1
tesis de grado
Publicado 2019
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La presente investigación es de tipo descriptivo comparativo con diseño no experimenta cuyo objetivo principal es conocer la prevalencia de Blues Materno en puérperas de un Instituto Nacional Materno de Lima Metropolitana. En este estudio participaron 100 puérperas en su tercer día después de dar a luz por parto vaginal, entre las edades de 18 a 41 años. Se empleó como instrumento la Escala de Blues Materno de Lima (EBML) para medir la prevalencia del Nivel de riesgo de Blues materno, y se empleó también una ficha sociodemográficas para recoger variables de interés. Los resultados indicaron que existe una prevalencia del 63% de Riesgo de Blues Materno en las puérperas evaluadas; las madres adolescentes son quienes tuvieron una mayor tendencia a contar con riesgo de Blues Materno, entre los hallazgos se encontró también que el Blues Materno cuenta con mayor incidencia en pu...
2
artículo
Publicado 2022
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Objetivo. Determinar los factores que se encuentran asociados al trastorno de adaptación en pacientes hospitalizadas en zonas de aislamiento COVID-19 en el Instituto Nacional Materno Perinatal, durante el 2020 y 2021. Materiales y Métodos. Esta investigación corresponde a un estudio analítico, observacional, de tipo casos y controles, donde se recopilará las historias clínicas de pacientes gestante y puérperas atendidas por el servicio de psicología en zonas de aislamiento, quienes presentaron trastorno de adaptación y que cumplan los criterios de inclusión y exclusión. Se realizó el análisis de frecuencias y porcentajes de las diferentes variables, y un análisis multivariado para encontrar los factores significativos (p<0.05) y el calculo de los Odds Ratio (OR) con un nivel de confianza del 95%, este modelo se evaluado mediante una regresión logística múltiple. Resul...
3
artículo
Publicado 2022
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Objetivo. Determinar los factores que se encuentran asociados al trastorno de adaptación en pacientes hospitalizadas en zonas de aislamiento COVID-19 en el Instituto Nacional Materno Perinatal, durante el 2020 y 2021. Materiales y Métodos. Esta investigación corresponde a un estudio analítico, observacional, de tipo casos y controles, donde se recopilará las historias clínicas de pacientes gestante y puérperas atendidas por el servicio de psicología en zonas de aislamiento, quienes presentaron trastorno de adaptación y que cumplan los criterios de inclusión y exclusión. Se realizó el análisis de frecuencias y porcentajes de las diferentes variables, y un análisis multivariado para encontrar los factores significativos (p<0.05) y el calculo de los Odds Ratio (OR) con un nivel de confianza del 95%, este modelo se evaluado mediante una regresión logística múltiple. Resul...
4
artículo
Publicado 2023
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Objective: To determine the influence of a brief stress reduction program in health workers of the National Maternal and Perinatal Institute during the COVID-19 pandemic. Materials and Methods: This research corresponds to a quasi-experimental study, which consist of the elaboration and application of a brief stress reduction program in workers of the Puericulture area of the INMP. The population consisted of 45 workers, 30 of whom complied with the inclusion criteria for the pilot study, from which a sample of 15 participants was distributed, by convenience, for the experimental group and 15 for the control group. The Depression, Anxiety and Stress Scale (Dass21) was applied at the beginning of the investigation and after concluding the program. The analysis of frequencies and percentages of the variable, analysis of adjusted goodness of fit to the normal curve, and Student's t-tests fo...
5
artículo
Publicado 2023
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Objective: To determine the influence of a brief stress reduction program in health workers of the National Maternal and Perinatal Institute during the COVID-19 pandemic. Materials and Methods: This research corresponds to a quasi-experimental study, which consist of the elaboration and application of a brief stress reduction program in workers of the Puericulture area of the INMP. The population consisted of 45 workers, 30 of whom complied with the inclusion criteria for the pilot study, from which a sample of 15 participants was distributed, by convenience, for the experimental group and 15 for the control group. The Depression, Anxiety and Stress Scale (Dass21) was applied at the beginning of the investigation and after concluding the program. The analysis of frequencies and percentages of the variable, analysis of adjusted goodness of fit to the normal curve, and Student's t-tests fo...
