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Metas de Enfermería

Metas de Enfermería

SEPTIEMBRE 2009 N° 7 Volumen 12

Prevalence of care problems in vulnerable population

Section: Healthcare Management

How to quote

Rico Blázquez M, Ferrer Arnedo C, de Frías Redondo M, Valdivia Pérez A, Pérez de Hita C, Regidor Ropero T. Prevalencia de problemas de cuidados en población vulnerable. Metas de Enferm sep 2009; 12(7): 10-14

Authors

1Milagros Rico Blázquez, 2Carmen Ferrer Arnedo, 3Marisol de Frías Redondo, 4Antonio Valdivia Pérez, 5Concepción Pérez de Hita, 6Teresa Regidor Ropero

Position

1Diplomada en Enfermería. Máster en Ciencias de la Enfermería. Profesora Asociada en Ciencias de la Salud, Universidad de Alcalá de Henares.2Enfermera. Gerente del Hospital de Guadarrama de Madrid, España.3Enfermera. Equipo de Atención Picopedagógica La plata.4Licenciado en Medicina. Médico Residente de la Unidad Docente de Medicina Preventiva y Salud Pública de la Comunidad de Madrid.5Subdirectora de Enfermería Área 3 de Atención Primaria, Madrid.6Diplomada en Enfermería. Subdirectora de Enfermería, Gerencia de Atención Primaria, Área 3 (Servicio Madrileño de Salud).

Contact address

Gerencia de Atención Primaria, Área 3. C/ Nuestra Señora del Pilar, s/n. 28802 Alcalá de Henares.

Contact email: mrico.gapm03@salud.madrid.org

Abstract

Objectives: to estimate the prevalence of care problems in vulnerable population in a Primary Care (PC) Area.

Material and methods: cross-sectional descriptive design, performed in a Primary Care Area, throughout 2007, with a population under the age of 15 years and over the age of 75 years and with a registry in Computerised Clinical History (CCH). One single measurement of nursing diagnoses recorded in the CCH of the corporate application OMI-AP is recorded in December 2007. Data analysis is performed using a structured computerised consultation language (SQL). Studied variables: age, gender, diagnostic label (NANDA II), number of consultations, process duration (days) and reason for care discharge. Statistical analysis: qualitative variables are described in terms of their frequency distribution (%) and quantitative variables are summarised using median and interquartile range. The statistical package used is SPSS® version 15.

Results: target population: 20,32% of the total population. 45,384 problems were diagnosed; 23,79% in vulnerable population. Prevalent diagnoses: elderly: deterioration of skin integrity (3,54%) and carer role problems (2,70% and 2,59%); children: health generating behaviours (32,97%). Consultations/diagnosis ratio: elderly: 1,44 (1,00-1,93); children: 1,2 (1,00- 1,51). Process duration: elderly: 52 (18-73); children: 17 (7,3-36,6). Reasons for discharge reasons: resolution (79%-85%), controlled follow-up (14%-8,60%), no resolution (3%-0,5%), death (3%-0%), discontinuation (1%- 4,35%).

Conclusions: gender is a key factor of diagnosis in elderly patients. Children have positive diagnoses. The use of the “Health generating behaviours” label creates good use doubts in researchers. The nursing presence in situations of risk stands out. The timeframe for resolution is associated with the difficulty of working on attitude changes and healthy habits.

Keywords:

nursing in community health; vulnerability; nursing diagnosis; Primary Careinformation systems

Versión en Español

Título:

Prevalencia de problemas de cuidados en población vulnerable