Diseño e implementación de un modelo de atención de enfermería basado en modelo de sistemas de Betty Neuman para pacientes dializados y su familia.

Thesis Subjects > Engineering Ibero-american International University > Research > Doctoral Thesis Cerrado Español La enfermedad renal crónica terminal es un problema de salud a nivel mundial que afecta no solo a los pacientes con esta patología clínica sino también a su entorno; es decir, en términos generales, puede tener efectos indirectos en el ámbito familiar entre los que se encuentran el cambio de estilo de vida y la calidad de atención al paciente dializado entre otros. Aquí cabe mencionar que existen guías clínicas para el manejo adecuado de estos pacientes; sin embargo en el caso del territorio chileno, si bien existen guías clínicas, no se evidencia el uso de modelos teóricos de enfermería que consideren no solo prestaciones terapéuticas específicas de diálisis, sino también otros factores, tales como las necesidades psicológicas y sociales relacionadas con el paciente y su entorno. Objetivo: Diseñar un modelo que sirva para determinar algunos parámetros en un nuevo formato tomando como base el modelo de sistemas de Betty Neuman, el cual ayude en el quehacer diario del personal de enfermería. Método: La investigación corresponde a un estudio de caso, con diseño pre experimental. La primera etapa involucro capacitar a las enfermeras que estaban encargadas de la atención a pacientes sobre el modelo a implementar. En este sentido, se realizaron varias determinaciones como son; 1) la aplicación del cuestionario KDOQL-36 a los pacientes, antes y después de implementar el modelo. 2)Además se aplicó encuesta para medir percepción respecto a éste a enfermeras y pacientes. 3) Se realizó análisis cuantitativo mediante estadística descriptiva e inferencial utilizando el programa SPSS v.21. Resultados: La implementación de esta nueva teoría de rango medio de enfermería en la atención del paciente dializado, logró mejorar su calidad de vida, así como también permitió unir la teoría a la práctica clínica. Además se logró una apropiada aceptación de ésta por parte de los enfermeros y pacientes. metadata Ruiz Araya, Paola Andrea mail poli.andrea75@gmail.com (2021) Diseño e implementación de un modelo de atención de enfermería basado en modelo de sistemas de Betty Neuman para pacientes dializados y su familia. Doctoral thesis, Universidad Internacional Iberoamericana México.

[img] Text
PRuizAraya_TesisDoctoral.pdf

Download (3MB)

Abstract

La enfermedad renal crónica terminal es un problema de salud a nivel mundial que afecta no solo a los pacientes con esta patología clínica sino también a su entorno; es decir, en términos generales, puede tener efectos indirectos en el ámbito familiar entre los que se encuentran el cambio de estilo de vida y la calidad de atención al paciente dializado entre otros. Aquí cabe mencionar que existen guías clínicas para el manejo adecuado de estos pacientes; sin embargo en el caso del territorio chileno, si bien existen guías clínicas, no se evidencia el uso de modelos teóricos de enfermería que consideren no solo prestaciones terapéuticas específicas de diálisis, sino también otros factores, tales como las necesidades psicológicas y sociales relacionadas con el paciente y su entorno. Objetivo: Diseñar un modelo que sirva para determinar algunos parámetros en un nuevo formato tomando como base el modelo de sistemas de Betty Neuman, el cual ayude en el quehacer diario del personal de enfermería. Método: La investigación corresponde a un estudio de caso, con diseño pre experimental. La primera etapa involucro capacitar a las enfermeras que estaban encargadas de la atención a pacientes sobre el modelo a implementar. En este sentido, se realizaron varias determinaciones como son; 1) la aplicación del cuestionario KDOQL-36 a los pacientes, antes y después de implementar el modelo. 2)Además se aplicó encuesta para medir percepción respecto a éste a enfermeras y pacientes. 3) Se realizó análisis cuantitativo mediante estadística descriptiva e inferencial utilizando el programa SPSS v.21. Resultados: La implementación de esta nueva teoría de rango medio de enfermería en la atención del paciente dializado, logró mejorar su calidad de vida, así como también permitió unir la teoría a la práctica clínica. Además se logró una apropiada aceptación de ésta por parte de los enfermeros y pacientes.

