Tesis de Maestría

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Browsing Tesis de Maestría by Subject "Atención primaria"

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    Afrontamiento del adulto mayor frente a diabetes tipo 2 atendidos en el Centro de Salud de Azogues del distrito 03D01, agosto 2022 – febrero 2023
    (Universidad de Cuenca, 2023-06-30) García Herrera, Susana Maricela; Pacheco Bacuilima, Pedro Xavier
    Background: In older adult’s quality of life can be affected by limitations in daily activities, onset, progression of diabetes and its complications. The basic resource is the coping that the individual has to face the disease and maintain or improve their health. Objective: To determine the coping of older adults with Type 2 diabetes. Methods: Cross-sectional analytical study. With a sample of 105 older adults attended at the Azogues Health Center, September 2022 - February 2023, a survey was applied for sociodemographic variables and the scale for measuring the coping and adaptation process proposed by Callista Roy, with the Likert scale. A correlational analysis was performed using Pearson's test. Results: 61% of the older adults were female, 81.9% were residents of the Azogues sector, 41% were married, 34.3% were housewives, and 57.1% had primary schooling. According to socioeconomic level, 50.5% belonged to level C- (medium-low), in coping with diabetes mellitus type 2 (DM2), the majority presented a high capacity. There was a Pearson correlation between age and schooling with factor 1 (0.08 and 0.02 respectively), and between age and factors 3 and 4 (0.06 and 0.04 respectively). Conclusion: The feasibility of using the coping theory of older adults in the face of type 2 diabetes mellitus (DM2) helps to determine positive aspects for the improvement of quality of life.
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    Aplicación del modelo de Virginia Henderson al personal de enfermería a cargo del cuidado del adulto mayor con enfermedades crónicas no transmisibles en el primer nivel de atención de salud de la Provincia de Cañar, 2022
    (Universidad de Cuenca, 2023-06-29) Vázquez Bravo, María José; Burgueño Alcalde, Francisca
    Antecedents: Chronic non-communicable diseases (NCDs) represent the leading cause of death in older adults globally and in Ecuador. To address this problem, the Ministry of Public Health (MOH) promotes Primary Health Care (PHC), focusing on patient empowerment, collaboration and holistic care. Purpose: Virginia Henderson's theory is proposed as a complement in this approach. The objective of the research is to evaluate the applicability of Virginia Henderson's theory in nursing staff to improve the care of older adult patients with NCDs in PHC in the province of Cañar during 2022. Methods: Using a cross-sectional descriptive quantitative design, nursing personnel in health centers of the province were surveyed, analyzing the 14 needs proposed by Henderson's theory. Results: The results show a correlation between Henderson's 14 needs and governmental guidelines, leading to an improvement in the care of older adult patients. By adopting a comprehensive and individualized approach, patients' physical, emotional and social needs are addressed. The application of the Henderson model ensures appropriate care for their specific needs. However, the 14 needs are occasionally applied, with an average percentage of 55%. Conclusion: In conclusion, the limited applicability of the Virginia Henderson model in PHC in the province of Cañar highlights the need to increase education and knowledge about the theory among health professionals and relevant authorities.
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    Competencias de enfermería en la malnutrición en niños de 0-5 años del Distrito 01D03, Azuay. 2022
    (Universidad de Cuenca, 2023-06-20) Dominguez Rodriguez, Norma Patricia; Yánez Corrales, Ángela Cristina
    In children, nutritional status constitutes the basis for sustainable progress and poverty reduction, for which nursing staff have the necessary skills and knowledge to fulfill their competencies in care, management and transversal functions that allow promoting strategies, create plans to strengthen care and precise knowledge to improve eating habits, thus improving the health of the population. OBJECTIVE: to analyze nursing skills in malnutrition in children from 0 to 5 years of District 01D03, 2022. METHODOLOGY: quantitative descriptive study, with a sample of 94 nursing professionals from District 01D03. For data collection, a survey and the ECO-Enf instrument were applied, which was adapted to child malnutrition based on the comprehensive child care guide with linguistic validation by academic peers. The analysis was performed with the SPSS-v15.0 program. RESULTS: it was obtained from the 94 nursing professionals who work in District 01D03, 60.6% are 24-29 years old, 79.8% female, 75.5% practice their profession in a time average of 0 – 5 years and 5.3% have master's degrees. CONCLUSIONS: the level of general nursing skills to address malnutrition at the first level of care in District 01D03 is high, prevailing transversal functions, in addition, the care function is perceived as very good and with limited management functions.