{"id":63996,"date":"2018-03-09T22:52:00","date_gmt":"2018-03-09T22:52:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/impacto-de-las-va%c2%adas-cla%c2%adnicas-sobre-tres-procesos-quirurgicos-de-alta-prevalencia-estudio-cuasiexperimental\/"},"modified":"2018-03-09T22:52:00","modified_gmt":"2018-03-09T22:52:00","slug":"impacto-de-las-va%c2%adas-cla%c2%adnicas-sobre-tres-procesos-quirurgicos-de-alta-prevalencia-estudio-cuasiexperimental","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/impacto-de-las-va%c2%adas-cla%c2%adnicas-sobre-tres-procesos-quirurgicos-de-alta-prevalencia-estudio-cuasiexperimental\/","title":{"rendered":"Impacto de las v\u00edas cl\u00ednicas sobre tres procesos quir\u00fargicos de alta preValencia. estudio cuasiexperimental."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Cristina Vali\u00f1o Fern\u00e1ndez <\/strong><\/h2>\n<p>Objetivo: evaluaci\u00f3n del impacto de la implantaci\u00f3n de v\u00edas cl\u00ednicas (vc) en los procesos asistenciales: cirug\u00eda del carcinoma de colon (cc), colecistectom\u00eda laparosc\u00f3pica (cl) y artroplastia de cadera (ac). material y m\u00e9todo: estudio cuasiexperimental. Se comparan 2 grupos de pacientes en cada uno de los 3 procesos estudiados. Periodo de tiempo: 1997-2003. El primero lo constituyen los pacientes intervenidos con anterioridad a la implantaci\u00f3n de la vc. Revisi\u00f3n retrospectiva de historias cl\u00ednicas. El segundo grupo corresponde a los pacientes intervenidos tras la implantaci\u00f3n de la vc. Recogida prospectiva de historias cl\u00ednicas. Se analiza: la calidad cient\u00edfico-t\u00e9cnica, efectividad cl\u00ednica y consumo de recursos. Tras la implantaci\u00f3n de la vc se midieron prospectivamente la calidad de vida y la satisfacci\u00f3n del paciente. resultados: n\u00famero de pacientes. En el primer grupo: cc:80, cl:102, ac:103 y en el segundo grupo cc:79, cl:110, ac:99. Se ha observado mejor\u00eda estad\u00edsticamente significativa en el consentimiento informado, profilaxis antibi\u00f3tica y tromboemb\u00f3lica, evaluaci\u00f3n anest\u00e9sica ambulatoria, disminuci\u00f3n de la estancia hospitalaria, disminuci\u00f3n del consumo de antibi\u00f3ticos. En el cc instauraci\u00f3n precoz de la alimentaci\u00f3n oral, menor uso de nutrici\u00f3n parenteral y sonda nasog\u00e1strica. No se ha observado mejor\u00eda significativa cl\u00ednica con excepci\u00f3n de un incremento de la infecci\u00f3n de la herida en el cc, explicable por un mejor registro de datos tras implantar las vc. Elevada satisfacci\u00f3n global en los 3 procesos. En la calidad de vida mejor\u00eda: cc:dolor corporal, salud mental, vitalidad y funci\u00f3n social, cl: en todas las \u00e1reas estudiadas, ac: en todas las \u00e1reas excepto en el rol emocional. conclusiones: la implantaci\u00f3n de las 3 vc ha producido una mejor\u00eda estad\u00edsticamente significativa en los aspectos relacionados con la calidad cient\u00edfico-t\u00e9cnica y consumo de recursos sin alterar la efectividad cl\u00ednica.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Impacto de las v\u00edas cl\u00ednicas sobre tres procesos quir\u00fargicos de alta preValencia. estudio cuasiexperimental.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Impacto de las v\u00edas cl\u00ednicas sobre tres procesos quir\u00fargicos de alta preValencia. estudio cuasiexperimental. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Cristina Vali\u00f1o Fern\u00e1ndez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 16\/04\/2008<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>L\u00f3pez Ruiz<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Luis Balibrea  cantero <\/li>\n<li>Javier Agull\u00f3 luc\u00eda (vocal)<\/li>\n<li>Manuel Gomez fleitas (vocal)<\/li>\n<li>Fernando Maras mart\u00ednez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Cristina Vali\u00f1o Fern\u00e1ndez Objetivo: evaluaci\u00f3n del impacto de la implantaci\u00f3n de v\u00edas cl\u00ednicas (vc) en los procesos [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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