Item Type: Thesis (Doctoral)
Uncontrolled Keywords: Proceso de enfermería, Diálisis renal, Atención de enfermería, Teoría de enfermería, Teoría de rango medio, Calidad de vida.
Subjects: Subjects > Engineering
Divisions: Ibero-american International University > Research > Doctoral Thesis
Date Deposited: 26 Nov 2021 23:55
Last Modified: 20 Sep 2023 23:30
URI: https://repositorio.unini.edu.mx/id/eprint/448

Actions (login required)

View Item View Item

<a class="ep_document_link" href="/10290/1/Influence%20of%20E-learning%20training%20on%20the%20acquisition%20of%20competences%20in%20basketball%20coaches%20in%20Cantabria.pdf"><img class="ep_doc_icon" alt="[img]" src="/style/images/fileicons/text.png" border="0"/></a>

en

open

Influence of E-learning training on the acquisition of competences in basketball coaches in Cantabria

The main aim of this study was to analyse the influence of e-learning training on the acquisition of competences in basketball coaches in Cantabria. The current landscape of basketball coach training shows an increasing demand for innovative training models and emerging pedagogies, including e-learning-based methodologies. The study sample consisted of fifty students from these courses, all above 16 years of age (36 males, 14 females). Among them, 16% resided outside the autonomous community of Cantabria, 10% resided more than 50 km from the city of Santander, 36% between 10 and 50 km, 14% less than 10 km, and 24% resided within Santander city. Data were collected through a Google Forms survey distributed by the Cantabrian Basketball Federation to training course students. Participation was voluntary and anonymous. The survey, consisting of 56 questions, was validated by two sports and health doctors and two senior basketball coaches. The collected data were processed and analysed using Microsoft® Excel version 16.74, and the results were expressed in percentages. The analysis revealed that 24.60% of the students trained through the e-learning methodology considered themselves fully qualified as basketball coaches, contrasting with 10.98% of those trained via traditional face-to-face methodology. The results of the study provide insights into important characteristics that can be adjusted and improved within the investigated educational process. Moreover, the study concludes that e-learning training effectively qualifies basketball coaches in Cantabria.

Producción Científica

Josep Alemany Iturriaga mail josep.alemany@uneatlantico.es, Álvaro Velarde-Sotres mail alvaro.velarde@uneatlantico.es, Javier Jorge mail , Kamil Giglio mail ,

Alemany Iturriaga

<a href="/10845/1/pharmaceuticals-17-00236.pdf" class="ep_document_link"><img class="ep_doc_icon" alt="[img]" src="/style/images/fileicons/text.png" border="0"/></a>

en

open

Isoflavones Effects on Vascular and Endothelial Outcomes: How Is the Gut Microbiota Involved?

Isoflavones are a group of (poly)phenols, also defined as phytoestrogens, with chemical structures comparable with estrogen, that exert weak estrogenic effects. These phytochemical compounds have been targeted for their proven antioxidant and protective effects. Recognizing the increasing prevalence of cardiovascular diseases (CVD), there is a growing interest in understanding the potential cardiovascular benefits associated with these phytochemical compounds. Gut microbiota may play a key role in mediating the effects of isoflavones on vascular and endothelial functions, as it is directly implicated in isoflavones metabolism. The findings from randomized clinical trials indicate that isoflavone supplementation may exert putative effects on vascular biomarkers among healthy individuals, but not among patients affected by cardiometabolic disorders. These results might be explained by the enzymatic transformation to which isoflavones are subjected by the gut microbiota, suggesting that a diverse composition of the microbiota may determine the diverse bioavailability of these compounds. Specifically, the conversion of isoflavones in equol—a microbiota-derived metabolite—seems to differ between individuals. Further studies are needed to clarify the intricate molecular mechanisms behind these contrasting results.

