Envíos recientes

To identify the adherence to the Comprehensive Maternal Perinatal Health Route of pregnant adolescents who attend the Santa Teresa Health Service Provider Unit of the ESE Camú del Prado in the municipality of Cereté Córdoba. Materials and methods: Descriptive, cross-sectional study with a quantitative approach. The population consisted of 64 adolescent pregnant women between 12 and 18 years of age officially attending the health care institution, with a sample of 24 users who met the inclusion and exclusion criteria and who voluntarily participated in the study. Results: In the sociodemographic aspects it was found that 63% of adolescent women are becoming pregnant at 18 years of age, followed by 25% between the ages of 16 and 17 years and 12% in the ages of 14 and 15 years, and are of low socioeconomic stratum, As for the level of schooling, 88% have incomplete secondary education, 88% are engaged in housework, 79% selfdetermined that they do not belong to any ethnic group, and 71% of these pregnant women live together in a free union. In terms of adherence to the Maternal Perinatal Route, it was found that they are not adherent, taking into account that 60% do not meet the established indicator, which should be 70%. Conclusions: It was identified that the population of the adolescent life course are getting pregnant early, likewise, it was found that they are not adherent, especially to the recommendations given by the health personnel and the performance of the diagnostic aids ordered by the health professionals, and to the comprehensive assessments with the specialists and consultations with different disciplines performed at the complementary provider.

The concurrent audit assesses in a systematic, continuous and comprehensive way the quality of medical assistance offered to patients, which includes the procedures used for their diagnosis, treatment and rehabilitation, taking into account the rational and adequate use of services, and the final result obtained. In addition, of what you are billed, corresponds to the coverage according to current regulations. In this sense, the purpose of this work research is to define, through an integrative review of the literature, the role of the concurrent auditor against the Mandatory System of Quality Assurance in Health in Colombia in the period 2015-2020. Initially, a review is carried out on the theoretical concepts and the fundamentals of the audit and the main factors to take into account for its execution are described, as well as the concepts of the Mandatory Health Quality Assurance System. Subsequently, a diagnosis of the procedure is done to carry out a concurrent quality audits in health institutions. Consecutively, an analysis is carried out by identifying the existing tools, parameters and audit plans in the exercise of the concurrence and in front of the SOGCS, establishing the concurrent auditor as a health risk manager; verifying the application of a health model in its processes, to identify in the shortest possible time the risks to which users are exposed, adjusting timely intervention actions through tools, preventive and corrective programs and the restoration of services in the different health care situations of the organization, and so to achieve an appropriate execution, proceeding in accordance with the applicable criteria, requirements and regulations in force.

Determinar los niveles de calidad de vida en adultos mayores que asisten al club saludable de una IPS pública, en el marco de la pandemia por COVID 19, Montería 2020. Método: tipo de investigación: descriptivo, transversal con enfoque cuantitativo; muestra: adultos mayores que se encuentren vinculados al club saludable de la E.S.E Vida Sinú y que cumplan con los criterios de inclusión y exclusión; técnica: encuesta vía telefónica; instrumento: escala WHOQOl-BREF. Resultados: en los resultados obtenidos se encontró que, de forma general, la percepción de calidad de vida de los adultos mayores asistentes al club saludable de la E.S.E Vida Sinú, es adecuada para su expectativa de vida, dado que, las dimensiones evaluadas generaron datos positivos, aun cuando en medio de la pandemia de COVID-19, los aspectos sociales, económicos y psicológicos de gran parte de la comunidad sufrió afectaciones.

El objetivo central de esta monografía es analizar el cuidado brindado a maternas de bajo riesgo obstétrico desde el primer nivel de atención en salud en tiempos de pandemia por COVID-19 se debe tener en cuenta que el riesgo puede aumentar en una persona embarazada de enfermarse gravemente, es por eso importante entonces el control prenatal se realice de forma adecuada y definir muy bien el riesgo obstétrico que la paciente revele. Con base a los múltiples esfuerzos que ha hecho el Ministerio de Salud, se ha evidenciado contagios en gestantes de bajos riesgo, donde muchas superan el COVID-19, pero otras no, donde existen diferentes causas de tipo social, familiar o incluso del equipo de atención de primer nivel y su implementación de protocolos para la atención en tiempos de pandemia.

