Examinando por Autor "Durán Parra, Myriam"

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    Contribuciones al desarrollo de la investigación en enfermería : Retos y perspectivas
    (2012-01) Durán Parra, Myriam; Cañón Montañez, Wilson; Barajas Blanco, Alexandra Marieth
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    Costos derivados de la atención a pacientes con enfermedad crónica no transmisible
    (2014-07-01) Campos de Aldana, María-Stella; Durán Parra, Myriam; Solano Aguilar, Sonia; Moya Plata, Delia; Arboleda de Pérez, Ligia-Betty; Durán Niño, Erika-Yurley; Mendoza Matajira, Julieth-Dayana
    Background: Chronic noncommunicable diseases are the leading cause of morbidity and mortality worldwide. Similar behavior occurs in Colombia as in Santander. Cardiovascular diseases in 2010 claimed the lives of 1527 women and 1634 men ; followed by neoplasms, especially the localization of malignant tumors that killed 727 women and 755 men, these results are reflected in the high cost required for inpatient , outpatient and home care so requires dedication , education and individualized care. Methods: A search of articles were given at time of publication and keyword; in databases: MEDLINE, IME, LILACS, Iberoamerican Cochrane Centre, EMBASE, CINAHL, BDIE in the first half of 2013. By identifying 55 potential studies, of which six articles of behavior of costs of care were selected patients with chronic non- communicable diseases; it should include direct information was obtained by some institutions Bucaramanga, which shows the behavior of costs compared to nursing care and internally each institution not only the health system but patients and family caregivers. Results: Chronic illness generates most of the costs the health system, a situation to consider; and effective care for the care of patients who have already been affected. Conclusions: Health System must implement preventive strategies for the appearance of Chronic Non Communicable (ECNT) and complications arising from them, by providing effective care for the care of individuals.
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    Efectividad de una intervención educativa de enfermería sobre la habilidad del cuidado y carga del cuidador familiar de pacientes con enfermedad crónica no transmisible. Ensayo clínico controlado aleatorizado de tipo preventivo.
    (2019-01) Durán Parra, Myriam; Torres Contreras, Claudia-Consuelo; Arboleda de Pérez, Ligia-Betty; Rivera Carvajal, Raquel; Franco Muñoz, Sherlly F.; Santos Rincón, Jenny M.
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    Eficacia de la intervención de enfermería : Mejorar la comunicación - déficit visual, en escolares de un instituto de educación primaria del sector público en Bucaramanga
    (2012-01) Campos de Aldana, María-Stella; Cañón Montañez, Wilson; Moya Plata, Delia; Durán Parra, Myriam; Amin Madera, Alba Luz; Chinchilla Meza, Jeimy Catalina; Noriega Pacheco, Mayeli Esperanza
    Introduction: The visual disturbances have been consolidated as a public health problem in the countries of Latin America and the Caribbean, which mainly affects the child population as evidenced by its impact on the components personal, academic and social.Objective: To evaluate the efficacy of nursing intervention by the label Risk Control: Visual Impairment to school children with disorder diagnosis visual perception. Materials and Methods: A controlled clinical trial. Assessment was made of the label control of risk: Visual Impairment of the classification of results of nursing. We calculated a sample size of 70 students showing a 1:1 ratio between taxable intervention group and control group subjects. The effect of intervention was evaluated by analysis of covariance (ANCOVA). Results: We found a difference delta of 0.51 (95% CI: 0.40 -0.62, p<0.01) and increased last evaluation 0.57 (95% CI 0.48 - 0.65, p<0.01) in the control of visual impairment risk in the intervention group. Discussion and Conclusions: The nursing intervention to “improve communication – visual deficit” is effective for the nursing diagnosis of disorder visual sensory perception in children enrolled in school.