Producción Científica

Samuele Laudani mail , Justyna Godos mail , Giovanni Luca Romano mail , Lucia Gozzo mail , Federica Martina Di Domenico mail , Irma Dominguez Azpíroz mail irma.dominguez@unini.edu.mx, Raquel Martínez Díaz mail raquel.martinez@uneatlantico.es, Francesca Giampieri mail francesca.giampieri@uneatlantico.es, José L. Quiles mail jose.quiles@uneatlantico.es, Maurizio Battino mail maurizio.battino@uneatlantico.es, Filippo Drago mail , Fabio Galvano mail , Giuseppe Grosso mail ,

Laudani

en

close

Synthesis and characterizations of super adsorbent hydrogel based on biopolymer, Guar Gum-grafted-Poly (hydroxyethyl methacrylate) (Gg-g-Poly (HEMA)) for the removal of Bismarck brown Y dye from aqueous solution

Chemical modification of guar gum was done by graft copolymerization of monomer hydroxyethyl methacrylate (HEMA) using azobisisobutyronitrile (AIBN) as initiator. Optimal reaction parameters were settled by varying one reaction condition and keeping the other constant. The optimum reaction conditions worked out were solvent system: binary, [H2O] = 15.00 mL, [acetone] = 5.00 mL, [HEMA] = 82.217× 10−2 mol/L, [AIBN] = 3.333 × 10−2 mol/L, reaction time = 3 h, reaction temperature = 60 °C on to 1.00 g guar gum with Pg = 1694.6 and %GE = 68,704.152. Pure guar gum polymer and grafts were analyzed by several physicochemical investigation techniques like FTIR, SEM, XRD, EDX, and swelling studies. Percent swelling of the guar gum polymer and grafts was investigated at pH 2.2, 7.0, 7.4 and 9.4 concerning time. The finest yield of Ps was recorded at pH 9.4 with time 24 h for graft copolymer. Guar gum and grafted samples were explored for the sorption of toxic dye Bismarck brown Y from the aqueous solution with respect to variable contact time, pH, temperature and dye concentration so as to investigate the stimuli responsive sorption behaviour. Graft copolymers showed better results than guar gum with percent dye uptake (Du) of 97.588 % in 24 h contact time, 35 °C temperature, 9.4 pH at 150.00 ppm dye feed concentration as compared to Guar gum which only showed 85.260 % dye uptake at alike dye fed concentration. The kinetic behaviour of the polymeric samples was evaluated by applying many adsorption isotherms and kinetic models. The value of 1/n was between 0 → 1 showing that there was physisorption of the BB dye that took place on the surface of the polymers. Thermodynamics of BB Y adsorption onto hydrogels was investigated concerning the Van't Hoff equation. -∆G° values obtained from the curve proved the spontanity of the process. Within the context of adsorption efficiency, an investigation was conducted to examine the process of sorption of Bismarck brown Y dye from aqueous solutions. The graft copolymers demonstrated remarkable adsorption abilities, achieving a dye uptake (Du) of 97.588 % over a 24-h period at a temperature of 35 °C, pH level of 9.4, and a dye concentration of 150.00 ppm. The raised adsorption capacity was additionally corroborated by the application of several adsorption isotherms and kinetic models, which indicated that physisorption is the prevailing process/mechanism. Additionally, the thermodynamic research, utilising the Van't Hoff equation, validated the spontaneity of the adsorption phenomenon, as evidenced by the presence of a negative ∆G° values. The thermodynamic analysis revealed herein establishes a strong scientific foundation for the effectiveness of adsorbent composed of graft copolymers based on guar gum. The research conclude the efficiency of the guar gum based grafted copolymers for the water remediation as efficient adsorbents. The captured dye can be re-utilised and the hydrogels can be used for the same purpose in number of cycles.