Suicide is a highly complex public health problem with a growing prevalence that involves multiple consequences. It is one of the top three causes of death in people between 15 and 44 years of age, making the study of suicidal behavior and its determinants essential. sociodemographic influencing this. Suicidal behavior is defined as that which appears when a person experiences a situation in which he decides to end her life. This behavior is accompanied by a series of phases, the main one being a suicidal ideation, where this person begins to imagine the possibility of taking their own life; followed by the structuring of the suicide plan, which refers to a phase in which the subject plans the possible means and strategies to be used in the act; and lastly, he carries out the suicide attempt, which refers to the presentation of a behavior whose objective is to end his own life. Here is the importance of preventing risky behaviors in adolescents that lead to the presentation of suicidal behaviors and promoting the need to act in the face of this problem and in the same way reduce or mitigate the incidence from the family, social, educational and cultural sphere. Objective: The purpose of this bibliographic review, therefore, is to analyze the scientific evidence related to the sociodemographic determinants that influence the suicidal behavior of adolescents in the period 2015-2020. Method: Narrative review by means of a bibliographic search in the databases Scielo, Bvs, Embase, Science direct, Proquest, Pubmed. 30 articles published in the 2015-2020 period were selected in English, Spanish and Portuguese

The series of ISO (Internacional Organization for Standardization) 9000 Standards is a tool to develop a Quality System in companies, based on a descriptive, application design, using the projective research model, the research team set out to develop the structure of strategic planning within the system of quality management under ISO 9001: 2008 for an IPS, as a competitive strategy of the organization. The results show that the strategic platform considers compliance with the 8 principles of quality under the ISO 9001 of 2008, the activities and tasks of the mission and support processes required to maintain the quality of care were identified and graphed in health, which are presented in flowcharts. Indicators designed to measure compliance with quality management in efficiency, effectiveness and effectiveness were designed. The final conclusion is that ISO 9000 and 9001 are susceptible to apply completely to the strategic planning of health companies for the purpose of continuous improvement of their quality processes.

The objective of this research was to determine the effectiveness of management strategies implemented in the control of maternal mortality in the department of Cordoba, period 2010- 2015, the strategies implemented were identified, the impact was described and it was materialized strategies as proposal for the control of preventable maternal deaths according to the results. It is presented below a descriptive, retrospective, with quality-quantitative approach study , the 2 researchers and 6 participants, representatives of public bodies health, invited to answer the instrument designed (Matrix quali-quantitative) were included, in order to assess their concept on strategies they included management implemented, effective and impact, to make proposal on strategies that would control preventable maternal deaths. It can be seen that the effectiveness of different strategies ranged from 41% of the strategy: Monitoring and control of process-induced demand for Health Promotion Companies and 50% obtained by the strategy: coordination and articulation for analysis cases of maternal mortality, this last one is related to the Committees of Epidemiological surveillance and focused on prevention through monitoring of extreme maternal morbidity, the department has been achieved through these strategies lower the indicator but the probability of maternal death remains double that in other parts of the country and 7.5 times higher than in developing countries. It can be said that strategies are well founded, they have defined some of they in the world and they have helped to control maternal deaths, but the effectiveness depends on the management, control and monitoring made by the direct responsible for implementing them.

The study of patient safety and adverse outcomes requires two complementary perspectives: a collective one, based on the epidemiological method and aimed at quantifying healthcare risks, and an individual one, based on qualitative methods, aimed at analyzing the causes and factors. The evaluation of the patient safety program at the vascular clinic in Bogotá, allowed us to obtain precise data on the level of compliance compared with the standards, for this, a checklist and evaluation are applied to the collaborating staff of the institution, with which we obtain relevant information to assess compliance in each component of the program. The evaluation of each component showed that the level of compliance with good patient safety practices was 80%, which is a good rating.

