CASUS

11-27

Authors: Liset Alarcón Delgado; Yonathan Ortiz Montalvo

Objective: To determine the association of the individual factors and couple relationship with psychological violence in women in the last 10 years in Peru. Methodology: a secondary analysis of the Demographic and Family Health Survey (ENDES) was carried out from 2006 to 2015. For the bivariate analysis the Chi-square test was applied. Ordinal logistic regression was used to calculate Odds Ratio (OR) with 95% confidence intervals. Likewise, the Hosmer and Lemenshow test was used to estimate goodness of fit and ROC curves to evaluate the discriminant capacity of the associated factors. Results: The main factors associated with psychological violence were: having a history of physical violence from father to mother (OR: 1.45; 95% CI: 1.35-1.54), separated women (OR: 4.62; 95% CI: 4.20-5.09) And the pairs of women who become intoxicated frequently (OR: 12.2; 95% CI: 10.4-14.3). The area under the curve of the models were 0.595 (95% CI: 0.568-0.632) for the individual factors and 0.633 (95% CI: 0.601-0.664) for those of couple relationships. Conclusions: Factors related to the relationship (being separated, frequent drunkenness of the couple and those who married for the first time in adolescent age) increase the possibility of being victims of psychological violence. While being married, belonging to a high wealth index and having a higher education decrease that phenomenon.

37-46

Authors: Rhode Tolentino Cardozo; Katherine Ortiz Romaní

Objective: to evaluate the effect of the type of physical activity on the caloric expenditure of elderly. Materials and methods: the sample was 121 older adults of both sexes who attend the EsSalud Primary Care Center (CAP) III. The variables that were taken into account for the study were: caloric expenditure, physical activity and nutritional status. A descriptive-correlational analysis (Chi-square and ANOVA) and multiple linear regression were used. Results: when evaluating the nutritional status of the patients, according to the Mini-Nutritional Assessment test, 83.9% were normal and 16.1% showed a low risk of malnutrition. The Body Mass Index (BMI) was normal (36.4%) and overweight (36.4%). Practicing more hours per week of dance (R2=0.548) and walking (R2=0.332) influence the increase in caloric expenditure for men and women. This increase is intensified in adults who practice more than one activity. Conclusions:dance and walking are predictors of increased caloric expenditure in both sexes. Given these findings, the participation of older adults in various physical activities under the supervision and indication of health professionals is recommended in order to promote a healthy aging.

54-61

Authors: Yliana Ccarhuarupay Delgado; Karen Cruzado Flores

The objective was to analyze the strength of association between knowledge levels and biosafety practices in nursing graduates. The sample was 185 nursing graduates from two national hospitals in Lima. The variables of the study were: knowledge and practices on biosecurity. The goodness of fit of the Hosmer-Lemeshow test was used. Of the 185 nurses, 50.4% had a regular knowledge of biosecurity and 70.8% of them performed an appropriate biosecurity practice. There is a greater strength of association between good knowledge and appropriate biosafety practice of nurses compared to those with regular knowledge (OR:2.44). Regarding good knowledge of the biosecurity dimension was associated with an appropriate biosecurity practice (OR:4.38). Good knowledge of biosecurity influences the proper practice of biosecurity compared to regular knowledge. It promotes the development of guidelines of procedures on biosecurity measures according to the characteristics of the labor area. It is also recommended to encourage health facilities to use protective materials in order to effectively implement biosecurity measures.

71-79

Authors: Yudith Felipe de la Cruz

Pneumonia is the main cause of morbidity and mortality in children under five years of age. This study presents the case of a two-year-old preschooler who presented respiratory distress, ventilating with oxygen support by Three liters binaural cannula with a FiO2 of 32% with SatO2 99%, respiratory rate of 48 per minute, intercostal drawing, presence of rales to auscultation in both lung fields, hot skin and blushing cheeks with 38.7°C. After the assessment of the case, nursing care planning was carried out. Four real diagnoses were presented: "Ineffective respiratory pattern", "Hyperthermia", "Inefficient airway cleaning" and "Child anxiety". The care plan was carried out during the first days of preschool hospitalization using the 13 domain assessment model, selecting the positive and negative aspects of NANDA-I Taxonomy II and the classification of diagnoses, interventions and results of the Taxonomy II. It was concluded that through the nursing care plan the recovery of the respiratory pattern, hyperthermia and inefficient cleaning of the airways was achieved, and the child's anxiety was also reduced.