6
artículo
Publicado 2024
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Adenomyosis, initially defined by Cullen in 1908 and distinguished from other types of endometriosis by Sampson in 1921,has seen significant improvements in its diagnosis thanks to advances in ultrasound and magnetic resonance imaging(MRI), which have increased its detected incidence. Since its introduction in the 1980s, ultrasound technology has evolvedwith high-resolution endocavitary transducers and 3D ultrasound, allowing for detailed assessment of the disease, especially in the endometrial junction zone. Although MRI offers higher resolution images, studies have shown little significantdifference in diagnostic value between the two techniques for adenomyosis, positioning ultrasound as a valuable initialdiagnostic tool due to its safety, low cost, and availability. Ultrasonographic criteria for diagnosis include the identificationof hyperechoic nodules, myometrial cysts, and alterati...
7
artículo
Publicado 2024
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Introduction: Hypertensive disorders during pregnancy affect both the physical and psychological health of patients, potentially influencing their post-traumatic growth. Objective: To evaluate an explanatory model that relates post-traumatic growth to anxiety, emotion-focused coping strategies, and irrational beliefs in patients with preeclampsia and hypertension. Methods: A cross sectional, explanatory correlational study conducted with 351 women treated at the National Maternal Perinatal Institute in 2023. The Post-Traumatic Growth Scale, Generalized Anxiety Disorder Scale (GAD-7), Brief Irrational Beliefs Questionnaire, and Reduced Coping Strategies Inventory (CSI-COPE) were applied. A structural equation model was used to analyze the relationship between variables. Results: The mean age was 30.01 years. The best-fitting model (Chi²=347.043; DF=292; p<0.015; CFI=0.961; TLI=0.957; ...
8
artículo
Publicado 2024
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Objetivo. Evaluar los resultados de un programa para la mejora de la calidad de vida en pacientes oncológicas del ¨Club de la mama¨ atendidas en el INMP (2023). Materiales y Métodos. Esta investigación corresponde a un estudio piloto con un análisis cuasiexperimental, el cual consiste en la aplicación de un programa para la mejora de la calidad de vida en pacientes oncológicas atendidas durante el 2023, se utilizó el total de la población, 7 participantes, con edades entre los 41 y 71 años (media=60.25), aplicándose la totalidad del programa (36 sesiones, 9 meses). Se utilizó la escala de Calidad de Vida (QLQ-30), Ansiedad (GAD-7), Depresión (PHQ-9) y Estrés (PSS-10) en 4 momentos, antes de iniciar el programa (pretest), luego de 3 meses (control 1), posterior a 6 meses (control 2) y por último luego de la aplicación total del programa, 9 meses (control 3). Se realizo el...
9
artículo
Publicado 2024
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Introducción: Los trastornos hipertensivos en el embarazo afectan la salud física y psicológica de las pacientes, pudiendo influir en su crecimiento postraumático. Objetivo: Evaluar un modelo explicativo que relaciona el crecimiento postraumático con la ansiedad, las estrategias de afrontamiento enfocadas en la emoción y las ideas irracionales en pacientes con preeclampsia e hipertensión. Métodos: Estudio correlacional explicativo y transversal realizado con 351 mujeres atendidas en el Instituto Nacional Materno Perinatal durante 2023. Se aplicaron la Escala de Crecimiento Postraumático, la Escala de Ansiedad Generalizada (GAD-7), el Cuestionario Breve de Ideas Irracionales y la Escala Reducida de Afrontamiento al Estrés (CSI-COPE). Se utilizó un modelo de ecuaciones estructurales para analizar la relación entre variables. Resultados: La media de edad fue de 30,01 años. El m...