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    Entrevista percepción de carga del cuidado de Zarit : Pruebas psicométricas para Colombia
    (2015-09) Barreto Osorio, Ruth Vivian; Campos-de Aldana, María Stella; Carrillo González, Gloria Mabel; Coral Ibarra, Rosa del Carmen; Chaparro Díaz, Lorena; Durán Parra, Myriam; Rosales Jiménez, Rosario; Ortiz Nievas, Vilma Tamara
    Objetivo: determinar la validez y confiabilidad de la Entrevista de Percepción de Carga del Cuidado de Zarit, versión de 22 ítems en español, con cuidadores familiares de personas con enfermedades crónicas en Colombia. Materiales y métodos: estudio metodológico de corte transversal, con 652 cuidadores familiares de personas con enfermedades crónicas, residentes en las cinco regiones de Colombia, con el fin de establecer la validez de constructo, con un análisis factorial y la confiabilidad a través de la consistencia interna determinando el alfa de Cronbach. Resultado: respecto a la validez de constructo, el estudio reporta a partir de la asociación libre de la rotación Varimax la carga total, y en sus dimensiones que incluyen carga interpersonal, impacto del cuidado, y las competencias y expectativas sobre el cuidado. Las cargas factoriales corresponden a los ítems planteados para medir cada una de las dimensiones propuestas. Conclusión: el instrumento Entrevista de Percepción de Carga del Cuidado de Zarit, versión de 22 ítems en español, es una herramienta de fácil aplicación y comprensión en población colombiana de diferente nivel educativo, socioeconómico y cultural; además, mostró ser válido y confiable para evaluar la carga del cuidado en cuidadores familiares de personas con enfermedad crónica.
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    Entrevista Percepción de Carga del Cuidado de Zarit: Pruebas psicométricas para Colombia
    (2015-03-11) Barreto Osorio, Ruth Vivian; Campos de Aldana, María-Stella; Carrillo González, Gloria Mabel; Coral Ibarra, Rosa del Carmen; Chaparro Díaz, Lorena; Durán Parra, Myriam; Rosales Jiménez, Rosario; Ortiz Nievas, Vilma Tamara
    Objective: This research was designed to determine the validity and reliability of the Zarit Burden Interview, specifically the 22-item Spanish version, as an instrument to measure the burden of care perceived by family caregivers of patients in Colombia with chronic diseases. Materials and Methods: A cross-sectional study of 652 family caregivers of patients with chronic diseases who reside in five regions of Colombia was conducted to establish construct validity, with a factor analysis and internal consistency reliability measured by determining the Cronbach’s alpha value. Result: In terms of construct validity, the study reports the total loading, based on free association of a varimax rotation, and in the dimensions that include interpersonal burden, impact of care, and skills and expectations about care. The factor loadings pertain to the items introduced to measure each of the proposed dimensions. Conclusion: The results showed the 22-item Spanish version of the Zarit Burden Interview is an instrument that can be applied and understood easily in a Colombian population with different educational, socio-economic and cultural levels. It also proved to be valid and reliable for assessing the burden of care perceived by family caregivers of patients with chronic diseases.
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    Factores psicosociales asociados al consumo de sustancias psicoactivas en estudiantes de la facultad de ciencias de la salud de la Universidad de Santander UDES. Bucaramanga
    (Bucaramanga : Universidad de Santander, 2017, 2017-09-11) Blanco Guerrero, Luz E.; Páez Esteban, Astrid-Nathalia; Durán Parra, Myriam
    El presente estudio analiza la situación del consumo de sustancias psicoactivas (SPA) como primer abordaje, para proponer medidas y lineamientos preventivos. Como objetivo general plantea determinar los factores psicosociales asociados al consumo de SPA los jóvenes de la Facultad de Ciencias de la Salud de la Universidad de Santander. Se realiza un estudio de corte transversal analítico, con abordaje cuantitativo. La población de estudio son 748 estudiantes de la facultad de ciencias de la salud de la UDES. Se utilizó un cuestionario de medición de factores de riesgo y de protección para el consumo de drogas desarrollado y validado por Salazar en el 2006. Se realizó un análisis univariado, bivariado y multivariado de regresión logística binomial en el software estadístico SPSS. Como resultados destacados se obtuvieron: El alcohol es la sustancia que más se consume, 81%. La marihuana registra un consumo del 25%, opiáceos 4.3%, cocaína 5.8% y alucinógenos 9.5%. La edad promedio de consumo de todas las sustancias están entre 18 y 21 años. Se encontró relación del factor 2 como protector (RP=0.82, IC 95% de 0.73 a 0.92) y factor 3 como de riesgo (RP=2.03, IC 95% de 1.5 a 2.76) respecto al consumo de alcohol. En el caso de Tabaco se identificaron como factores de riesgo el 3, 4 y 5, para Marihuana el factor 5 deberá considerarse de riesgo (RP=1.84, IC 95% de 1.00 a 3.37). Discusión: El consumo de sustancias psicoactivas ha venido en incremento entre los jóvenes universitarios. El acompañamiento de la familia y la intervención de las universidades son factor importante para la promoción de la salud y la prevención del consumo en jóvenes. Se logró describir la frecuencia del consumo de SPA, Identificar los factores psicosociales de riesgo y protectores y proponer estrategias de gestión psico-educativas que posibiliten la promoción y prevención.
