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mso-bidi-font-family:"Times New Roman"; mso-ansi-language:ES-TRAD; mso-fareast-language:EN-US;} table.Tablanormal41 {mso-style-name:"Tabla normal 41"; mso-tstyle-rowband-size:1; mso-tstyle-colband-size:1; mso-style-priority:99; mso-style-unhide:no; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri",sans-serif; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi; mso-ansi-language:ES; mso-fareast-language:EN-US;} table.Tablanormal41FirstRow {mso-style-name:"Tabla normal 41"; mso-table-condition:first-row; mso-style-priority:99; mso-style-unhide:no; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.Tablanormal41LastRow {mso-style-name:"Tabla normal 41"; mso-table-condition:last-row; mso-style-priority:99; 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normal 51"; mso-tstyle-rowband-size:1; mso-tstyle-colband-size:1; mso-style-priority:99; mso-style-unhide:no; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri",sans-serif; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi; mso-ansi-language:ES; mso-fareast-language:EN-US;} table.Tablanormal51FirstRow {mso-style-name:"Tabla normal 51"; mso-table-condition:first-row; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-shading:white; mso-tstyle-shading-themecolor:background1; mso-tstyle-border-bottom:.5pt solid #7F7F7F; mso-tstyle-border-bottom-themecolor:text1; mso-tstyle-border-bottom-themetint:128; font-size:13.0pt; mso-ansi-font-size:13.0pt; mso-bidi-font-size:13.0pt; font-family:"Calibri Light",sans-serif; mso-ascii-font-family:"Calibri Light"; mso-ascii-theme-font:major-latin; mso-fareast-font-family:"MS Gothic"; mso-fareast-theme-font:major-fareast; mso-hansi-font-family:"Calibri Light"; mso-hansi-theme-font:major-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:major-bidi; mso-ansi-font-style:italic; mso-bidi-font-style:italic;} table.Tablanormal51LastRow {mso-style-name:"Tabla normal 51"; mso-table-condition:last-row; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-shading:white; mso-tstyle-shading-themecolor:background1; mso-tstyle-border-top:.5pt solid #7F7F7F; mso-tstyle-border-top-themecolor:text1; mso-tstyle-border-top-themetint:128; font-size:13.0pt; mso-ansi-font-size:13.0pt; mso-bidi-font-size:13.0pt; font-family:"Calibri Light",sans-serif; mso-ascii-font-family:"Calibri Light"; mso-ascii-theme-font:major-latin; mso-fareast-font-family:"MS Gothic"; mso-fareast-theme-font:major-fareast; mso-hansi-font-family:"Calibri Light"; mso-hansi-theme-font:major-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:major-bidi; mso-ansi-font-style:italic; mso-bidi-font-style:italic;} table.Tablanormal51FirstCol {mso-style-name:"Tabla normal 51"; mso-table-condition:first-column; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-shading:white; mso-tstyle-shading-themecolor:background1; mso-tstyle-border-right:.5pt solid #7F7F7F; mso-tstyle-border-right-themecolor:text1; mso-tstyle-border-right-themetint:128; text-align:right; font-size:13.0pt; mso-ansi-font-size:13.0pt; mso-bidi-font-size:13.0pt; font-family:"Calibri Light",sans-serif; mso-ascii-font-family:"Calibri Light"; mso-ascii-theme-font:major-latin; mso-fareast-font-family:"MS Gothic"; mso-fareast-theme-font:major-fareast; mso-hansi-font-family:"Calibri Light"; mso-hansi-theme-font:major-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:major-bidi; mso-ansi-font-style:italic; mso-bidi-font-style:italic;} table.Tablanormal51LastCol {mso-style-name:"Tabla normal 51"; mso-table-condition:last-column; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-shading:white; mso-tstyle-shading-themecolor:background1; mso-tstyle-border-left:.5pt solid #7F7F7F; mso-tstyle-border-left-themecolor:text1; mso-tstyle-border-left-themetint:128; font-size:13.0pt; mso-ansi-font-size:13.0pt; mso-bidi-font-size:13.0pt; font-family:"Calibri Light",sans-serif; mso-ascii-font-family:"Calibri Light"; mso-ascii-theme-font:major-latin; mso-fareast-font-family:"MS Gothic"; mso-fareast-theme-font:major-fareast; mso-hansi-font-family:"Calibri Light"; mso-hansi-theme-font:major-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:major-bidi; mso-ansi-font-style:italic; mso-bidi-font-style:italic;} table.Tablanormal51OddColumn {mso-style-name:"Tabla normal 51"; mso-table-condition:odd-column; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-shading:#F2F2F2; mso-tstyle-shading-themecolor:background1; mso-tstyle-shading-themeshade:242;} table.Tablanormal51OddRow {mso-style-name:"Tabla normal 51"; mso-table-condition:odd-row; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-shading:#F2F2F2; mso-tstyle-shading-themecolor:background1; mso-tstyle-shading-themeshade:242;} table.Tablanormal51NECell {mso-style-name:"Tabla normal 51"; mso-table-condition:ne-cell; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-border-left:cell-none;} table.Tablanormal51NWCell {mso-style-name:"Tabla normal 51"; mso-table-condition:nw-cell; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-border-right:cell-none;} table.Tablanormal51SECell {mso-style-name:"Tabla normal 51"; mso-table-condition:se-cell; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-border-left:cell-none;} table.Tablanormal51SWCell {mso-style-name:"Tabla normal 51"; mso-table-condition:sw-cell; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-border-right:cell-none;} table.Tablanormal21 {mso-style-name:"Tabla normal 21"; mso-tstyle-rowband-size:1; mso-tstyle-colband-size:1; mso-style-priority:99; mso-style-unhide:no; border-top:solid #7F7F7F 1.0pt; mso-border-top-themecolor:text1; mso-border-top-themetint:128; border-left:none; border-bottom:solid #7F7F7F 1.0pt; mso-border-bottom-themecolor:text1; mso-border-bottom-themetint:128; border-right:none; mso-border-top-alt:solid #7F7F7F .5pt; mso-border-top-themecolor:text1; mso-border-top-themetint:128; mso-border-bottom-alt:solid #7F7F7F .5pt; mso-border-bottom-themecolor:text1; mso-border-bottom-themetint:128; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri",sans-serif; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi; mso-ansi-language:ES; mso-fareast-language:EN-US;} table.Tablanormal21FirstRow {mso-style-name:"Tabla normal 21"; mso-table-condition:first-row; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-border-bottom:.5pt solid #7F7F7F; mso-tstyle-border-bottom-themecolor:text1; mso-tstyle-border-bottom-themetint:128; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.Tablanormal21LastRow {mso-style-name:"Tabla normal 21"; mso-table-condition:last-row; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-border-top:.5pt solid #7F7F7F; mso-tstyle-border-top-themecolor:text1; mso-tstyle-border-top-themetint:128; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.Tablanormal21FirstCol {mso-style-name:"Tabla normal 21"; mso-table-condition:first-column; mso-style-priority:99; mso-style-unhide:no; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.Tablanormal21LastCol {mso-style-name:"Tabla normal 