10
artículo
Publicado 2023
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Objective: To determine the factors associated with hyperemesis gravidarum and acute stress reaction in pregnant women with hyperemesis gravidarum hospitalized at the National Maternal Perinatal Institute during 2021. Materials and Methods: This research corresponds to an analytical, observational, case-control study, where the medical records of pregnant patients hospitalized for hyperemesis gravidarum attended by the psychology service who presented an acute stress reaction meeting the inclusion and exclusion criteria were collected. An analysis of frequencies and percentages of the different variables and a multivariate analysis were performed to find the significant factors (p<0.05) and the calculation of the Odds Ratio (OR) with a confidence level of 95%; this model was evaluated using multiple logistic regression. Results: A relationship was found between pregnancy planning (p&l...
11
artículo
Publicado 2024
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Objective. To determine the characteristics of antibiotic prescriptions in pregnant women attended at the National Maternal Perinatal Institute (INMP) from July 2019 to June 2021. Materials and Methods. This is a quantitative, descriptive,retrospective, cross-sectional study. A data collection form was applied to gather variables related to antibiotic prescriptions, and the data were entered into a Microsoft Excel database for analysis using SPSS software. Results. The studyevaluated antibiotic prescriptions in 328 pregnant women, accounting for 10.87% of the total population. The majority (65%) were prescribed a single antibiotic. Urinary tract infections (37.80%) and preoperative antibiotic prophylaxis(54.27%) were the main reasons for prescriptions. Beta-lactams were the most prescribed group (84.14%), followed bylincosamides (14.93%). Most prescriptions were made in the third trimest...
12
artículo
Publicado 2023
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Objective: To determine the factors associated with hyperemesis gravidarum and acute stress reaction in pregnant women with hyperemesis gravidarum hospitalized at the National Maternal Perinatal Institute during 2021. Materials and Methods: This research corresponds to an analytical, observational, case-control study, where the medical records of pregnant patients hospitalized for hyperemesis gravidarum attended by the psychology service who presented an acute stress reaction meeting the inclusion and exclusion criteria were collected. An analysis of frequencies and percentages of the different variables and a multivariate analysis were performed to find the significant factors (p<0.05) and the calculation of the Odds Ratio (OR) with a confidence level of 95%; this model was evaluated using multiple logistic regression. Results: A relationship was found between pregnancy planning (p&l...
13
artículo
Publicado 2023
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Objective. To describe the psychological, social and gynecological characteristics of patients with gestational loss seen at the Instituto Nacional Materno Perinatal (2022). Materials and Methods. This research corresponds to a retrospective descriptive observational study, in which 176 clinical histories of patients with gestational losses during the year 2022 attended by the psychology service who met the inclusion and exclusion criteria were collected. An analysis of frequencies and percentages of the different variables was performed in order to meet the research objectives. Results. The average age of the patients was 30 years (min: 18 years and max: 46 years), with a mean of 2.64 gestations in the sample, a minimum of 0 and a maximum of 4 gestational losses. Fetal death (65.34%) was the most frequent diagnosis of fetal death. All the patients presented a psychological disorder, wit...
14
artículo
Publicado 2024
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Objective. To determine the characteristics of antibiotic prescriptions in pregnant women attended at the National Maternal Perinatal Institute (INMP) from July 2019 to June 2021. Materials and Methods. This is a quantitative, descriptive,retrospective, cross-sectional study. A data collection form was applied to gather variables related to antibiotic prescriptions, and the data were entered into a Microsoft Excel database for analysis using SPSS software. Results. The studyevaluated antibiotic prescriptions in 328 pregnant women, accounting for 10.87% of the total population. The majority (65%) were prescribed a single antibiotic. Urinary tract infections (37.80%) and preoperative antibiotic prophylaxis(54.27%) were the main reasons for prescriptions. Beta-lactams were the most prescribed group (84.14%), followed bylincosamides (14.93%). Most prescriptions were made in the third trimest...