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Introduction: Pregnancy in adolescence is considered a public health problem worldwide, because the age of pregnant women ranges between 15 and 19 years, generating great consequences for both the mother and the baby. The objective of the study focuses, in analyzing the scientific evidence on the strategies applied at a national and international level for the prevention of teenage pregnancy. Methodology: consists of a literature review, integrator type, based on study publications, scientific articles and research documents on strategies for the prevention of pregnancy in adolescents, applied nationally and internationally. For the collection of information for this study databases such as; PUBMED, SCIENCE DIRECT, SCIELO, EMBASE, BVS, LILACS, MEDLINE, PROQUEST and the Repository of the University of Córdoba. Results: Is obtained 76,246 publications. When applying the inclusion and exclusion criteria, 17 articles were selected. Of which; 13 (76.47%) they are in English and 4 (23.53%) they are in Spanish. The documents were published in; U.S, Peru, Colombia and Ghana. Conclusion: The most used strategies were digital and educational, implemented in institutions such as colleges and universities, which allow attracting a considerable number of participants. Reflecting a decline in teen pregnancies and, a significant increase in knowledge about family planning methods and prevention of sexually transmitted diseases.

Objective. Describe the factors related to contraceptive behavior in young AfroColombian women residing in a municipality in the department of Córdoba, in light of the Contraceptive Behavior Model in Young Women. Methodology. A descriptive correlational design was carried out. From the total population of young Afro-Colombian women (18 to 24 years old) from a municipality of Córdoba-Colombia (N = 437), a sample of 203 participants was taken. To collect the information, 4 instruments were applied: Contraceptive behavior scale, Sociodemographic data sheet and individual characteristics of the sample, Contraceptive attitude scale and Short scale commitment to religion. The data were analyzed in SPSS using descriptive statistics. The Shapiro-Wilk normality test was used to determine univariate normality, and the Spearman correlation was used as a measure of association. The entire study met the ethical criteria for research in humans. Results. The sample was characterized by being young Afro-Colombian women aged 18 to 24 years living in urban areas, with an early start of sexual life on average 16 years. The percentage of sexually active women was 71.4% and the previous use of contraceptive methods was 98%. Among the most used contraceptive methods were the male condom (43.8%) and contraceptive injections (39.9%). When evaluating contraceptive behavior, the average score was 12.83, with a median of 14, and a mode of 20 points. Conclusion. According to the Contraceptive Behavior Model, most of the young AfroColombian women in the study sample have a correct and sustained use of contraceptive methods. Attitudes towards contraceptive behavior and commitment to religion influence contraceptive behavior in young Afro-descendant women.

Introducción: La incertidumbre se refleja cuando no existe la capacidad de dar significado a los acontecimientos (1), lo que ocurre en las mujeres que presentan preeclampsia severa, puesto que no saben qué va a suceder en el futuro cercano con su vida o la de su bebé, esto puede generar en ellas miedo, angustia y desespero, al saber que padecen una enfermedad que las puede llevar a la muerte. Objetivo: Explorar el significado que le otorgan las mueres que presentaron preeclampsia severa a la experiencia de incertidumbre con el fin de brindar herramientas a los profesionales de enfermería que les permitan abordar e intervenir la incertidumbre. Métodos: Estudio cualitativo, de tipo descriptivo con aproximación fenomenológica, las participantes fueron 10 mujeres sobrevivientes a una morbimortalidad extrema relacionada con preeclampsia en su último embarazo en un lapso no mayor de 12 meses, con el fin de recuperar con el mayor detalle posible la experiencia vivida La recolección de datos se hizo mediante una entrevista abierta y a profundidad, el análisis de los datos se realizó basado en los lineamientos de Alfred Schütz. Los hallazgos se organizaron, sistematizaron e interpretaron en temas, subtemas y unidades de significado. Resultados: Se pudo comprobar que, la incertidumbre es un común denominador en las mujeres con preeclampsia, el miedo a la muerte de ellas o de su bebé está presente durante todo el evento; algunas mujeres eran capaces de identificar la gravedad de la situación, mientras que otras creían que era algo inofensivo; el apoyo espiritual y familiar fue un flotador en medio de un mar turbulento de incertidumbre. Se identificaron 4 temas: los recuerdos en mi mente, la experiencia vivida, u futuro incierto, y la muerte un miedo real Conclusiones: el significado que le otorgan las mujeres a la experiencia de incertidumbre es de carácter negativo, puesto que se relaciona con la muerte de ella o su bebé, complicaciones, experiencias pasadas que fueron negativas o experiencias de otras personas relacionadas con esta condición.