21"; mso-table-condition:last-column; mso-style-priority:99; mso-style-unhide:no; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.Tablanormal21OddColumn {mso-style-name:"Tabla normal 21"; mso-table-condition:odd-column; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-border-left:.5pt solid #7F7F7F; mso-tstyle-border-left-themecolor:text1; mso-tstyle-border-left-themetint:128; mso-tstyle-border-right:.5pt solid #7F7F7F; mso-tstyle-border-right-themecolor:text1; mso-tstyle-border-right-themetint:128;} table.Tablanormal21EvenColumn {mso-style-name:"Tabla normal 21"; mso-table-condition:even-column; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-border-left:.5pt solid #7F7F7F; mso-tstyle-border-left-themecolor:text1; mso-tstyle-border-left-themetint:128; mso-tstyle-border-right:.5pt solid #7F7F7F; mso-tstyle-border-right-themecolor:text1; mso-tstyle-border-right-themetint:128;} table.Tablanormal21OddRow {mso-style-name:"Tabla normal 21"; mso-table-condition:odd-row; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-border-top:.5pt solid #7F7F7F; mso-tstyle-border-top-themecolor:text1; mso-tstyle-border-top-themetint:128; mso-tstyle-border-bottom:.5pt solid #7F7F7F; mso-tstyle-border-bottom-themecolor:text1; mso-tstyle-border-bottom-themetint:128;} </style> <![endif]--><!--[if gte mso 9]><xml> <o:shapedefaults v:ext="edit" spidmax="2053"/> </xml><![endif]--><!--[if gte mso 9]><xml> <o:shapelayout v:ext="edit"> <o:idmap v:ext="edit" data="1"/> </o:shapelayout></xml><![endif]--> </head> <body lang=ES-EC link="#0563C1" vlink="#954F72" style='tab-interval:35.4pt'> <div class=WordSection1> <p class=MsoNormal align=center style='text-align:center'><a name="_Toc274847643"><b><span style='font-size:20.0pt;line-height:106%; mso-bidi-font-family:Calibri;color:black;background:white;mso-ansi-language: ES-EC'>Efectividad de la capacitacin<span style='mso-spacerun:yes'> </span>de Enfermera<span style='mso-spacerun:yes'> </span>en el autocuidado de pacientes colostomizados</span></b></a><span style='mso-bookmark:_Toc274847643'></span><a style='mso-footnote-id:ftn1' href="#_ftn1" name="_ftnref1" title=""><span style='mso-bookmark:_Toc274847643'><span class=MsoFootnoteReference><b><span lang=ES style='font-size:20.0pt;line-height:106%;font-family:"Calibri Light",sans-serif; mso-ascii-theme-font:major-latin;mso-hansi-theme-font:major-latin;mso-bidi-theme-font: major-latin'><span style='mso-special-character:footnote'><![if !supportFootnotes]><span class=MsoFootnoteReference><b style='mso-bidi-font-weight:normal'><span lang=ES style='font-size:20.0pt;line-height:106%;font-family:"Calibri Light",sans-serif; mso-ascii-theme-font:major-latin;mso-fareast-font-family:Calibri;mso-fareast-theme-font: minor-latin;mso-hansi-theme-font:major-latin;mso-bidi-theme-font:major-latin; mso-ansi-language:ES;mso-fareast-language:EN-US;mso-bidi-language:AR-SA'>[1]</span></b></span><![endif]></span></span></b></span></span></a><span style='mso-bookmark:_Toc274847643'><b><span style='font-size:20.0pt;line-height: 106%;mso-bidi-font-family:Calibri;color:black;background:white;mso-ansi-language: ES-EC'><o:p></o:p></span></b></span></p> <p class=MsoNormal align=center style='margin-bottom:0cm;margin-bottom:.0001pt; text-align:center;line-height:normal;tab-stops:45.8pt 91.6pt 137.4pt 183.2pt 229.0pt 274.8pt 320.6pt 366.4pt 412.2pt 458.0pt 503.8pt 549.6pt 595.4pt 641.2pt 687.0pt 732.8pt; background:white'><span style='mso-bookmark:_Toc274847643'><span lang=EN-US style='mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin;color:black; mso-color-alt:windowtext;mso-ansi-language:EN-US;mso-bidi-font-weight:bold'>Effectiveness of Nursing Training in self-care of <span class=SpellE>colostomized</span> patients</span></span><span style='mso-bookmark:_Toc274847643'><span lang=EN-US style='mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:EN-US;mso-bidi-font-weight:bold'><o:p></o:p></span></span></p> <p class=MsoNormal align=center style='margin-bottom:0cm;margin-bottom:.0001pt; text-align:center;line-height:normal;tab-stops:45.8pt 91.6pt 137.4pt 183.2pt 229.0pt 274.8pt 320.6pt 366.4pt 412.2pt 458.0pt 503.8pt 549.6pt 595.4pt 641.2pt 687.0pt 732.8pt; background:white'><span style='mso-bookmark:_Toc274847643'></span><span style='mso-bookmark:_Toc274847643'><span lang=EN-US style='mso-bidi-font-family: Calibri;mso-bidi-theme-font:minor-latin;mso-ansi-language:EN-US;mso-bidi-font-weight: bold'><o:p>&nbsp;</o:p></span></span></p> <p class=ANGLES align=center style='margin:0cm;margin-bottom:.0001pt; text-align:center;line-height:normal'><span style='mso-bookmark:_Toc274847643'><span lang=ES style='mso-bidi-font-size:11.0pt;font-family:"Calibri Light",sans-serif; mso-ascii-theme-font:major-latin;mso-fareast-font-family:Calibri;mso-fareast-theme-font: minor-latin;mso-hansi-theme-font:major-latin;mso-bidi-theme-font:major-latin; mso-ansi-language:ES;mso-fareast-language:EN-US;mso-bidi-font-weight:bold'>Lorena Raquel, Gaona Quezada</span></span><a style='mso-footnote-id:ftn2' href="#_ftn2" name="_ftnref2" title=""><span style='mso-bookmark:_Toc274847643'><sup><span style='mso-special-character:footnote'><![if !supportFootnotes]><sup><span lang=X-NONE style='font-size:10.0pt;line-height:106%;font-family:"Arial",sans-serif; mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:"Times New Roman"; mso-ansi-language:X-NONE;mso-fareast-language:X-NONE;mso-bidi-language:AR-SA'>[2]</span></sup><![endif]></span></sup></span></a><span style='mso-bookmark:_Toc274847643'><span lang=ES style='mso-bidi-font-size: 11.0pt;font-family:"Calibri Light",sans-serif;mso-ascii-theme-font:major-latin; mso-fareast-font-family:Calibri;mso-fareast-theme-font:minor-latin;mso-hansi-theme-font: major-latin;mso-bidi-theme-font:major-latin;mso-ansi-language:ES;mso-fareast-language: EN-US;mso-bidi-font-weight:bold'><o:p></o:p></span></span></p> <p class=ANGLES align=center style='margin:0cm;margin-bottom:.0001pt; text-align:center;line-height:normal'><span style='mso-bookmark:_Toc274847643'><span lang=ES style='mso-bidi-font-size:11.0pt;font-family:"Calibri Light",sans-serif; mso-ascii-theme-font:major-latin;mso-fareast-font-family:Calibri;mso-fareast-theme-font: minor-latin;mso-hansi-theme-font:major-latin;mso-bidi-theme-font:major-latin; mso-ansi-language:ES;mso-fareast-language:EN-US;mso-bidi-font-weight:bold'>Cristina <span class=SpellE>Virmane</span> Gonzlez Osorio</span></span><a style='mso-footnote-id:ftn3' href="#_ftn3" name="_ftnref3" title=""><span style='mso-bookmark:_Toc274847643'><sup><span style='mso-special-character: footnote'><![if !supportFootnotes]><sup><span lang=X-NONE style='font-size: 10.0pt;line-height:106%;font-family:"Arial",sans-serif;mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:"Times New Roman";mso-ansi-language: X-NONE;mso-fareast-language:X-NONE;mso-bidi-language:AR-SA'>[3]</span></sup><![endif]></span></sup></span></a><span style='mso-bookmark:_Toc274847643'><span lang=ES style='mso-bidi-font-size: 11.0pt;font-family:"Calibri