Browsing by Autor "Niciel Poma Cruz"

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    Family satisfaction in the Intensive Care Unit: A multidimensional network analysis approach
    (2025) Rommer Alex Ortega Martínez; Roly Misael Ramos Zenteno; Carmen Laura Garcés Hazou; Alejandro Pardo Ledezma; Natalia Andrea Cuadros Pariente; Niciel Poma Cruz
    Introduction: Family satisfaction in the Intensive Care Unit (ICU) is a multidimensional construct for the quality of care. Understanding its structure and interrelationships requires advanced statistical analysis. The aim of this study was to explore the latent structure of family satisfaction, evaluate the instrument's reliability, and analyze its relationships. Materials and methods: A cross-sectional study was conducted with 47 patients' relatives. Cronbach's α, exploratory and confirmatory factor analysis, network analysis, latent class analysis, and a Bayesian approach were applied. Finally, mediation and moderation analyses were performed. Results: The instrument demonstrated excellent reliability (α = 0.954). Factor analysis confirmed a four-factor structure that explained 77.8% of the total variance. Network analysis identified physician skill and honest information as the most central nodes. Latent class analysis revealed three distinct profiles: highly satisfied, moderately satisfied, and dissatisfied. Bayesian analysis provided evidence that physician skill and honest communication are predictors of satisfaction. Mediation and moderation analyses showed that medical communication mediates the relationship between professional competence and satisfaction, with stronger effects in women and family members living with the patient. Discussion: The application of advanced statistical analysis allowed a comprehensive understanding of family satisfaction in the ICU, confirming its multidimensional structure. The skill of physicians, nurses, and transparent communication are the pillars of satisfaction.
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    Utilidad de biomarcadores inflamatorios agudos en emergencias de un hospital público
    (2025) Julio César Orozco Crespo; Jheidy Condori Saldaña; Florentino Saigua Barahona; Niciel Poma Cruz; Damaris Rahel Portillo Justiniano; Jhennifer Astrid Tupa Campos
    Objetivo. Evaluar la utilidad de la proteína C reactiva y la velocidad de sedimentación globular en el servicio de Emergencias medico quirúrgicas del hospital “Dr. Benigno Sánchez”. Métodos. Es una investigación exploratoria, descriptiva, de tipo analítica, subtipo casos y controles, cuyo universo fue de 15931 pacientes, obteniendo una unidad de análisis bajo criterios de selección de 1345 y mediante muestreo aleatorio simple se obtuvo una muestra de 889 dividiendo esta cifra en 307 pacientes para el grupo de casos y 582 pacientes para el grupo de control. Resultados. De manera general ambos biomarcadores de respuesta inflamatoria se elevan en procesos inflamatorios agudos (60 % y 70 % respectivamente, considerando factores de riesgo como el embarazo (28 %) y la diabetes (10 %) siendo sistemas más afectados el sistema genitourinario (43 %) y el sistema gastrointestinal (27 %). Empero, en mayores de 50 años (33 % del total) estos valores se incrementan sugiriendo lesiones del sistema cardiopulmonar, vascular y sistema genitourinario. Conclusiones. Los resultados aportan como guías en servicios de emergencias para explorar con mayor relevancia e identificar el foco etiológico en sistemas más afectados según nuestra investigación.