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.

Descriptive, qualitative study, aimed at exploring the experiences of caregivers of children under 15 years with visual disabilities in the municipality of Montería, focused on the caregiver's work, based on the adaptation model of Callista Roy. Through snowball sampling, the experience of family caregivers of children with visual disabilities was explored, relatives who have an age range between 25 and 49 years, mostly female and who work as housekeepers, who have 1 or more visually impaired children, these experiences were exposed during an interview, which due to the Covid-19 pandemic mutated in relation to the face-to-face experience of it, thereby favoring comfort and protection of the health of the participants. It was possible to conclude that the main caregivers are the mothers, who are in charge of the responsibility of caring for the minor with disabilities, which is greater compared to those children who do not have this condition, which leads to physical and emotional exhaustion, secondary to care and the economic effects that it entails, finding support in their faith, however, it is necessary to strengthen the support network of caregivers, in order to avoid negative consequences in their lives.

OBJETIVO: Describir la seguridad alimentaria y nutricional percibida en los hogares de un corregimiento de San Antero, Córdoba, 2021. MATERIALES Y MÉTODOS: estudio de tipo descriptivo transversal con enfoque cuantitativo, en el cual se encuestaron, a través de llamadas telefónicas a 90 familias, mediante la aplicación de la escala ELCSA y preguntas sociodemográficas, con el previo cumplimiento de criterios de inclusión; los datos se tabularon y graficaron en Microsoft Excel, utilizando frecuencias absolutas y relativas. RESULTADO: Se identificó que solo un 10% de las familias encuestadas presentan seguridad alimentaria, mientras que un 57,8% inseguridad alimentaria leve, 25,6% inseguridad alimentaria moderada y solo un 6,6 % inseguridad alimentaria severa CONCLUSIONES: Se evidenció que la mayoría de los hogares presentó inseguridad alimentaria leve, influida por condiciones sociodemográficas, características de las localidades rurales con acceso limitado a servicios públicos y a empleo formal; por lo tanto, es necesario implementar programas y estrategias que contribuyan a mejorar la seguridad alimentaria en esta población.

Introduction: Dengue is a viral disease, transmitted by the Aedes aegypti female mosquito which affects all people, in any part of the world, becoming one of the main causes of mortality from vector-borne diseases; This mosquito is from warm areas such as the department of Córdoba, where different populations, such as the indigenous community of Momil, have a high risk of getting sick of dengue, due to the permanent exposure of the community to this type of arthropods. Objective: To show the uses of herbal medicine as an alternative for the treatment of dengue in the members of an indigenous community in Córdoba, so that health professionals are able to provide them health care according to their needs. Materials and methods: Descriptive exploratory study with a qualitative and micro ethnographic approach, the results will be obtained through a semi-structured interview, emphasizing general knowledge about dengue and the use of herbal medicine for the treatment of dengue, the guide of questions were applied to 20 participants of the Indigenous Council of Momil. Results: the participants of the study showed limited knowledge about the mosquito that transmits the disease; regarding dengue, it was classified as basic or medium-level knowledge, which is sufficient and important to protect themselves against the disease. In the same way, it was found that they know and practice different alternative methods for vector control and pathology treatment, making use of the different medicinal plants found in the region. Conclusions: Indigenous people live in a dengue risk area, however, they use different techniques to minimize the reproduction of the mosquito, which is why it is determined that they have protective factors. Along the same line, it was identified that indigenous people have extensive knowledge regarding the use of medicinal plants for health care, which they use as an alternative method to cure their diseases or treat their symptoms. As a consequence of this, it is considered pertinent to replicate indigenous knowledge, with the purpose of nursing professionals to understand in-depth, value, and strengthen the use of traditional medicine and the art of caring in an integrative and holistic manner.