Light",sans-serif;mso-ascii-theme-font:major-latin; mso-fareast-font-family:Calibri;mso-fareast-theme-font:minor-latin;mso-hansi-theme-font: major-latin;mso-bidi-theme-font:major-latin;mso-ansi-language:ES;mso-fareast-language: EN-US;mso-bidi-font-weight:bold'><o:p></o:p></span></span></p> <p class=ANGLES align=center style='margin:0cm;margin-bottom:.0001pt; text-align:center;line-height:normal'><span style='mso-bookmark:_Toc274847643'><span lang=ES style='mso-bidi-font-size:11.0pt;font-family:"Calibri Light",sans-serif; mso-ascii-theme-font:major-latin;mso-fareast-font-family:Calibri;mso-fareast-theme-font: minor-latin;mso-hansi-theme-font:major-latin;mso-bidi-theme-font:major-latin; mso-ansi-language:ES;mso-fareast-language:EN-US;mso-bidi-font-weight:bold'> Norma Esperanza Silva Lima</span></span><a style='mso-footnote-id:ftn4' href="#_ftn4" name="_ftnref4" title=""><span style='mso-bookmark:_Toc274847643'><sup><span style='mso-special-character:footnote'><![if !supportFootnotes]><sup><span lang=X-NONE style='font-size:10.0pt;line-height:106%;font-family:"Arial",sans-serif; mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:"Times New Roman"; mso-ansi-language:X-NONE;mso-fareast-language:X-NONE;mso-bidi-language:AR-SA'>[4]</span></sup><![endif]></span></sup></span></a><span style='mso-bookmark:_Toc274847643'><span lang=ES style='mso-bidi-font-size: 11.0pt;font-family:"Calibri Light",sans-serif;mso-ascii-theme-font:major-latin; mso-fareast-font-family:Calibri;mso-fareast-theme-font:minor-latin;mso-hansi-theme-font: major-latin;mso-bidi-theme-font:major-latin;mso-ansi-language:ES;mso-fareast-language: EN-US;mso-bidi-font-weight:bold'><o:p></o:p></span></span></p> <p class=ANGLES align=center style='margin:0cm;margin-bottom:.0001pt; text-align:center;line-height:normal'><span style='mso-bookmark:_Toc274847643'><span lang=ES style='mso-bidi-font-size:11.0pt;font-family:"Calibri Light",sans-serif; mso-ascii-theme-font:major-latin;mso-fareast-font-family:Calibri;mso-fareast-theme-font: minor-latin;mso-hansi-theme-font:major-latin;mso-bidi-theme-font:major-latin; mso-ansi-language:ES;mso-fareast-language:EN-US;mso-bidi-font-weight:bold'>Olga Argentina, Muoz Roca</span></span><a style='mso-footnote-id:ftn5' href="#_ftn5" name="_ftnref5" title=""><span style='mso-bookmark:_Toc274847643'><sup><span style='mso-special-character:footnote'><![if !supportFootnotes]><sup><span lang=X-NONE style='font-size:10.0pt;line-height:106%;font-family:"Arial",sans-serif; mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:"Times New Roman"; mso-ansi-language:X-NONE;mso-fareast-language:X-NONE;mso-bidi-language:AR-SA'>[5]</span></sup><![endif]></span></sup></span></a><span style='mso-bookmark:_Toc274847643'><span lang=ES style='mso-bidi-font-size: 11.0pt;font-family:"Calibri Light",sans-serif;mso-ascii-theme-font:major-latin; mso-fareast-font-family:Calibri;mso-fareast-theme-font:minor-latin;mso-hansi-theme-font: major-latin;mso-bidi-theme-font:major-latin;mso-ansi-language:ES;mso-fareast-language: EN-US;mso-bidi-font-weight:bold'><o:p></o:p></span></span></p> <p class=ANGLES align=center style='margin:0cm;margin-bottom:.0001pt; text-align:center;line-height:normal'><span style='mso-bookmark:_Toc274847643'><span lang=ES style='mso-bidi-font-size:11.0pt;font-family:"Calibri Light",sans-serif; mso-ascii-theme-font:major-latin;mso-fareast-font-family:Calibri;mso-fareast-theme-font: minor-latin;mso-hansi-theme-font:major-latin;mso-bidi-theme-font:major-latin; mso-ansi-language:ES;mso-fareast-language:EN-US;mso-bidi-font-weight:bold'>Mariana Estela <span class=SpellE>Riofrio</span> Cruz </span></span><a style='mso-footnote-id:ftn6' href="#_ftn6" name="_ftnref6" title=""><span style='mso-bookmark:_Toc274847643'><sup><span style='mso-special-character: footnote'><![if !supportFootnotes]><sup><span lang=X-NONE style='font-size: 10.0pt;line-height:106%;font-family:"Arial",sans-serif;mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:"Times New Roman";mso-ansi-language: X-NONE;mso-fareast-language:X-NONE;mso-bidi-language:AR-SA'>[6]</span></sup><![endif]></span></sup></span></a><span style='mso-bookmark:_Toc274847643'><span lang=ES style='mso-bidi-font-size: 11.0pt;font-family:"Calibri Light",sans-serif;mso-ascii-theme-font:major-latin; mso-fareast-font-family:Calibri;mso-fareast-theme-font:minor-latin;mso-hansi-theme-font: major-latin;mso-bidi-theme-font:major-latin;mso-ansi-language:ES;mso-fareast-language: EN-US;mso-bidi-font-weight:bold'><o:p></o:p></span></span></p> <span style='mso-bookmark:_Toc274847643'></span> <p class=MsoNormal align=center style='margin-bottom:0cm;margin-bottom:.0001pt; text-align:center;line-height:normal'><span lang=ES style='font-size:10.0pt; mso-bidi-font-family:Tahoma;color:black;mso-bidi-font-weight:bold'>Recibido en 27 de mayo 2018, aceptado en 17 de abril 2019</span><span lang=ES style='font-size:10.0pt;mso-bidi-font-size:11.0pt;font-family:"Calibri Light",sans-serif; mso-ascii-theme-font:major-latin;mso-hansi-theme-font:major-latin;mso-bidi-theme-font: major-latin;mso-bidi-font-weight:bold'><o:p></o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;line-height:normal'><b><span style='font-size:10.0pt; mso-bidi-font-size:12.0pt;mso-fareast-font-family:"Times New Roman";mso-bidi-font-family: Calibri;mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES'>RESUMEN<o:p></o:p></span></b></p> <p class=MsoNormal style='margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:normal;tab-stops:45.8pt 91.6pt 137.4pt 183.2pt 229.0pt 274.8pt 320.6pt 366.4pt 412.2pt 458.0pt 503.8pt 549.6pt 595.4pt 641.2pt 687.0pt 732.8pt; background:white'><span style='mso-fareast-font-family:"Times New Roman"; mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin;color:black; mso-color-alt:windowtext;mso-ansi-language:ES-EC;mso-fareast-language:ES; mso-bidi-font-weight:bold'>Resultados de una encuesta aplicada a los pacientes con colostomia sobre el  autocuidado que deben tener, para mantener en ptimas condiciones su dispositivo Los pacientes respondieron que tenan conocimiento sobre<span style='mso-spacerun:yes'> </span>las medidas de bioseguridad en un<span style='mso-spacerun:yes'> </span>88%; Cumplimiento de la cita mdica el 78% ,Ingesta de agua el 90%; actividades de los pacientes la gran mayora en un 73% no realiza actividades deportivas; la edad entre 33-41 adultos jvenes; con respecto al sexo masculino con un 69% ; sobre los conocimientos sobre al autocuidados del<span style='mso-spacerun:yes'> </span>estoma el 100%conoce , actividades fsicas el 100% conoce las actividades que deben realizar ,ingesta de alimentos adecuados |00% si conoca ,vestimenta adecuada el 100% si conoce<span style='mso-spacerun:yes'> </span>; nivel de instruccin el 70% instruccin primaria. Con respecto a las estrategias educativas utilizadas por la Profesional de Enfermera del rea del rea de Coloproctologa al preparar a los pacientes para que puedan asumir el<span style='mso-spacerun:yes'> </span>Autocuidado, es a travs de charlas y talleres con 100%. Con respecto a las complicaciones un 58% no ha sufrido complicaciones, pero un 33% irritacin de la piel. Conclusiones: Por los resultados obtenidos concluimos que es Efectiva la educacin impartida por los Profesionales de enfermera a los pacientes sobre el  Autocuidado .