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    Habilidad de cuidado y sobrecarga en cuidadores familiares de personas con enfermedad crónica
    (2016) Carreño Moreno, Sonia; Barreto Osorio, Ruth Vivian; Durán Parra, Myriam; Támara Ortiz, Vilma; Romero, Elizabeth
    Introduction: Caregiver burden has proved to be a variable that is related to gender factors, the functionality of the care recipient, the time spent on care, among others. Additional research to determine if the burden of care is related to the caring ability of the family caregiver is required. Objective: To determine the correlation between burden of care and caring in family caregivers of people with chronic illness and to compare that relationship in the different regions of Colombia. Methods: Quantitative study, with a correlational approach. The sample included 2040 caregivers of people with chronic illness of the Andean, Pacific, Caribbean and Amazon regions in Colombia. Informed consent process was performed. Data were collected with the Caring Ability Inventory of Nkonghoy and with the Zarit Caregiver Burden Interview. The statistical approach was done with the Spearman Rho test. Results : In Colombia and in its Amazonic and Pacific regions, a weak negative statistically significant correlation (p <0.01) was observed. In the Caribbean Region, a moderate and statistically significant negative correlation (p <0.01). In the Andean region, no connection between the ability of care and caregiver burden was found. Conclusion: A weak but statistically significant relationship between the ability of care and caregiver burden was found in Colombia, except in the Andean region were no correlation was founded. Interventions in strengthening the ability of care, could be useful in decreasing caregivers burden with care.
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    Prevalencia del consumo de sustancias psicoactivas en estudiantes universitarios de la salud y ciencias sociales
    (2012-01) Páez Esteban, Astrid-Nathalia; Solano Aguilar, Sonia; Durán Parra, Myriam; Mancilla, Deiby; Suárez, Enuar; Melgarejo, Paula; Flórez, Gustavo; Ortiz, Edna
    Introducción: La prevalencia de vida de alguna sustancia psicoactiva ilícita o lícita de uso indebido en estudiantes universitarios de Colombia es del 29.3%. Materiales y Métodos: Se condujo un estudio descriptivo de corte transversal, el tamaño de la muestra fue calculado por programa académico con una frecuencia esperada del 2%, error estándar del 0.5% y una confianza del 95%. Se empleó el cuestionario “factores de riesgo y de protección para el consumo de drogas en jóvenes” desarrollado por Varela Arévalo M.T. y colaboradores, del Grupo de investigación Psicología, Salud y Calidad de Vida de la Pontificia Universidad Javeriana Cali. Resultados: Se evaluaron 995 estudiantes de la Facultad de Salud y de Ciencias Sociales, 76.71% eran mujeres, la mediana de edad fue de 21 años, el 93.90% de los estudiantes eran solteros. Las sustancias psicoactivas de mayor consumo dado la prevalencia de vida fueron en orden: el alcohol 83.73%, tabaco 34.08%, marihuana 11.87%, alucinógenos 4.59% y cocaína 2.33%; además, con una prevalencia actual del 61.69%, 16.40%, 3.05%, 1.60% y 0.42% para cada sustancia, respectivamente. Los hombres presentan mayor prevalencia de consumo en la vida y actual de cigarrillo, marihuana, cocaína y alucinógenos que las mujeres, (valor de p<0.01). Dentro de los problemas provocados por el consumo de sustancias psicoactivas se destacan los interpersonales, conflictos personales, económicos, académicos y/o laborales. Discusión y Conclusiones: Es necesario desarrollar e implementar programas o estrategias de promoción de la salud mental y prevención del consumo de sustancias psicoactivas en los estudiantes universitarios, vinculando a bienestar universitario, con el propósito de evitar que la prevalencia del consumo aumente, afecte el proyecto de vida de los estudiantes y problemas biopsicosociales.
