Browsing by Author "Torres Arévalo, Janina Tatiana"

Now showing 1 - 2 of 2

Nivel de sobrecarga y factores asociados de los cuidadores primarios de los/as pacientes del centro de atención ambulatoria 302 del Instituto Ecuatoriano de Seguridad Social, Cuenca Ecuador, 2014
(2015) Salazar Ramírez, Samanta Catalina; Torres Arévalo, Janina Tatiana; Jaramillo Oyervide, Julio Alfredo
OBJECTIVE: Identify the overload level and associated factors in senior home care of patients at the 302 Ambulatory Care Center of the IESS. METHODOLOGY: A quantitative cross-sectional study, with the universe of 222 primary caregivers of older adults monitored at the 302 Ambulatory Care Center of the Ecuadorian Social Security Institute in Cuenca Ecuador. Data were obtained from an assessment that includes a social demographic section, variables of study, Katz Index and Zarit Overload Scale. The information was tabulated and analyzed to obtain the results. RESULTS: Average care-giver is 53 years old, mostly female, marital status married 52%, approximately 60% are daughters or sons, and 11% are spouses of the elderly. Most of them take care for 12 or more hours in the day, 7 days per week and at least five years. It was observed that 26% of older adults has moderate dependence and that 38% of them have a severe dependence. According to Zarit test 18.7% of caregivers have a minimum overload and that 14% have a greater overload. CONCLUSIONS: 18.7% of primary care-givers have a light overload and 14% perceive a severe overload.
Prevalencia de la estancia hospitalaria prolongada en pacientes adultos mayores con neumonía adquirida en la comunidad y factores asociados. Hospital Vicente Corral Moscoso, Cuenca, 2021
(Universidad de Cuenca, 2023-07-31) Torres Arévalo, Janina Tatiana; Mejía Almeida, Julia Alexandra
Introduction: community-acquired pneumonia (CAP), which occurs outside the hospital environment, is a frequent cause of morbidity and mortality, mainly in older adults. Objective: to determine the prevalence of prolonged hospital stay and its associated factors in older adults with CAP, at the Vicente Corral Moscoso Hospital (HVCM) in Cuenca. Materials and methods: cross-sectional analytical study, with 129 older adults admitted to the Internal Medicine service of the HVCM for CAP during the year 2021, was made. To collect the information, the observational method was used, using direct interviews and the patients' clinical histories as instruments. Through the Chi-Square test, categorical associations were made, while the risk was determined with OR, in 2x2 tables. The significance of 5% (p<0.05) was obtained through the Mann-Whitney U-test. Data processing was performed using SPSS v.27. Results: the prevalence of prolonged hospital stay was 65.89%, with a median of 11 days and an average of 17.5 days; and its associated factors were age, severity of pneumonia (69.4% of patients presented class IV), cognitive impairment and dependence in instrumental activities of daily living (severe and moderate). Conclusions: the main factors associated with prolonged hospital stay were the severity of CAP, dependence on instrumental activities of daily living. In addition, it was determined that the lower the cognitive impairment and the more advanced the age, the shorter the hospitalization.