</span><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold'><o:p></o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;text-align:justify;line-height:115%'><b><i><span style='mso-ansi-language:ES-EC'>Palabras clave:</span></i></b><span style='font-size:12.0pt;line-height:115%;font-family:"Times New Roman",serif; mso-fareast-font-family:Arial;mso-ansi-language:ES-MX'> </span><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold'>Efectividad, capacitacin, Autocuidado, pacientes colostomizados</span><span lang=ES-MX style='font-size:12.0pt;line-height:115%; font-family:"Times New Roman",serif;mso-fareast-font-family:Arial;mso-ansi-language: ES-MX'><o:p></o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;line-height:normal'><span style='mso-fareast-font-family:"Times New Roman"; mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin;mso-ansi-language: ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;line-height:normal'><span style='mso-fareast-font-family:"Times New Roman"; mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin;mso-ansi-language: ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;line-height:normal'><b><span lang=EN-US style='font-size:10.0pt; mso-bidi-font-size:12.0pt;mso-fareast-font-family:"Times New Roman";mso-bidi-font-family: Calibri;mso-bidi-theme-font:minor-latin;mso-ansi-language:EN-US;mso-fareast-language: ES'>ABSTRACT<o:p></o:p></span></b></p> <p class=MsoNormal style='margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:normal;tab-stops:45.8pt 91.6pt 137.4pt 183.2pt 229.0pt 274.8pt 320.6pt 366.4pt 412.2pt 458.0pt 503.8pt 549.6pt 595.4pt 641.2pt 687.0pt 732.8pt; background:white'><span lang=EN-US style='mso-fareast-font-family:"Times New Roman"; mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin;color:black; mso-color-alt:windowtext;mso-ansi-language:EN-US;mso-fareast-language:ES; mso-bidi-font-weight:bold'>Results of a survey applied to patients with colostomy on the &quot;self-care&quot; they should have, in order to keep their device in optimal condition. The patients answered that they had knowledge about the biosafety measures in 88%; Compliance with medical appointment 78%, Water intake 90%; patient activities the vast majority in 73% do not perform sports activities; the age between 33-41 young adults; with respect to the male sex with 69%; about knowledge about self-care of the stoma 100% knew, physical activities 100% knew the activities they should perform, intake of adequate food | 00% if you knew, appropriate clothing 100% if you knew; level of instruction 70% primary instruction. Regarding the educational strategies used by the Nursing Professional of the area of Coloproctology when preparing patients so that they can assume Self-care, it is through talks and workshops with 100%. With regard to complications, 58% have not suffered complications, but 33% have skin irritation. Conclusions: Based on the results obtained, we conclude that the education given by Nursing Professionals to patients on &quot;Self-care&quot; is effective.</span><span lang=EN-US style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:EN-US;mso-fareast-language:ES;mso-bidi-font-weight:bold'><o:p></o:p></span></p> <h2><b><i style='mso-bidi-font-style:normal'><span lang=EN style='mso-bidi-font-size: 12.0pt;line-height:106%;mso-fareast-font-family:"Times New Roman";mso-bidi-font-family: Calibri;mso-bidi-theme-font:minor-latin;color:windowtext;mso-ansi-language: EN;mso-fareast-language:ES'>key words</span></i></b><span lang=EN-US style='font-size:10.0pt;line-height:106%;color:windowtext;mso-ansi-language: EN-US'>: </span><span lang=EN-US style='font-size:11.0pt;line-height:106%; font-family:"Calibri",sans-serif;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:major-bidi;color:windowtext;mso-ansi-language:EN-US'>Effectiveness, training, Self-care, <span class=SpellE>colostomized</span> <o:p></o:p></span></h2> <p class=MsoListParagraph style='margin-top:6.0pt;margin-right:0cm;margin-bottom: 6.0pt;margin-left:38.65pt;mso-add-space:auto;text-align:justify;text-indent: -18.0pt;line-height:normal;tab-stops:66.45pt'><b><span style='font-size:16.0pt; mso-bidi-font-size:12.0pt;mso-fareast-font-family:"Times New Roman";mso-bidi-font-family: Calibri;mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES'>1. Introduccin<o:p></o:p></span></b></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;text-align:justify;line-height:normal'><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'>Los estomas de eliminacin se efectan en el tratamiento de algunos trastornos intestinales que requieren la realizacin de una abertura al exterior del intestino, a travs de la pared abdominal, para descomprimir el intestino grueso o desviar el trnsito intestinal.</span><!--[if supportFields]><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'><span style='mso-element:field-begin'></span> ADDIN ZOTERO_ITEM CSL_CITATION {&quot;citationID&quot;:&quot;a1m2rhmei75&quot;,&quot;properties&quot;:{&quot;formattedCitation&quot;:&quot;(1)&quot;,&quot;plainCitation&quot;:&quot;(1)&quot;},&quot;citationItems&quot;:[{&quot;id&quot;:62,&quot;uris&quot;:[&quot;http://zotero.org/users/4696818/items/55P5LZPB&quot;],&quot;uri&quot;:[&quot;http://zotero.org/users/4696818/items/55P5LZPB&quot;],&quot;itemData&quot;:{&quot;id&quot;:62,&quot;type&quot;:&quot;webpage&quot;,&quot;title&quot;:&quot;Calidad de vida en pacientes con colostoma e ileostoma&quot;,&quot;URL&quot;:&quot;https://www.revista-portalesmedicos.com/revista-medica/calidad-de-vida-colostomia-e-ileostomia/&quot;,&quot;author&quot;:[{&quot;literal&quot;:&quot;Ana Beln Garca Arco&quot;},{&quot;literal&quot;:&quot;Ana Beln Fernandez-Sevilla Leyva&quot;},{&quot;literal&quot;:&quot;Raquel Sanchez Coca&quot;}],&quot;issued&quot;:{&quot;date-parts&quot;:[[&quot;2015&quot;]]},&quot;accessed&quot;:{&quot;date-parts&quot;:[[&quot;2018&quot;,2,11]]}}}],&quot;schema&quot;:&quot;https://github.com/citation-style-language/schema/raw/master/csl-citation.json&quot;} <span style='mso-element:field-separator'></span></span><![endif]--><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'>(11)</span><!--[if supportFields]><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'><span style='mso-element:field-end'></span></span><![endif]--><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'> ; Por su etiologa pueden ser temporales o permanentes y las complicaciones pueden ser tempranas o tardas. <o:p></o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;text-align:justify;line-height:normal'><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;text-align:justify;line-height:normal'><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'>Las complicaciones de los estomas intestinales y secuelas postquirrgicas depende de varios factores como la patologa de base, tratamientos concomitantes, tcnica quirrgica, condiciones de la intervencin quirrgica y el manejo postoperatorio; adems los estomas intestinales elaborados durante una ciruga de emergencia tienen mayor probabilidad de resultar en complicaciones postoperatorias; por ser cirugas que se llevan a cabo en condiciones menos favorables. </span><!