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    Self-Reported Prevalence of Chronic Non-Communicable Diseases in Relation to Socioeconomic and Educational Factors in Colombia: A Community-Based Study in 11 Departments
    (World Heart Federation, 2020-04-21) Camacho López, Paul Anthony; Gómez Arbeláez, Diego; Otero, Johanna; González-Gómez, Silvia; Molina, Dora I.; Sanchez, Gregorio; Arcos, Edgar; Narvaez, Claudia; García, Henry; Pérez, Maritza; Hernandez-Triana, Eric; Durán Parra, Myriam; Cure, Carlos; Sotomayor, Aristides; Rico, Alvaro; Cotes, Fresia; Rangarajan, Sumathy; Yusuf, Salim; Lopez-Jaramillo, Patricio; Everest
    Background: Chronic non-communicable diseases are prevalent conditions in developing countries, such as Colombia. Several socioeconomic and educational factors have been associated with these pathologies. However, there is little country-specific information regarding the self-reported prevalence of chronic diseases and their association with the aforementioned factors in Colombia. Objectives: To evaluate the current situation of chronic non-transmissible diseases in Colombia by self-report and to analyze its potential relationship with sociodemographic, economic and educational factors. Methods: This is a cross-sectional baseline sub-analysis from the prospective, standardized collaborative PURE study in Colombia. Participants were recruited between 2005 to 2009, in 11 departments of the country, and included 7,485 subjects of 35 to 70 years old. Questionnaires of self-reported chronic non-communicable diseases, and demographic, socioeconomic and educational variables were applied. Results: Hypertension was the most prevalent chronic condition reported with a prevalence of 22.2% (21.2%–23.1%, 95% CI), followed by diabetes with a prevalence of 5.7% (5.1%–6.2%, 95% CI), asthma 2.7% (2.2%–3.0%, 95% CI), coronary heart disease 2.4% (2.0%–2.7%, 95% CI), stroke and heart failure 1.5% (1.2%–1.8%, 95% CI) each, chronic obstructive pulmonary disease 1.2% (0.6%–1.5%, 95% CI), and cancer 1.2% (1.0%–1.5%, 95% CI). Among the study sample, 23.3% (22.4%–24.3%, 95% CI) reported having one chronic NCDs, and 6.4% (5.9%–7.0%, 95% CI) reported having multiple chronic NCDs. The prevalence of multiple NCDs increased significantly with age, was more common in those from households with higher income, whereas it was significantly lower in persons with high education. The central and central-east regions of the country are those with the higher prevalence of self-reported NCDs. Conclusion: The results of the current study indicate the presence of socioeconomic and educational inequalities in the distribution of chronic NCDs in the Colombian population.
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    Social disparities explain differences in hypertension prevalence, detection and control in Colombia
    (2016-08-12) Camacho López, Paul Anthony; Gómez Arbeláez, Diego; Molina, Dora I.; Sánchez Vallejo, Gregorio; Arcos, Edgar; Narvaez, Claudia; García, Henry; Pérez, Maritza; Hernández, Erick A.; Durán Parra, Myriam; Cure, Carlos; Sotomayor Rubio, Aristides; Rico, Alvaro; David Venegas, Tannia-Melissa; Cohen, Daniel Dylan; Rangarajan, Sumathy; Yusuf, Salim; Lopez-Jaramillo, Patricio
    Objective: Hypertension is the principal risk factor for cardiovascular diseases. The global Prospective Urban Rural Epidemiology study showed that the levels of awareness, treatment and control of this condition are very low worldwide and show large regional variations related to a country’s income index. The aim of the present analysis was to identify associations between sociodemographic, geographic, anthropometric, behavioral and clinical factors and the awareness, treatment and control of hypertension within Colombia – a high-middle income country which participated in the global Prospective Urban Rural Epidemiology study. Methods and results: The sample comprised 7485 individuals aged 35–70 years (mean age 50.8 years, 64% women). Mean SBP and DBP were 129.12 21.23 and 80.39 11.81 mmHg, respectively. The overall prevalence of hypertension was 37.5% and was substantially higher amongst participants with the lowest educational level, who had a 25% higher prevalence (<0.001). Hypertension awareness, treatment amongst those aware, and control amongst those treated were 51.9, 77.5 and 37.1%, respectively. The prevalence of hypertension was higher amongst those with a higher BMI (<0.001) or larger waist–hip ratio (<0.001). Being male, younger, a rural resident and having a low level of education was associated with significantly lower hypertension awareness, treatment and control. The use of combination therapy was very low (27.5%) and was significantly lower in rural areas and amongst those with a low income. Conclusion: Overall Colombia has a high prevalence of hypertension in combination with very low levels of awareness, treatment and control; however, we found large variations within the country that appear to be associated with sociodemographic disparities.
