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UNIVERSIDAD PRIVADA NORBERT WIENER

FACULTAD DE CIENCIAS DE LA SALUD

ESCUELA ACADMICO PROFESIONAL DE TECNOLOGIAMEDICA TERAPIA FISICA Y REHABILITACION

EFECTIVIDAD DE UN PROGRAMA DE TAI-CHI-CHUAN ENADULTO MAYOR DE 50-65 AOS CON PROBLEMA DE

HIPERTENSION ARTERIAL EN ESSALUD HOSPITAL ALBERTOSABOGAL 2015

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INDICE

P$%&

1& EL PROBLEMA

1.1Plantea!ent" #el $r"%lea

1.&F"r'la(!)n #el Pr"%lea1.*+',t!-!(a(!)n

1.O%/et!0",

1..1 O%/et!0" General

1..& O%/et!0", E,$e(-!(",

2& MARCO TE'RICO&.1. Ante(e#ente,

.&. Ba,e te)r!(a

&.*. H!$)te,!,

&.. 2ar!a%le, e !n#!(a#"re,

& 3 D -! ! !) O ! l # t4 !

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1& EL PROBLEMA

1&1 P+,./,/. 3/+ 4+/,

La !$erten,!)n arter!al re$re,enta 'n !$"rtante $r"%lea #e ,al'#

$;%l!(a 7 ,' $re0alen(!a ,e !n(reenta #ra8t!(aente ("n la e#a#. En

n'e,tr" $a, 'n ele0a#" $"r(enta/e #e la $"%la(!)n a#'lta $a#e(e #e

!$erten,!)n arter!al< ("n el ("n,e('ente a'ent" #el r!e,5" #e

en-ere#a# (ar#!"0a,('lar=1> 7 a n!0el 'n#!al< 'n" #e (a#a tre, a#'lt",

t!ene la ten,!)n arter!al ele0a#a ?'e (a',a a$r"@!a#aente la !ta# #e

t"#a, la, #e-'n(!"ne, $"r a((!#ente (ere%r"0a,('lar " (ar#!"$ata. Se

("n,!#era ?'e e,e $r"%lea -'e la (a',a #!re(ta #e

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$'#!en#" #aar la arter!a e !n(l'," al5'n", )r5an", ,! ,e $r"l"n5a en el

t!e$". C"n e,ta $a'ta< 'n" #e l", $r!n(!$ale, %ene-!(!", #el TCC $"#ra,er alentar la ela,t!(!#a# en $", #e #!,!n'!r la $re,!)n arter!al. =9>

En e,te ,ent!#"< ,e e,t8 ("n,!#eran#" la $r8(t!(a #el Ta! C! ("" 'na

#e la, a(t!0!#a#e, rea%!l!ta#"ra, 8, e-!(!ente, en $er,"na, ("n

en-ere#a#e, (r)n!(a, 7 ,' ("ntr!%'(!)n a la el!!na(!)n #e la

$"l!-ara(!a en l", a#'lt", a7"re,< $"r l" ?'e ,e $r"$"ne #e",trar el!$a(t" ?'e $r"#'(e la $r8(t!(a #el Ta! C! en l", an(!an",.=>

1&2 F7+,89 3/+ 4+/,

C'8l e, la e-e(t!0!#a# #e 'n $r"5raa #e Ta!C!C'an en a#'lt"

a7"r #e 393a",

De e#a# ("n $r"%lea, #e !$erten,!)n arter!al en E, ,al'# H",$!tal

Al%ert" Sa%"5al &13J

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arter!al ten!en#" ("" ("n,e('en(!a a((!#ente, (ere%r" 0a,('lare, G//,+

Deter!nar la e-e(t!0!#a# #e 'n $r"5raa #e ta!(!('an en a#'lt" a7"r

#e 393 a", ("n $r"%lea, #e !$erten,!)n arter!al en E, ,al'# H",$!talAl%ert" Sa%"5al a7" /'n!"< &13

1&)&2 O=/.>; E;4/8?

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Bar'ta &1< ('7" "%/et!0" -'e ela%"rar 'na $r"$'e,ta #e

e/er(!(!", ?'e $er!tan e/"rar la (al!#a# #e 0!#a en l",$a(!ente, ("n $at"l"5a #e !$erten,!)n arter!al $ara la

real!a(!)n #e e,ta !n0e,t!5a(!)n ,e ,ele((!"n) 'na 'e,tra #e

3& $a(!ente, la, ('ale, e,t8n ("$ren#!#a, en la e#a# #e 3 a

9 a",. L", !n,tr'ent", a$l!(a#", ("rre,$"n#en a la,

e#!(!"ne, #e la !$erten,!)n arter!al #'rante 1K e,e, #!0!#!#a,

en tre, eta$a,. L", 4t"#", 't!l!a#", $ara la !n0e,t!5a(!)n ,"n

l", te)r!(", 7 l", e$r!(",< a#e8, la t4(n!(a #e la en('e,ta.