El presente estudio de tipo evaluativo de corte transversal realizó una verificación de las condiciones tecnológicas y científicas en el Servicio de Cuidados Intensivos de la E.S.E Hospital San Jerónimo de Montería, con lo cual se determinó el cumplimiento de los criterios exigidos por el Sistema Único de Habilitación teniendo en cuenta el enfoque, la implementación y el resultado de los criterios. Los resultados mostraron que en ambas unidades del Servicio de Cuidados Intensivos concurre un incumplimiento de las condiciones tecnológicas y científicas exigidas en la legislación, por lo que se hace necesario crear e implementar alternativas dirigidas a garantizar el cumplimiento de tales condiciones teniendo en cuenta la implementación, mejoramiento y seguimiento de estas. Del mismo modo se evaluó la satisfacción del familiar como cliente externo con relación a los servicios ofrecidos, siendo los resultados en su gran mayoría entre excelente y bueno, lo cual refleja de forma general que el servicio ofrecido cumple con las expectativas del cliente. Por otra parte, la satisfacción del cliente interno, con respecto a las condiciones laborales se evaluó revelando que los empleados poseen siempre satisfacción con relación a las condiciones ambientales de la unidad, en cuanto a aspectos como la organización, incentivos, recursos, reconocimiento y desarrollo de habilidades se establece algunas veces satisfacción, contrario a la insatisfacción evidenciada por la remuneración salarial recibida.

Mental health is a fundamental part of the well-being of the human being, hence the importance of identifying and intervening in a timely manner the conditions of this, due to the indescribable suffering that it generates in patients, caregivers and relatives. People with mental illness need a family caregiver by their side, who, being totally dedicated to this work, presents different changes in their life, which in the long run ends up affecting their physical and mental health, generating in them a certain degree of overload. The objective of this work is to describe the scientific evidence related to the burden of family caregivers of people with mental illness; What studies and evidence are there in this regard, in order to create strategies from the nursing field that contribute to reducing this overload? In this review, 33 articles selected from the research inclusion criteria were explored. The results revealed that the family caregiver is affected in different aspects of his life such as: emotional, spiritual, physical and economic. Caregivers experience feelings of uncertainty, loneliness, depression, anxiety, stress, fear and fear, they are also physically affected; presenting tiredness, fatigue, lumbar injuries, joint muscle pain, its economy is also altered, since dedication to the patient prevents him from continuing with his work and the patient's expenses increase as time passes and the pathology worsens, finally affecting the quality of life, of the caregiver, who puts aside his life project, his dreams, to be at the service of his family member. This situation is aggravated because the burden of care is usually left on a single person, so it is necessary and essential to educate the caregiver and family about the disease, about the importance of sharing responsibility for care, crisis management and constant monitoring. Of the IPS to avoid overloads.

Dengue is considered an important public health problem due to the increase in cases in different places in the world and the conditions of vulnerability of several communities, among which indigenous communities such as the Embera Katío which coexist with risk factors that increase the chances of developing the disease. Objective: To explore ancestral knowledge and practices in the prevention and control of dengue in an Embera Katío indigenous community in the Department of Cordoba. Materials and methods: Descriptive study with a qualitative approach, the results were obtained using the semi-structured interview technique, which was applied through a question guide to 20 people representing indigenous families belonging to an indigenous community of the Embera Katío in Tierralta, Cordoba. Results: Most of the participants expressed basic but important knowledge regarding dengue disease, and these, with ancestral practices, promote prevention and facilitate initial care. Conclusions: It was determined that knowledge related to dengue disease is limited, but regarding the form of treatment and prevention, ancestral practices are broad, for this reason, government entities must work to strengthen and increase their knowledge.