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    The spectrum of the dyslipidemia in Colombia. The PURE study
    (2019) Camacho López, Paul Anthony; Otero, Johanna; Pérez, Maritza; Arcos, Edgar; García, Henry; Narvaez, Claudia; Molina, Dora I.; Sánchez Vallejo, Gregorio; Durán Parra, Myriam; Cure, Carlos; Sotomayor Rubio, Aristides; Rico, Alvaro; Cotes, Fresia; Rangarajan, Sumathy; Yusuf, Salim; Cohen, Daniel Dylan; González Gómez, Silvia; Clausen, Christian; Lopez-Jaramillo, Patricio
    Background Dyslipidemia is a major risk factor for cardiovascular diseases (CVD). Worldwide, a third of ischemic heart disease is due to abnormal cholesterol levels and it is the most common cause of cardiovascular deaths in Colombia. In Colombia, no representative, large-scale study has assessed the prevalence of dyslipidemia. The aim of the present analysis was to identify the magnitude of the problem in Colombia, a middle-income-country with large regional, geographic, and socio-economical differences. Material and methods The sample comprised 6628 individuals aged 35 to 70 years (mean age 50.7 years, 64.1% women) residing in the four Colombian regions. Results The overall prevalence of dyslipidemia was 87.7% and was substantially higher among participants older than 50 years, male, rural residents, and those with a lower level of education (66.8%), and with a lower income (66.4%). High non HDL-c was the most common abnormality (75.3%). The values of total cholesterol and non-HDL-cholesterol were higher in areas with the lowest health needs index than in the areas with intermediate and highest health need index, the isolated HDL-c value was much lower. Conclusion Colombia has a high prevalence of abnormalities of the lipid profile. The causes of the high rates of dyslipidemia were not well define in this study, but were more common in rural and poorer regions and among those with lower socio-economical status. Strategies to tackle the adverse lipid profile to reduce CVD are needed in Colombia, particularly in rural areas and among the areas with the higher health need index.
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    Valores en los estudiantes de enfermería de la Universidad de Santander
    (2014-01) Durán Parra, Myriam
    This investigation was made to validate J. L. Valdez’s values instrument, “Ethical Values in Mexican Adolescents”. At the same time, we tried to describe the values of the nursery students of Universidad de Santander. This was a correlational methodological study, made in three different stages: the first one was the documental and conceptual revision on ethics and values; the second one, determined the validity y trustability of J. L. Valdez’s instrument; and on the third stage, the instrument was applied on the selected sample. The population and sample consisted on the students of the Nursing Program in Universidad de Santander. The results showed that there are different approaches and theoretical stances on the subject of values. Facial validity obtained a 100% acceptability; Content, obtained a general rate of 0.62 for pertinency and relevance (according to two of the experts); Construct, reached the four factors defined by J. L. Valdez’s theory: Affiliative, Religious, Personal Development and Normative Social; internal consistency was 0.88. The value for obedience was statisticallysignificative among first semesters students. As for genre, females received higher scores for God and Spirituality values. It is concluded that, despite the cultural differences, some values prevail without regard to this distinction, that is how the female population gave more importance to the ethical-moral factor. On the other hand, the test made on J.L. Valdez’s values instrument recommend its use on future investigations on this matter. According to the discussion held with the experts and the obtained data, ethical values present in nursery students of this educational institute are Obedience and Truth.