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[Nursing diagnosis of risks. Analysis of cost effectiveness]
M A Vázquez Sánchez1, M Bueno Ferrán, J L Casals Sánchez
1Distrito Sanitario Málaga-Oeste.
Background:
Today, there is a discussion on the importance of the utilization of the nursing diagnosis: This makes convenient to evaluate the principal two existing methodological alternatives, that they are: 1) the problems identification, 2) the diagnoses statement of the NANDA within process nursing. The study is centered on the risk diagnoses.
Object:
1) To know which the two work methodologies is more effective. 2) To know if exist economic differences.
Methods:
It is accomplished a cohorts study, in a population of user included in Program of Handicapped. These were studied during a year.
Results:
In the group of patients without diagnoses the incidence rate was of 0.64 conversions/person-year), in the group with diagnoses was of 0.22 (p < 0.001). The mean of visits after that the is made real, in the group with diagnoses was of 0.35, in the group without diagnoses of 1.69 (p = 0.012).
Discussion:
The analysis cost-efficiency of the two work methodologies is clearly more favorable for the methodology than states nursing diagnosis of the taxonomy of the NANDA.