--[if supportFields]><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'><span style='mso-element:field-begin'></span><span style='mso-spacerun:yes'></span>ADDIN ZOTERO_ITEM CSL_CITATION {&quot;citationID&quot;:&quot;a2hje5fn7nm&quot;,&quot;properties&quot;:{&quot;formattedCitation&quot;:&quot;(2)&quot;,&quot;plainCitation&quot;:&quot;(2)&quot;},&quot;citationItems&quot;:[{&quot;id&quot;:22,&quot;uris&quot;:[&quot;http://zotero.org/users/4696818/items/SWUU8GAT&quot;],&quot;uri&quot;:[&quot;http://zotero.org/users/4696818/items/SWUU8GAT&quot;],&quot;itemData&quot;:{&quot;id&quot;:22,&quot;type&quot;:&quot;thesis&quot;,&quot;title&quot;:&quot;FACTORES CAUSALES EN LAS COMPLICACIONES DE ESTOMAS INTESTINALES EN CIRUGA DE EMERGENCIA. HOSPITAL LUIS VERNAZA, 2013&quot;,&quot;publisher&quot;:&quot;Universidad Catolica Santiago de Guayaquil&quot;,&quot;publisher-place&quot;:&quot;Guayaquil;Ecuador&quot;,&quot;number-of-pages&quot;:&quot;17-22&quot;,&quot;genre&quot;:&quot;tesis&quot;,&quot;event-place&quot;:&quot;Guayaquil;Ecuador&quot;,&quot;URL&quot;:&quot;file:///C:/Users/USUARIO/Downloads/T-UCSG-POS-EGM-CG-28.pdf&quot;,&quot;language&quot;:&quot;espaol&quot;,&quot;author&quot;:[{&quot;literal&quot;:&quot;MD. MARA CRISTINA MORN MANCERO&quot;}],&quot;issued&quot;:{&quot;date-parts&quot;:[[&quot;2014&quot;]]}}}],&quot;schema&quot;:&quot;https://github.com/citation-style-language/schema/raw/master/csl-citation.json&quot;} <span style='mso-element:field-separator'></span></span><![endif]--><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'>(12)</span><!--[if supportFields]><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'><span style='mso-element:field-end'></span></span><![endif]--><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'><o:p></o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;text-align:justify;line-height:normal'><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'>Es importante que el personal capacite a los pacientes y sus familiares sobre el  autocuidado de la Colostoma cuando el paciente va a ser dado de alta es una responsabilidad de l y de sus familiares ms cercanos, el papel que desempea el profesional de enfermera es verificar en el p En Brasil se reportan un total de 500 estomatoterapeutas, en Suecia 100 y en Mxico, aunque existe un dficit en el registro sobre incidencia y prevalencia de ostomizados, hay 197 enfermeras estomatoterapeutas activas.<o:p></o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;text-align:justify;line-height:normal'><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'>En este estudio se analizar la efectividad a la capacitacin impartida por Enfermera a los pacientes con colostoma, estos elementos enunciados por la terica del autocuidado, las intervenciones de enfermera en la informacin y educacin de los pacientes con este tipo de dispositivos es de gran importancia porque contribuyen a una mejor recuperacin y adaptacin en el afrontamiento de esta nueva condicin en su estado de salud como consecuencia de un procedimiento realizado como parte del tratamiento en este tipo de patologas <o:p></o:p></span></p> <p class=MsoNormal><span lang=ES-TRAD style='font-size:10.0pt;line-height:106%; font-family:"Verdana",sans-serif;mso-ansi-language:ES-TRAD'><o:p>&nbsp;</o:p></span></p> <p class=MsoListParagraph style='margin-top:6.0pt;margin-right:0cm;margin-bottom: 6.0pt;margin-left:38.65pt;mso-add-space:auto;text-align:justify;text-indent: -18.0pt;line-height:normal;background:white'><b><span lang=ES style='font-size: 16.0pt;mso-bidi-font-size:11.0pt;mso-fareast-font-family:"Times New Roman"; mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin;color:black; mso-color-alt:windowtext;mso-fareast-language:ES'>2. Materiales y mtodos</span></b><b><span lang=ES style='font-size:16.0pt;mso-bidi-font-size:11.0pt;mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-fareast-language:ES'><o:p></o:p></span></b></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;text-align:justify;line-height:normal'><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'>En la revisin de varios estudios se confirma el la  Efectividad de la educacin  para disipar el temor de los pacientes que se produzcan filtraciones de materia en el dispositivo,<span style='mso-spacerun:yes'> </span>los problemas de&nbsp;</span><span lang=ES><a href="http://salud.doctissimo.es/enfermedades/problemas-digestivos/gases-e-hinchazon-molestos-pero-normales.html" target="_self"><span lang=ES-TRAD style='mso-fareast-font-family:"Times New Roman"; mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin;color:windowtext; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-style:italic; text-decoration:none;text-underline:none'><span lang=ES-TRAD>gases</span></span></a></span><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'>&nbsp;y los olores. Tambin temen que las filtraciones o los olores les impidan socializar, realizar actividad fsica e incluso tener vida sexual placentera .Por otra parte, la calidad de vida es una preocupacin principal en nuestra especialidad.</span><!--[if supportFields]><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'><span style='mso-element:field-begin'></span> ADDIN ZOTERO_ITEM CSL_CITATION {&quot;citationID&quot;:&quot;a26bf8o0pm0&quot;,&quot;properties&quot;:{&quot;formattedCitation&quot;:&quot;(3)&quot;,&quot;plainCitation&quot;:&quot;(3)&quot;,&quot;dontUpdate&quot;:true},&quot;citationItems&quot;:[{&quot;id&quot;:57,&quot;uris&quot;:[&quot;http://zotero.org/users/4696818/items/E75QIWU9&quot;],&quot;uri&quot;:[&quot;http://zotero.org/users/4696818/items/E75QIWU9&quot;],&quot;itemData&quot;:{&quot;id&quot;:57,&quot;type&quot;:&quot;article-journal&quot;,&quot;title&quot;:&quot;Educacin para el paciente: Cuidado de la colostoma (Conceptos Bsicos)&quot;,&quot;page&quot;:&quot;1-2&quot;,&quot;language&quot;:&quot;espaol&quot;,&quot;author&quot;:[{&quot;literal&quot;:&quot;Redactado por los mdicos y editores de UpToDate&quot;}],&quot;issued&quot;:{&quot;date-parts&quot;:[[&quot;2018&quot;,2,7]]}},&quot;locator&quot;:&quot;1-2&quot;}],&quot;schema&quot;:&quot;https://github.com/citation-style-language/schema/raw/master/csl-citation.json&quot;} <span style='mso-element:field-separator'></span></span><![endif]--><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'>(6)</span><!