Introducción: La desnutrición representa un factor de importancia en la población infantil indígena. Es una problemática de origen multifactorial, muchas veces dada por las condiciones de pobreza y otros aspectos relacionados con la cultura de las comunidades. Objetivo: Determinar los factores que influyen en la prevalencia de los niveles de desnutrición en niños y niñas de 0 a 5 años de las comunidades indígenas de Colombia mediante la aplicación de una revisión integradora de la literatura. Metodología: Revisión integradora de la literatura, realizada en seis bases de datos diferentes entre el periodo 2020-2021. Además, se emplearon descriptores relacionados al fenómeno de estudio. Resultados: Para el desarrollo, se realizó una búsqueda en las diferentes bases de datos como; LILACS, PubMed, SciELO, Science Direct, EMBASE y el meta buscador Google Scholar, se identificaron 23.569, al filtrar la búsqueda, se preseleccionaron 27 artículos los cuales cumplían con los DeSC, MeSH y las palabras claves asignadas a este estudio, 18 publicaciones fueron excluidas debido a que no cumplían con los criterios de inclusión y exclusión, seleccionando 9 publicaciones. Conclusión: Factores como el conflicto armado, pobreza, bajo nivel educativo y el difícil acceso a los servicios de salud, al igual que agentes culturales, facilitaban la incidencia de desnutrición en los niños y niñas de cero a cinco años de edad en las comunidades indígenas, al igual que conductas como el inicio de vida sexual a temprana edad, esto acompañado de patrones alimenticios en los cuales la dieta estaba constituida en gran parte de carbohidratos, agua de panela, mazamorras, huevo y en menor porcentaje carnes.

The objective of this study is to analyze the existing theoretical and empirical evidence on uncertainty in pregnant women at high-risk pregnancy, within the framework of the theory of uncertainty in the face of illness. For this purpose, a narrative review of the literature was carried out. The databases ScienceDirect, Scopus, Pubmed, Embase, Proquest and BVS were used, in addition, publications that were found as bibliographic support for the articles selected for the study, that met the inclusion criteria, and were in English and Spanish were included. Seventeen studies were identified, of which eight had a qualitative approach, five were literature reviews, one study with a descriptive correctional approach, one case study, one theorization and one scientific article. Three thematic axes related to the elements of Merle Mishel's theory were categorized: the stimuli framework, the structure providers, and the assessment of uncertainty. It was identified that the main stimuli for the occurrence of uncertainty were lack of information regarding the disease, unfamiliarity with the event and ambiguity of information. Nursing interventions should focus on social and nursing support, structure providers and education to reduce stress, anxiety, and uncertainty in high-risk pregnant women. The role of the nursing professional should be directed to take up the Nursing Theories and adapt them to the current context.

Diabetes mellitus is one of the main health problems worldwide, which has been classified as the epidemic of the 21st century, a disease that, according to data revealed by the World Health Organization, affects 422 million people and It is estimated that by the year 2030 around 560 million people will suffer from it. Objective: To describe the self-care practices carried out by adults with type 2 diabetes mellitus, through a narrative review of the scientific literature published between the years 2010-2020. Methodology: Narrative literature review study. Results: Through this review, it has been possible to know that adults with DM2 do not maintain good habits and self-care behaviors for the maintenance of health and control of the disease, it should also be noted that in the results it was always observed that women are more careful and responsible for their health and maintain better self-care practices compared to men. Conclusions: In most of the investigations, the lack of practices of self-care, monitoring, and self-care management, carried out by adults with DM2, was evidenced, which makes them prone to developing complications and decreasing their quality of life.

