Main nursing diagnostic labels and medical diagnoses in a hospital unit of infectious diseases
Section: Originals
How to quote
Cortés Aguilar R, Gallego Gómez S, Álvarez Rodríguez J, Hernández Moreno M, Llull Simo MA. Principales etiquetas diagnósticas enfermeras y diagnósticos médicos en una unidad hospitalaria de enfermedades infecciosas. Metas Enferm oct 2021; 24(8):56-62. Doi: https://doi.org/10.35667/MetasEnf.2021.24.1003081814
Authors
Regina Cortés Aguilar1, Sara Gallego Gómez1, Javier Álvarez Rodríguez1, María Hernández Moreno1, María Antonia Llull Simo1
Position
1Diplomada/o en Enfermería. Hospital Son Espases. Palma de Mallorca (Baleares)
Contact address
Regina Cortés Aguilar. Hospital Son Espases. Carretera de Valdemosa, 79. 07010 Palma de Mallorca (Baleares).
Contact email: reginacortesaguilar@gmail.com
Abstract
Objective: to identify the main Nursing diagnostic labels (NDLs) and the main medical diagnoses that lead to admission at an Infectious Diseases Unit, and to determine the association of said NDLs with gender, age, and days of hospitalization at the time of data collection.
Method: a descriptive cross-sectional study; the data collected were: age, gender, number of hospitalization days at the time of data collection, the medical diagnosis leading to the admission, and the NDLs present at the time of data collection. Said data collection was conducted on a random day per month for 11 months. The Mann-Whitney U, Student’s T and Square Chi tests were used to analyze the differences.
Results: NDLs were identified after assessing 136 patients: 58.1% were male, and their mean age was 57.9 (SD: 18.1) years. The most common NDLs were: Risk of infection (66.2%) and Self-Care Deficit: bathing (40.4%). Differences by gender were observed in: Willingness to improve self-care (p= 0.028) and Urinary Incontinence (p= 0.032), among others. Differences with age were observed in Self-Care Deficit: bathing, and in Deterioration in Physical Mobility, among others (p< 0.05). At the start of the hospitalization there was a higher Risk of Acute Confusion (p= 0.003), and in the longer hospital stays, Risk of Pressure Ulcers (p= 0.003). The most frequent medical diagnoses were: cellulitis (10.3%) and pneumonia (8.8%).
Conclusions: NDLs have a low association with gender and hospital stay duration, but a high association with age.
Keywords:
Nursing Assessment; medical records; hospital nursing staff; Nursing care process; standardized nursing terminology; nursing diagnoses
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