La ("n(l',!)n $re(!,a ?'e la !n("r$"ra(!)n #e l", e/er(!(!", #e Ta!

C! C'an en la, (la,e, ("n $a(!ente, ("n $at"l"5a

!$erten,!)n arter!al -a0"re(e $",!t!0aente a la rea%!l!ta(!)n #e

#!(", $a(!ente, a'entan#" la (al!#a# #e 0!#a. =1>

N5 SM Ta!(!e@er(!,e-"r$at!ent,!teart#!,ea,e: a

,7,teat!(re0!e "- ("ntr"l e#(l!n!(altr!al, &1&< ('7" "%/et!0"

-'e e0al'ar la, $r'e%a, #!,$"n!%le, #e l", en,a7", (ln!(",

("ntr"la#", #e ta!(! =TC> #e e/er(!(!" $ara l", $a(!ente, ("n

http://www.ncbi.nlm.nih.gov/pubmed/?term=Ng%20SM%5BAuthor%5D&cauthor=true&cauthor_uid=22875558http://www.ncbi.nlm.nih.gov/pubmed/?term=Ng%20SM%5BAuthor%5D&cauthor=true&cauthor_uid=22875558

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La HTA ,e #e-!ne $"r la $re,en(!a anten!#a #e (!-ra, #e PA

,!,t)l!(a =PAS> !5'ale, " ,'$er!"re, a 1H5 PA #!a,t)l!(a=PAD> #e H5 " ,'$er!"r< " a%a,. N" "%,tante< (!-ra,

!n-er!"re, a #!(", l!te, n" !n#!(an ne(e,ar!aente ?'e n" a7a

r!e,5"< 7 en #eter!na#", (a,", $'e#e ,er $re(!," el trata!ent"

ant!!$erten,!0" en $er,"na, ("n (!-ra, $"r #e%a/" #e

1H5. =1&>

Se5;n la Or5an!a(!)n M'n#!al #e la Sal'# =OMS>< la HTA ,e

en('entra #!,tr!%'!#a en t"#a, la, re5!"ne, #el 'n#"< ten!en#"

'na !n(!#en(!a #el &9 en la $"%la(!)n entre & 7 9 a",. M'7 al ("ntrar!"< la, $er,"na, ("n$re,!)n arter!al alta $are(en tener ,!5n!-!(at!0aente en",#"l"re, #e (a%ea ?'e la $"%la(!)n 5eneral.

S,%,3,;,+

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alta< $er" n!n5'na #e e,ta, ("n#!(!"ne, (a',a la, an(a, #e,an5re.

R7

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(a',a,. Renale, =$!el"ne-r!t!, (r)n!(a< 5l"4r'l" ne-r!t!, a5'#a

7 (r)n!(a< en-ere#a# renal $"l! ?',t!(a< e,ten",!,

0a,('l"rrenal< !n-art" renal< t'"re, $r"#'(t"re, #e ren!na>

en#"(r!na,=,n#r"e #e C',!n5< -e"(r"",!t"a ne'r"54n!(a, =$"l!ne'r!t!,< $"l!"!el!t!,

%'l%ar< ,n#r"e #!en(e-al!("< a'ent" %r',(" #e la $re,!)n

!ntra(raneal>< ("arta(!)n #e la a"rta< !$er(al(e!aRe&o

p*a&o'>TCDP.pd21. 2!5" F. Tre(e ra"ne, $ara $ra(t!(ar TAICHI. #!,$"n!%le en#

""p#$$%%%.++raora.es$T8L$"re&e72!ra

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ANE*OS

MATRIJ DE CONSISTENCIA

TITULO! EFECTIVIDAD DE UN PROGRAMA DE TAI-CHI-CHUAN EN ADULTO MAYOR DE 50-65 AOSCON PROBLEMA DE HIPERTENSION ARTERIAL EN ESSALUD HOSPITAL ALBERTO SABOGAL 2015

F7+,893/ +,

4/%7.,

O=/.>; A./8/3/./; 3//;.73

H49./;; V,,+/38,3/; V,+ ,,+/

D;/K7/;.,

C'8l e, la

e-e(t!0!#a# #e

'n $r"5raa

#e Ta!C!

C'an en

a#'lt" a7"r

#e 393a",

#e e#a# ("n

$r"%lea, #e

!$erten,!)narter!al en E,

,al'#H",$!tal

GENERAL&Deter!nar la

e-e(t!0!#a# #e 'n$r"5raa #e ta!

(!('an en

a#'lt" a7"r #e

393 a", ("n

$r"%lea, #e

!$erten,!)n

arter!al en E,,al'# H",$!tal

Al%ert" Sa%"5al