Introduction: The accompaniment of the family caregiver during the disease process is a fundamental aspect for the patient, especially if it is a child since they require full-time caregivers, therefore, these can have repercussions in the different dimensions (physical, social and mental) for this it is important to establish positive coping styles to cope with the disease, helping them to overcome and manage the situation in a positive way by presenting adaptive responses to the situation. Objective: To determine the main coping styles that are used by the primary caregivers of children diagnosed with cancer during the stages of the clinical process. Methods: Cross-sectional descriptive study, with a quantitative approach, in which 30 caregivers of children with cancer participated, residing in different municipalities of the department of Córdoba, to which a telephone survey was applied, designed by the researchers, in order to evaluate the coping styles proposed by Carver and the different emotions experienced in the different stages of the clinical process. Results: the problem-centered coping style predominates; followed in order of frequencies by emotion-focused coping styles, the most infrequent style was avoidance and, lastly, mixed coping styles. Regarding emotions, it was found that caregivers experience different emotions in their adaptation response process, mostly positive, such as faith and hope, accompanied by negative emotions such as worry, sadness and stress. Conclusions: Caregivers, despite the impact that cancer has on their family members, put into practice effective coping styles and strategies that help them to navigate, adapt and overcome a difficult situation

The health audit in Colombia is based on verifying compliance with the regulations in the institutions that provide health services, to identify flaws and weaknesses in the execution of the processes, which are the object of investigation by the auditors in training of the university of Cordoba. The research "Relationship between auditing regulations and the research themes of the health auditing program of a public university in Montería, Colombia 2021", aimed to determine the relationship between auditing regulations and the thematic axes of the investigations of the health audit program of the University of Córdoba, 2016-2020, Descriptive study with a quantitative approach, with a sample of 110 degree works of the specialty in quality auditing, in the period 2016-2020. It was determined that 32.7% of the investigations are related to the quality management system, 28.18% with patient safety, 11.8% access and care in health services, 7.3% process auditing, 6.4% health costs, 5.5% clinical practice guidelines, 3.6% glosses management, 2.7% occupational health and safety, and 1.8% generalities of the health system. There is a relationship between the auditing regulations in Colombia and the thematic axes of the investigations of the health auditing program of the University of Córdoba, since their investigations are based on the legislation subject to verification in health.

Analizar a través la evidencia teórica y empírica existe en la literatura científica sobre la percepción que tienen los padres ante la hospitalización de sus hijos recién nacidos en la UCIN. Materiales y Método. Se realizó una revisión integradora de la literatura entre 2010-2020 siguiendo la propuesta metodológica planteada por Robin Whittemore y Kathleen Knaf. Las bases de datos consultadas fueron: Science Direct, Pubmed, Bvs, Scopus, Embase y el metabuscador Google Académico, utilizando los descriptores: neonato, padres, familia, percepción, unidad de terapia intensiva neonatal y atención neonatal; con su respectiva traducción al inglés y al portugués. Resultados: la disciplina de enfermería ha producido el 62.5% de los artículos identificados en esta revisión, seguido de la disciplina de Medicina, con un 37.5% específicamente, desde las especialidades de pediatría y neonatología. La mayor proporción de artículos relacionados con el fenómeno de estudio fueron desarrollados en Latinoamérica y Europa; el 62.5% de estos artículos documenta la percepción de los padres frente al proceso de atención y el 31.2% de ellos, describe la percepción y los procesos de interacción con el equipo de salud de la UCIN. De la revisión integradora surgieron tres grandes temas: el primero documenta la percepción de los padres en relación a la condición de salud del neonato; el segundo describe la percepción de los padres ante el proceso de atención; y el tercer eje temático describe la percepción de los padres y los procesos de interacción con el equipo de salud de la UCIN. Conclusión. Las percepciones de los padres ante la hospitalización de sus hijos recién nacidos en la UCIN, pueden ser tan amplias y variadas que incluyen aspectos relacionados con el proceso de salud -enfermedad del neonato, los procesos de atención y la interacción de los padres con el equipo multidisciplinario que laboran en esta dependencia.