Lifestyle (LE) is defined as the way that human beings have to develop; Within this development, the youth stage is considered as the highest risk stage, young people vary their level of physical activity and eating habits, as well as their stress levels upon getting into university. Objective: To evaluate the profile of the health-promoting lifestyle in the students, of the Nursing Program of an IES in Montería - Córdoba, in the light of Nola Pender's MPS. Methodology: Crosssectional descriptive quantitative study; From the total population (n = 278) a sample of 157 students was taken, the Nola Pender Lifestyle Profile Questionnaire (PEPSI) was applied on its Spanish version. The data were analyzed according the descriptive statistic. On the entire study the compliance of the ethical criteria for research in humans was given. Results: 55% of the population have a healthy lifestyle and 45% an unhealthy lifestyle; According to the Nutrition dimension: 57% of the population has a healthy lifestyle and 43% an unhealthy lifestyle; According to the Physical Activity dimension: 76% of the population have a healthy lifestyle and 24% an unhealthy lifestyle; According to the dimension Responsibility with health: 17% of the population have a healthy lifestyle and 83% an unhealthy lifestyle; According to the Stress management dimension: 20% of the population have a healthy lifestyle and 80% an unhealthy lifestyle; According to the Interpersonal Support dimension: 57% of the population have a healthy lifestyle and 43% an unhealthy lifestyle. Regarding the Self-action or personal fulfillment dimension: 96% of the population has a healthy lifestyle and 4% an unhealthy lifestyle. Conclusion: More than half of the students of the Nursing Program present a healthy lifestyle; It is evidenced that there is a higher percentage of students who in the dimensions of: Nutrition, Physical Activity, Interpersonal Support and Self-Action present a healthy lifestyle.

The development of this study was carried out with the purpose of identifying which are the educational activities that are developed as part of the care of patients with cerebrovascular accident. Objective. Describe the approach to educational activities that are developed as part of the care of patients who have suffered a cerebrovascular attack, in research articles published in the period 2014 - 2019. Methodology. Integrative review of the literature, with a descriptive approach. The search began using the keywords and descriptors, combining them with the Boolean operator AND, 11 articles indexed in five databases subscribed to the University of Córdoba were selected: Pubmed, Lilacs, Academic Google, Scopus and Embase, published in Spanish. English and Spanish, this research was carried out according to the methodological recommendations made by Whittemore and Knafl. Results. The databases with the highest results were Lilacs with 36.36% and Pubmed with 27.27%. Regarding language, English has a percentage of 81.82% and Spanish 18.18%. In the research, three categories were identified in which the informal caregiver 72.73%, the patients with stroke 18.18% and the formal caregiver with 9.09% are considered as subjects of care, these subjects were intervened in the hospital and home environment. 63.64% of the studies presented a quantitative methodology, with the randomized controlled trials standing out. Conclusion. By using adequate education strategies for patients and caregivers in the hospital setting, it allows appropriate care to be continued after discharge, which will favor the improvement of the patient and the safety of the family member, in addition to preventing complications.

Introduction. Self-care is a regulatory function of people that must be carried out deliberately by oneself, to maintain their life, development and well-being. Objective. to determine the health self-care of nursing students from a Colombian state university in the year 2020. Methodology. Descriptive, cross-sectional research. The population was 249 students enrolled in the second academic period of 2020, The sample was represented by 150 students from the Nursing program. using the probability, stratified random sampling technique. A survey was used for the collection of the information, the Excel program for the processing and analysis of the information. Results. The female population predominates, between 18 and 28 years old, single from urban areas. The actions they carry out for self-care are that, in nutrition and hydration, a higher percentage of nursing students habitually consume the three meals and the necessary nutrients, which allows a greater strengthening in terms of their educational process, it is highlighted that students hydrate as necessary, not all students engage in physical activity. Most of the students are aware of self-care practices in terms of rest, and in relation to cigarette and alcohol consumption, this is positive. The research allows us to conclude that the students carry out some practices on health self-care, but assume an indifferent attitude to these approaches. Strategies for promoting selfcare are recommended.