| dc.creator | Herrera Materan, Osiris | |
| dc.date | 2023-02-13T16:21:18Z | |
| dc.date | 2023-02-13T16:21:18Z | |
| dc.date | 2022-10 | |
| dc.date.accessioned | 2023-07-13T15:10:53Z | |
| dc.date.available | 2023-07-13T15:10:53Z | |
| dc.identifier | Herrera Materan, Osiris (2022) Estimulación de la movilidad y la motilidad del Sistema Visceral en el Postoperatorio de Cirugía Abdominal. Trabajo Especial de Grado que se presenta para optar al título de especialista en Medicina Física y Rehabilitación en la Facultad de Medicina de la UCV. Tutor: Esp. Marval, Belkis | |
| dc.identifier | http://hdl.handle.net/10872/21977 | |
| dc.identifier.uri | https://repositorioslatinoamericanos.uchile.cl/handle/2250/7422500 | |
| dc.description | Evaluar la eficacia del protocolo modificado de KABAT – ADLER, como técnica que favorece la movilidad y motilidad del sistema visceral en pacientes sometidos a cirugía abdominal atendidos en el servicio de hospitalización de cirugía general del Hospital Militar Dr. Carlos Arvelo en el periodo comprendido entre julio y octubre de 2018. Método: se trata de un estudio de tipo descriptivo y de nivel comparativo, con un diseño longitudinal y prospectivo. La muestra fue no probabilística intencional, estuvo comprendida por 40 pacientes sometidos a cirugía abdominal laparoscópica o abierta. Se dividieron en 2 grupos por azar simple, en el grupo experimental se realizaron 6 ejercicios basados en el método Kabat, de facilitación neuromuscular propioceptiva y el otro fungirá como control, y se evaluó la progresión en las primeras 96hs del postoperatorio, en lo referente a flatos, eructos, deposiciones y el inicio de la deambulación. Resultados: en lo correspondiente al dolor, la intensidad del dolor fue disminuyendo progresivamente en ambos grupos de estudio, sin embargo, en el grupo experimental la disminución fue estadísticamente significativa en los diferentes días (p <0,05) y contundente en cuanto a proporción hasta el 4to día. En el grupo experimental, proporcionalmente la cantidad de flatos, eructos y deposiciones aumentaron conforme se avanzaban los días de estimulación. Todo se corroboró cuando las medianas de flatos y de eructos aumentaron desde el primer día al 4to día del protocolo, siendo estas diferencias estadísticamente significativas (p < 0,05). De igual forma, se encontró una diferencia estadísticamente significativa en cuanto al porcentaje de pacientes con dos deposiciones al primer día con respecto al 4to día (p<0,05). El íleo operatorio solo estuvo presente en el grupo control, siendo esta asociación estadísticamente significativa entre la presencia de íleo postoperatorio según los grupos de estudio, (p < 0,05) pues los únicos casos de esta complicación fueron del grupo donde no se realizó el protocolo (grupo control).El promedio de inicio fue menor en el grupo experimental, siendo esta diferencia estadísticamente significativa entre los grupos de estudio (p < 0,05). | |
| dc.description | To evaluate the efficacy of the modified protocol of KABAT - ADLER, as a technique that favors the mobility and motility of the visceral system in patients undergoing abdominal surgery treated in the general surgery hospitalization service of the Dr. Carlos Arvelo Military Hospital in the advanced period between July and October 2018. Method: this is a descriptive and comparative study, with a longitudinal and prospective design. The sample was intentional non-probabilistic, it was comprised of 40 patients undergoing laparoscopic or open abdominal surgery. They were divided into 2 groups by simple chance, in the experimental group 6 exercises were performed based on the Kabat method, of proprioceptive neuromuscular facilitation and the other will serve as a control, and the progression was evaluated in the first 96 hours postoperatively, regarding flatus, belching, stools and the beginning of ambulation. Results: Regarding pain, the intensity of the pain progressively decreased in both study groups, however, in the experimental group the decrease was statistically significant on the different days (P < 0.05) and forceful in proportion until the 4th day. In the experimental group, proportionally the amount of flatus, eructations and stools increased as the days of stimulation progressed. Everything was corroborated when the median flatus and belching increased from the first day to the 4th day of the protocol, these differences being statistically significant (P < 0.05). Similarly, a statistically significant difference was found in the percentage of patients with two stools on the first day compared Objective: To evaluate the efficacy of the modified protocol of KABAT - ADLER, as a technique that favors the mobility and motility of the visceral system in patients undergoing abdominal surgery treated in the general surgery hospitalization service of the Dr. Carlos Arvelo Military Hospital in the advanced period between July and October 2018. Method: this is a descriptive and comparative study, with a longitudinal and prospective design. The sample was intentional non-probabilistic, it was comprised of 40 patients undergoing laparoscopic or open abdominal surgery. They were divided into 2 groups by simple chance, in the experimental group 6 exercises were performed based on the Kabat method, of proprioceptive neuromuscular facilitation and the other will serve as a control, and the progression was evaluated in the first 96 hours postoperatively, regarding flatus, belching, stools and the beginning of ambulation. Results: Regarding pain, the intensity of the pain progressively decreased in both study groups, however, in the experimental group the decrease was statistically significant on the different days (P < 0.05) and forceful in proportion until the 4th day. In the experimental group, proportionally the amount of flatus, eructations and stools increased as the days of stimulation progressed. Everything was corroborated when the median flatus and belching increased from the first day to the 4th day of the protocol, these differences being statistically significant (P < 0.05). Similarly, a statistically significant difference was found in the percentage of patients with two stools on the first day compared to the 4th day (P<0.05). Operative ileus was only present in the control group, this association being statistically significant between the presence of postoperative ileus according to the study groups, (P < 0.05) since the only cases of this complication were from the group where the operation was not performed. protocol (control group). The starting average was lower in the experimental group, this difference being statistically significant between the study groups (P < 0.05). | |
| dc.language | es | |
| dc.subject | Cirugía abdominal | |
| dc.subject | método Kabat | |
| dc.subject | Post operatorio | |
| dc.subject | movilidad visceral. | |
| dc.title | Estimulación de la movilidad y la motilidad del Sistema Visceral en el Postoperatorio de Cirugía Abdominal | |
| dc.type | Thesis | |
