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  11. Community Care Needs Of Highly Complex Chronic Patients: An Epidemiological Study In A Healthcare Area

Community Care Needs of Highly Complex Chronic Patients: An Epidemiological Study in a Healthcare Area

Pedro Ruymán Brito-Brito1, Martín Rodríguez-Álvaro2, Domingo Ángel Fernández-Gutiérrez3

  • 1Nursing Department, Faculty of Healthcare Sciences, University of La Laguna, 38200 Santa Cruz de Tenerife, Spain.

Nursing Reports (Pavia, Italy)
|May 28, 2024

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View abstract on PubMed

Summary
This summary is machine-generated.

Epidemiological surveillance of highly complex chronic patients (HCCPs) revealed significant regional disparities in care needs and diagnoses, particularly in the northern area. This highlights the need for tailored family and community care strategies.

Area of Science:

  • Nursing
  • Public Health
  • Epidemiology

Background:

  • Family and community care necessitates epidemiological surveillance of highly complex chronic patients (HCCPs).
  • Standardized nursing languages are crucial for assessing care needs and dysfunctionality in HCCP populations.
  • Understanding the distribution of care needs and dysfunctionality is vital for targeted interventions.

Purpose of the Study:

  • To determine the prevalence of care needs and dysfunctionality among HCCPs within a defined health area.
  • To analyze the distribution of these factors by municipality and geographical area (metropolitan, north, south).
  • To identify correlations between sociodemographic, financial, health characteristics, and care needs/dysfunctionality.

Main Methods:

  • An epidemiological, observational, descriptive, cross-sectional study was conducted.
Keywords:
community health nursingepidemiologyhealth information systemsneeds assessment

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  • Data from 51,374 HCCPs across 31 municipalities were analyzed.
  • Variables included sociodemographic, financial, health, functional status, and nursing diagnoses.

    • Main Results:

    • The northern area showed a higher prevalence of older HCCPs, lower incomes, higher unemployment, more illnesses, and increased use of anxiolytic/anti-psychotic treatments.
    • While overall dysfunctionality did not vary significantly by area, the north exhibited a higher prevalence of 13 specific nursing diagnoses.
    • Significant correlations were found between population characteristics, dysfunctionality, and prevalent nursing diagnoses.

    Conclusions:

    • Geographical and sociodemographic factors are associated with varying care needs and diagnoses among HCCPs.
    • The study successfully mapped the distribution of dysfunctionality and care needs by municipality.
    • Findings underscore the importance of an epidemiological approach using standardized nursing languages for equitable family and community care of HCCPs.
    primary health care
    standardised nursing terminology