies, the FSQ. Results: The primary caregiver is still the mother (79.4 %), the level of education of caregivers was the higher education (51.3 %). The prevalence of feeding difficulties was 28%. No statistical relationship between feeding difficulties (p>0.05) and type of caregiver and caregiver educational level was found. Strategies of the caregiver who demonstrated relationship with feeding difficulties and risk factors are structure mealtime, they are allowed to have toys on the table during meals, they can choose the amount of food they want, I press my child to eat more than he should, I allow him eat and drink all day (p < 0.05); as a protective factor was found that there must be a power scheme. The data are consistent with the literature. Conclusions: It is necessary to evaluate caregiver for feeding and feeding difficulties. Keywords: fEEDING DIFFICULTIES, FEEDING STRATEGIES, CAREGIVER , MOTHER, INSTRUCTION.
Diversidad alimentaria en los niños entre 6 y 23 meses de edad en el área de hospitalización de clínica y cirugía pediátrica del Hospital Vicente Corral Moscoso en la ciudad de Cuenca. Ecuador 2015
(2016) Chiriboga Garnica, John Enrique; Farfán Riera, Ana Cristina; Huiracocha Tutivén, María de Lourdes
BACKGROUND: The first two years of life are a critical period for child nutrition. According to the 2011-2013 ENSANUT about half of children aged 6-11 months do not have access to adequate variety of foods. GENERAL OBJECTIVE: To establish food diversity in children of 6 to 23 months old for a period of five months in 2015 at the Vicente Corral Moscoso Hospital METHODOLOGY: A descriptive study, in the collection of data interviews the review of medical records was used. Tabulation and analysis of the data was performed using SPSS 19 measures of central tendency and distribution of quantitative variables; frequencies and percentages for qualitative variables. RESULTS: It showed that less than 23% of infants with normal weight, predominantly emaciated and wasted severe malnutrition more pronounced in girls. Dietary diversity (DA), Minimum meal frequency (FMC) and minimum food diet (DMA) in relation to sex yielded no statistically significant relationship, but by age group showed a statistically significant increase with increasing age. When children acquire life year all foods are consumed by more than 80% of infants with the exception of legumes and nuts. Fruits and vegetables rich in Vitamin A, followed by milk and meat were the most employees