--[if supportFields]><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'><span style='mso-element:field-end'></span></span><![endif]--><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'><o:p></o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;text-align:justify;line-height:normal'><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'>Sin duda, el signo ms frecuente es la irritacin de la piel alrededor de la colostoma, que se debe a filtraciones en el soporte del dispositivo, ya sea porque no est colocada correctamente o porque la bolsa se ha despegado, o incluso porque el dispositivo<span style='mso-spacerun:yes'> </span>no se ajusta a la condicin estructural del cuerpo del paciente. Por ello, las principales complicaciones poco despus de salir del hospital son de tipo cutneo, como irritaciones o erosiones, es decir, una infeccin local que conviene tratar. </span><!--[if supportFields]><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'><span style='mso-element:field-begin'></span><span style='mso-spacerun:yes'></span>ADDIN ZOTERO_ITEM CSL_CITATION {&quot;citationID&quot;:&quot;IiyGyz6H&quot;,&quot;properties&quot;:{&quot;formattedCitation&quot;:&quot;(4,5)&quot;,&quot;plainCitation&quot;:&quot;(4,5)&quot;,&quot;dontUpdate&quot;:true},&quot;citationItems&quot;:[{&quot;id&quot;:21,&quot;uris&quot;:[&quot;http://zotero.org/users/4696818/items/CXVPV6RW&quot;],&quot;uri&quot;:[&quot;http://zotero.org/users/4696818/items/CXVPV6RW&quot;],&quot;itemData&quot;:{&quot;id&quot;:21,&quot;type&quot;:&quot;thesis&quot;,&quot;title&quot;:&quot;Implementacion de la unidad de ostomias en el hospital Oncologico Solca Nucleo de Quito,2013&quot;,&quot;publisher&quot;:&quot;Universidad Tecnica Particular de Loja&quot;,&quot;publisher-place&quot;:&quot;Quito;Ecuador&quot;,&quot;number-of-pages&quot;:&quot;17-25&quot;,&quot;event-place&quot;:&quot;Quito;Ecuador&quot;,&quot;URL&quot;:&quot;file:///C:/Users/USUARIO/Downloads/cita%203.pdf&quot;,&quot;language&quot;:&quot;espaol&quot;,&quot;author&quot;:[{&quot;literal&quot;:&quot;Calvache Arias Ines Olimpia&quot;}],&quot;issued&quot;:{&quot;date-parts&quot;:[[&quot;2014&quot;]]}}},{&quot;id&quot;:12,&quot;uris&quot;:[&quot;http://zotero.org/users/4696818/items/RINPL6JP&quot;],&quot;uri&quot;:[&quot;http://zotero.org/users/4696818/items/RINPL6JP&quot;],&quot;itemData&quot;:{&quot;id&quot;:12,&quot;type&quot;:&quot;thesis&quot;,&quot;title&quot;:&quot;Evaluacion de conocimientos y practicas de autocuidado en pacientes con ostomias digestivas del servicio de hospitalizacion de cirugia general del hospital Carlos Andrade Marin&quot;,&quot;publisher&quot;:&quot;Universidad de las Americas&quot;,&quot;publisher-place&quot;:&quot;Quito;Ecuador&quot;,&quot;number-of-pages&quot;:&quot;23-28&quot;,&quot;genre&quot;:&quot;tesis&quot;,&quot;event-place&quot;:&quot;Quito;Ecuador&quot;,&quot;URL&quot;:&quot;file:///C:/Users/USUARIO/Downloads/UDLA-EC-TLE-2016-08.pdf&quot;,&quot;language&quot;:&quot;espaol&quot;,&quot;author&quot;:[{&quot;literal&quot;:&quot;Vanessa Katherine Montenegro Velez&quot;}],&quot;issued&quot;:{&quot;date-parts&quot;:[[&quot;2016&quot;]]}}}],&quot;schema&quot;:&quot;https://github.com/citation-style-language/schema/raw/master/csl-citation.json&quot;} <span style='mso-element:field-separator'></span></span><![endif]--><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'>(8,9)</span><!--[if supportFields]><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'><span style='mso-element:field-end'></span></span><![endif]--><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'><o:p></o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;text-align:justify;line-height:normal'><b><span style='font-size:16.0pt;mso-bidi-font-size:11.0pt;mso-fareast-font-family:"Times New Roman"; mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin;mso-ansi-language: ES-EC;mso-fareast-language:ES'>3. Conclusiones<o:p></o:p></span></b></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;text-align:justify;line-height:normal'><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'>Con respecto a las prcticas de autocuidado los pacientes cumplen con las medidas de bioseguridad en el manejo del estoma .Con respecto a la higiene de manos que es la primera actividad que cumplen.Actividades de los pacientes la gran mayora en un 70% no realiza actividades deportivas o de distraccin. Con respecto a la edad el promedio es de 50, 78 , la mediana est en el rango<span style='mso-spacerun:yes'> </span>33-41, la moda en el rango de 33  41 .<o:p></o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;text-align:justify;line-height:normal'><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'>Con respecto al sexo el mayor porcentaje ocupa el sexo masculino con un 69% seguido del 31% sexo femenino. La razn es de 2 hombres por cada mujer.<o:p></o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;text-align:justify;line-height:normal'><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'>Conocimiento de los pacientes acerca de las complicaciones se demostr en la encuesta realizada que el 100% tiene conocimiento de los diferentes temas impartidos por la profesional de Enfermera del rea de Coloproctologa. Con respecto al estado civil el mayor porcentaje de los pacientes del sexo masculino son solteros con un 30%.<o:p></o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;text-align:justify;line-height:normal'><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'>Las estrategias educativas utilizadas por el rea de Coloproctologa para educar a los pacientes y puedan realizar su Autocuidado es a travs de charlas y talleres con 100% sobre los temas expuestos en el grfico No 6 <span style='mso-spacerun:yes'></span>Con respecto a las complicaciones que han sufrido los pacientes luego de tener la colostoma tenemos en un 58% no ha sufrido complicaciones, un 33% irritacin de la piel.<o:p></o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;text-align:justify;line-height:normal'><b><span style='font-size:16.0pt;mso-bidi-font-size:11.0pt;mso-fareast-font-family:"Times New Roman"; mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin;mso-ansi-language: ES-EC;mso-fareast-language:ES'>Referencias Bibliogrficas<o:p></o:p></span></b></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:1.0cm;text-align:justify;text-indent:-1.0cm;line-height:normal'><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'>1. Cuidados de una colostoma [Internet]. [citado 10 de febrero de 2018]. Disponible en: </span><span lang=ES><a href="https://www.cancer.org/es/tratamiento/tratamientos-y-efectos-secundarios/efectos-secundarios-fisicos/ostomias/colostomia/manejo.html"><span lang=ES-TRAD style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family: Calibri;mso-bidi-theme-font:minor-latin;color:windowtext;mso-ansi-language: ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold;mso-bidi-font-style: italic;text-decoration:none;text-underline:none'><span lang=ES-TRAD>https://www.cancer<span lang=ES-TRAD>.org/es/tratamiento/tratamientos-y-efectos-secundarios/efectos-secundarios-fisicos/ostomias/colostomia/manejo.html</span></span></span></a></span><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'><o:p></o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:1.0cm;text-align:justify;text-indent:-1.0cm;line-height:normal'><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'>2. hol_os_colostomyirrigation_caretips_es_923181-417.pdf [Internet]. [citado<span style='mso-spacerun:yes'> </span>10 de febrero de 2018]. Disponible en: </span><span lang=ES><a href="http://www.hollister.com/~/media/files/pdfs%E2%80%93for%E2%80%93download/ostomy%E2%80%93care/hol_os_colostomyirrigation_caretips_es_923181-417.pdf"><span lang=ES-TRAD style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family: Calibri;mso-bidi-theme-font:minor-latin;color:windowtext;mso-ansi-language: ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold;mso-bidi-font-style: italic;text-decoration:none;text-underline:none'><span lang=ES-TRAD>http://www.hollister.com/~/media/files/pdfs%E2%80%93for%E2%80%93download/ostomy%E2%80%93care/hol_os_colostomyirriga<span lang=ES-TRAD>tion_caretips_es_923181-417.pdf</span></span></span></a></span><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'><o:p></o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:1.0cm;text-align:justify;text-indent:-1.0cm;line-height:normal'><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:1.0cm;text-align:justify;text-indent:-1.0cm;line-height:normal'><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'>3. CONSTITUCION-DE-LA-REPUBLICA-DEL-ECUADOR.pdf [Internet]. [citado 10 de febrero de 2018]. 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Revista Brasileira em Promoo da Sade. 30 de marzo de 2013;26(1):139-45.<o:p></o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:1.0cm;text-align:justify;text-indent:-1.0cm;line-height:normal'><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'><o:p>&nbsp;</o:p></span></p> </div> <div style='mso-element:footnote-list'><![if !supportFootnotes]><br clear=all> <hr align=left size=1 width="33%"> <![endif]> <div style='mso-element:footnote' id=ftn1> <p class=MsoFootnoteText style='text-align:justify'><a style='mso-footnote-id: ftn1' href="#_ftnref1" name="_ftn1" title=""><span class=MsoFootnoteReference><span lang=EN-US style='font-size:9.0pt;font-family:"Calibri",sans-serif;mso-ascii-theme-font: minor-latin;mso-hansi-theme-font:minor-latin;mso-bidi-theme-font:minor-latin'><span style='mso-special-character:footnote'><![if !supportFootnotes]><span class=MsoFootnoteReference><span lang=EN-US style='font-size:9.0pt;line-height: 106%;font-family:"Calibri",sans-serif;mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman";mso-hansi-theme-font:minor-latin; mso-bidi-theme-font:minor-latin;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA'>[1]</span></span><![endif]></span></span></span></a><span lang=EN-US style='font-size:9.0pt;font-family:"Calibri",sans-serif;mso-ascii-theme-font: minor-latin;mso-hansi-theme-font:minor-latin;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC'> </span><span style='font-size:9.0pt;font-family:"Calibri",sans-serif; mso-ascii-theme-font:minor-latin;mso-fareast-font-family:Arial;mso-hansi-theme-font: minor-latin;mso-bidi-theme-font:minor-latin;color:black;mso-themecolor:text1; mso-ansi-language:ES-EC'>Artculo original derivado del proyecto de investigacin Procesos de capacitacin en reas de enfermeria, fecha de realizacin entre octubre 2017 y marzo 2019<o:p></o:p></span></p> </div> <div style='mso-element:footnote' id=ftn2> <p class=MsoFootnoteText style='text-align:justify'><a style='mso-footnote-id: ftn2' href="#_ftnref2" name="_ftn2" title=""><span style='font-size:9.0pt; font-family:"Calibri",sans-serif;mso-ascii-theme-font:minor-latin;mso-fareast-font-family: Arial;mso-hansi-theme-font:minor-latin;mso-bidi-theme-font:minor-latin; color:black;mso-themecolor:text1;mso-ansi-language:ES-EC'><span style='mso-special-character:footnote'><![if !supportFootnotes]><span style='font-size:9.0pt;line-height:106%;font-family:"Calibri",sans-serif; mso-ascii-theme-font:minor-latin;mso-fareast-font-family:Arial;mso-hansi-theme-font: minor-latin;mso-bidi-theme-font:minor-latin;color:black;mso-themecolor:text1; mso-ansi-language:ES-EC;mso-fareast-language:EN-US;mso-bidi-language:AR-SA'>[2]</span><![endif]></span></span></a><span style='font-size:9.0pt;font-family:"Calibri",sans-serif;mso-ascii-theme-font: minor-latin;mso-fareast-font-family:Arial;mso-hansi-theme-font:minor-latin; mso-bidi-theme-font:minor-latin;color:black;mso-themecolor:text1;mso-ansi-language: ES-EC'>Msc en Epidemiologa y Gerencia en salud, Docente de la Universidad Catlica de Guayaquil,&nbsp;</span><span lang=EN-US><a href="mailto:lorenaganoaq@gmail.com"><span lang=ES-TRAD style='font-size:9.0pt; font-family:"Calibri",sans-serif;mso-ascii-theme-font:minor-latin;mso-fareast-font-family: Arial;mso-hansi-theme-font:minor-latin;mso-bidi-theme-font:minor-latin; color:black;mso-themecolor:text1;mso-ansi-language:ES-EC;text-decoration:none; text-underline:none'><span lang=ES-TRAD>lorenaganoaq@gmail.com</span></span></a></span><span style='font-size:9.0pt;font-family:"Calibri",sans-serif;mso-ascii-theme-font: minor-latin;mso-fareast-font-family:Arial;mso-hansi-theme-font:minor-latin; mso-bidi-theme-font:minor-latin;color:black;mso-themecolor:text1;mso-ansi-language: ES-EC'>,&nbsp;</span><span lang=EN-US><a href="https://orcid.org/0000-0001-8758-9855"><span lang=ES-TRAD style='font-size:9.0pt;font-family:"Calibri",sans-serif;mso-ascii-theme-font: minor-latin;mso-fareast-font-family:Arial;mso-hansi-theme-font:minor-latin; mso-bidi-theme-font:minor-latin;color:black;mso-themecolor:text1;mso-ansi-language: ES-EC;text-decoration:none;text-underline:none'><span lang=ES-TRAD>https://orcid.org/0000-000<span lang=ES-TRAD>1-8758-9855</span></span></span></a></span><span style='font-size: 9.0pt;font-family:"Calibri",sans-serif;mso-ascii-theme-font:minor-latin; mso-fareast-font-family:Arial;mso-hansi-theme-font:minor-latin;mso-bidi-theme-font: minor-latin;color:black;mso-themecolor:text1;mso-ansi-language:ES-EC'><o:p></o:p></span></p> </div> <div style='mso-element:footnote' id=ftn3> <p class=MsoFootnoteText style='text-align:justify'><a style='mso-footnote-id: ftn3' href="#_ftnref3" name="_ftn3" title=""><span style='font-size:9.0pt; font-family:"Calibri",sans-serif;mso-ascii-theme-font:minor-latin;mso-fareast-font-family: Arial;mso-hansi-theme-font:minor-latin;mso-bidi-theme-font:minor-latin; color:black;mso-themecolor:text1;mso-ansi-language:ES-EC'><span style='mso-special-character:footnote'><![if !supportFootnotes]><span style='font-size:9.0pt;line-height:106%;font-family:"Calibri",sans-serif; mso-ascii-theme-font:minor-latin;mso-fareast-font-family:Arial;mso-hansi-theme-font: minor-latin;mso-bidi-theme-font:minor-latin;color:black;mso-themecolor:text1; mso-ansi-language:ES-EC;mso-fareast-language:EN-US;mso-bidi-language:AR-SA'>[3]</span><![endif]></span></span></a><span style='font-size:9.0pt;font-family:"Calibri",sans-serif;mso-ascii-theme-font: minor-latin;mso-fareast-font-family:Arial;mso-hansi-theme-font:minor-latin; mso-bidi-theme-font:minor-latin;color:black;mso-themecolor:text1;mso-ansi-language: ES-EC'>Msc en Epidemiologa y Gerencia en salud, Docente de la Universidad Catlica de Guayaquil, cristinagonzalezo@gmail.com ,&nbsp;</span><span lang=EN-US><a href="https://orcid.org/0000-0001-6061-4221"><span lang=ES-TRAD style='font-size:9.0pt;font-family:"Calibri",sans-serif;mso-ascii-theme-font: minor-latin;mso-fareast-font-family:Arial;mso-hansi-theme-font:minor-latin; mso-bidi-theme-font:minor-latin;color:black;mso-themecolor:text1;mso-ansi-language: ES-EC;text-decoration:none;text-underline:none'><span lang=ES-TRAD>https://orcid.org/0000-0001-6061-4221</span></span></a></span><span style='font-size:9.0pt;font-family:"Calibri",sans-serif;mso-ascii-theme-font: minor-latin;mso-fareast-font-family:Arial;mso-hansi-theme-font:minor-latin; mso-bidi-theme-font:minor-latin;color:black;mso-themecolor:text1;mso-ansi-language: ES-EC'><o:p></o:p></span></p> </div> <div style='mso-element:footnote' id=ftn4> <p class=MsoFootnoteText style='text-align:justify'><a style='mso-footnote-id: ftn4' href="#_ftnref4" name="_ftn4" title=""><span style='font-size:9.0pt; font-family:"Calibri",sans-serif;mso-ascii-theme-font:minor-latin;mso-fareast-font-family: Arial;mso-hansi-theme-font:minor-latin;mso-bidi-theme-font:minor-latin; color:black;mso-themecolor:text1;mso-ansi-language:ES-EC'><span style='mso-special-character:footnote'><![if !supportFootnotes]><span style='font-size:9.0pt;line-height:106%;font-family:"Calibri",sans-serif; mso-ascii-theme-font:minor-latin;mso-fareast-font-family:Arial;mso-hansi-theme-font: minor-latin;mso-bidi-theme-font:minor-latin;color:black;mso-themecolor:text1; mso-ansi-language:ES-EC;mso-fareast-language:EN-US;mso-bidi-language:AR-SA'>[4]</span><![endif]></span></span></a><span style='font-size:9.0pt;font-family:"Calibri",sans-serif;mso-ascii-theme-font: minor-latin;mso-fareast-font-family:Arial;mso-hansi-theme-font:minor-latin; mso-bidi-theme-font:minor-latin;color:black;mso-themecolor:text1;mso-ansi-language: ES-EC'>Magister&nbsp;&nbsp;en&nbsp;Gerencia en Salud para el desarrollo local, Universidad Catlica Santiago de Guayaquil,jhohanalarreasilvia@gmail.com,&nbsp;</span><span lang=EN-US><a href="https://orcid.org/0000-0001-6061-4221"><span lang=ES-TRAD style='font-size:9.0pt;font-family:"Calibri",sans-serif;mso-ascii-theme-font: minor-latin;mso-fareast-font-family:Arial;mso-hansi-theme-font:minor-latin; mso-bidi-theme-font:minor-latin;color:black;mso-themecolor:text1;mso-ansi-language: ES-EC;text-decoration:none;text-underline:none'><span lang=ES-TRAD>https://orcid.org/0000-0001-6061<span lang=ES-TRAD>-4221</span></span></span></a></span><span style='font-size:9.0pt; font-family:"Calibri",sans-serif;mso-ascii-theme-font:minor-latin;mso-fareast-font-family: Arial;mso-hansi-theme-font:minor-latin;mso-bidi-theme-font:minor-latin; color:black;mso-themecolor:text1;mso-ansi-language:ES-EC'><o:p></o:p></span></p> </div> <div style='mso-element:footnote' id=ftn5> <p class=MsoFootnoteText style='text-align:justify'><a style='mso-footnote-id: ftn5' href="#_ftnref5" name="_ftn5" title=""><span style='font-size:9.0pt; font-family:"Calibri",sans-serif;mso-ascii-theme-font:minor-latin;mso-fareast-font-family: Arial;mso-hansi-theme-font:minor-latin;mso-bidi-theme-font:minor-latin; color:black;mso-themecolor:text1;mso-ansi-language:ES-EC'><span style='mso-special-character:footnote'><![if !supportFootnotes]><span style='font-size:9.0pt;line-height:106%;font-family:"Calibri",sans-serif; mso-ascii-theme-font:minor-latin;mso-fareast-font-family:Arial;mso-hansi-theme-font: minor-latin;mso-bidi-theme-font:minor-latin;color:black;mso-themecolor:text1; mso-ansi-language:ES-EC;mso-fareast-language:EN-US;mso-bidi-language:AR-SA'>[5]</span><![endif]></span></span></a><span style='font-size:9.0pt;font-family:"Calibri",sans-serif;mso-ascii-theme-font: minor-latin;mso-fareast-font-family:Arial;mso-hansi-theme-font:minor-latin; mso-bidi-theme-font:minor-latin;color:black;mso-themecolor:text1;mso-ansi-language: ES-EC'> Especialista de Enfermera en cuidados Crticos, Universidad Catlica Santiago de Guayaquil&nbsp;</span><span lang=EN-US><a href="mailto:olgaargentina@gmail.com"><span lang=ES-TRAD style='font-size:9.0pt; font-family:"Calibri",sans-serif;mso-ascii-theme-font:minor-latin;mso-fareast-font-family: Arial;mso-hansi-theme-font:minor-latin;mso-bidi-theme-font:minor-latin; color:black;mso-themecolor:text1;mso-ansi-language:ES-EC;text-decoration:none; text-underline:none'><span lang=ES-TRAD>olgaargentina@gmail.com</span></span></a></span><span style='font-size:9.0pt;font-family:"Calibri",sans-serif;mso-ascii-theme-font: minor-latin;mso-fareast-font-family:Arial;mso-hansi-theme-font:minor-latin; mso-bidi-theme-font:minor-latin;color:black;mso-themecolor:text1;mso-ansi-language: ES-EC'>,&nbsp;</span><span lang=EN-US><a href="https://orcid.org/0000-0002-8739-7068"><span lang=ES-TRAD style='font-size:9.0pt;font-family:"Calibri",sans-serif;mso-ascii-theme-font: minor-latin;mso-fareast-font-family:Arial;mso-hansi-theme-font:minor-latin; mso-bidi-theme-font:minor-latin;color:black;mso-themecolor:text1;mso-ansi-language: ES-EC;text-decoration:none;text-underline:none'><span lang=ES-TRAD>https://orcid.org/0000-0002-87<span lang=ES-TRAD>39-7068</span></span></span></a></span><span style='font-size: 9.0pt;font-family:"Calibri",sans-serif;mso-ascii-theme-font:minor-latin; mso-fareast-font-family:Arial;mso-hansi-theme-font:minor-latin;mso-bidi-theme-font: minor-latin;color:black;mso-themecolor:text1;mso-ansi-language:ES-EC'><o:p></o:p></span></p> </div> <div style='mso-element:footnote' id=ftn6> <p class=MsoFootnoteText style='text-align:justify'><a style='mso-footnote-id: ftn6' href="#_ftnref6" name="_ftn6" title=""><span style='font-size:9.0pt; font-family:"Calibri",sans-serif;mso-ascii-theme-font:minor-latin;mso-fareast-font-family: Arial;mso-hansi-theme-font:minor-latin;mso-bidi-theme-font:minor-latin; color:black;mso-themecolor:text1;mso-ansi-language:ES-EC'><span style='mso-special-character:footnote'><![if !supportFootnotes]><span style='font-size:9.0pt;line-height:106%;font-family:"Calibri",sans-serif; mso-ascii-theme-font:minor-latin;mso-fareast-font-family:Arial;mso-hansi-theme-font: minor-latin;mso-bidi-theme-font:minor-latin;color:black;mso-themecolor:text1; mso-ansi-language:ES-EC;mso-fareast-language:EN-US;mso-bidi-language:AR-SA'>[6]</span><![endif]></span></span></a><span style='font-size:9.0pt;font-family:"Calibri",sans-serif;mso-ascii-theme-font: minor-latin;mso-fareast-font-family:Arial;mso-hansi-theme-font:minor-latin; mso-bidi-theme-font:minor-latin;color:black;mso-themecolor:text1;mso-ansi-language: ES-EC'> Especialista de Enfermera en cuidados Crticos, Universidad Catlica Santiago de Guayaquil <a href="mailto:riofriomariana@gmail.com"><span style='color:black;mso-themecolor:text1;text-decoration:none;text-underline: none'>riofriomariana@gmail.com</span></a> <a href="https://orcid.org/0000-0001-9581-8806"><span style='color:black; mso-themecolor:text1;text-decoration:none;text-underline:none'>https://orcid.org/0000-0001-9581-8806</span></a><o:p></o:p></span></p> </div> </div> </body> </html>

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