Producción Científica

Lalita Chopra mail , Anika Sharma mail , Jasgurpreet Singh Chohan mail , Viyat Varun Upadhyay mail , Rajesh Singh mail , Shubham Sharma mail , Shashi Prakash Dwivedi mail , Abhinav Kumar mail , Elsayed M. Tag-Eldin mail ,

Chopra

<a class="ep_document_link" href="/10556/1/peerj-cs-1697.pdf"><img class="ep_doc_icon" alt="[img]" src="/style/images/fileicons/text.png" border="0"/></a>

en

open

Analyzing patients satisfaction level for medical services using twitter data

Public concern regarding health systems has experienced a rapid surge during the last two years due to the COVID-19 outbreak. Accordingly, medical professionals and health-related institutions reach out to patients and seek feedback to analyze, monitor, and uplift medical services. Such views and perceptions are often shared on social media platforms like Facebook, Instagram, Twitter, etc. Twitter is the most popular and commonly used by the researcher as an online platform for instant access to real-time news, opinions, and discussion. Its trending hashtags (#) and viral content make it an ideal hub for monitoring public opinion on a variety of topics. The tweets are extracted using three hashtags #healthcare, #healthcare services, and #medical facilities. Also, location and tweet sentiment analysis are considered in this study. Several recent studies deployed Twitter datasets using ML and DL models, but the results show lower accuracy. In addition, the studies did not perform extensive comparative analysis and lack validation. This study addresses two research questions: first, what are the sentiments of people toward medical services worldwide? and second, how effective are the machine learning and deep learning approaches for the classification of sentiment on healthcare tweets? Experiments are performed using several well-known machine learning models including support vector machine, logistic regression, Gaussian naive Bayes, extra tree classifier, k nearest neighbor, random forest, decision tree, and AdaBoost. In addition, this study proposes a transfer learning-based LSTM-ETC model that effectively predicts the customer’s satisfaction level from the healthcare dataset. Results indicate that despite the best performance by the ETC model with an 0.88 accuracy score, the proposed model outperforms with a 0.95 accuracy score. Predominantly, the people are happy about the provided medical services as the ratio of the positive sentiments is substantially higher than the negative sentiments. The sentiments, either positive or negative, play a crucial role in making important decisions through customer feedback and enhancing quality.

Producción Científica

Muhammad Usman mail , Muhammad Mujahid mail , Furqan Rustam mail , Emmanuel Soriano Flores mail emmanuel.soriano@uneatlantico.es, Juan Luis Vidal Mazón mail juanluis.vidal@uneatlantico.es, Isabel de la Torre Díez mail , Imran Ashraf mail ,

Usman

<a class="ep_document_link" href="/10840/1/nutrients-16-00282-v2.pdf"><img class="ep_doc_icon" alt="[img]" src="/style/images/fileicons/text.png" border="0"/></a>

en

open

Mediterranean Diet and Sleep Features: A Systematic Review of Current Evidence

The prevalence of sleep disorders, characterized by issues with quality, timing, and sleep duration is increasing globally. Among modifiable risk factors, diet quality has been suggested to influence sleep features. The Mediterranean diet is considered a landmark dietary pattern in terms of quality and effects on human health. However, dietary habits characterized by this cultural heritage should also be considered in the context of overall lifestyle behaviors, including sleep habits. This study aimed to systematically revise the literature relating to adherence to the Mediterranean diet and sleep features in observational studies. The systematic review comprised 23 reports describing the relation between adherence to the Mediterranean diet and different sleep features, including sleep quality, sleep duration, daytime sleepiness, and insomnia symptoms. The majority of the included studies were conducted in the Mediterranean basin and reported a significant association between a higher adherence to the Mediterranean diet and a lower likelihood of having poor sleep quality, inadequate sleep duration, excessive daytime sleepiness or symptoms of insomnia. Interestingly, additional studies conducted outside the Mediterranean basin showed a relationship between the adoption of a Mediterranean-type diet and sleep quality, suggesting that biological mechanisms sustaining such an association may exist. In conclusion, current evidence suggests a relationship between adhering to the Mediterranean diet and overall sleep quality and different sleep parameters. The plausible bidirectional association should be further investigated to understand whether the promotion of a healthy diet could be used as a tool to improve sleep quality.

Producción Científica

Justyna Godos mail , Raffaele Ferri mail , Giuseppe Lanza mail , Filippo Caraci mail , Angel Olider Rojas Vistorte mail angel.rojas@uneatlantico.es, Vanessa Yélamos Torres mail vanessa.yelamos@funiber.org, Giuseppe Grosso mail , Sabrina Castellano mail ,

Godos