高度复杂的慢性患者的社区护理需求:在医疗保健领域的流行病学研究
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
概括
对高度复杂的慢性患者 (HCCP) 的流行病学监测显示,在护理需求和诊断方面存在显著的区域差异,特别是在北部地区. 这凸显了针对家庭和社区护理策略的需求.
科学领域:
- 护理 护理 护理
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 家庭和社区护理需要对高度复杂的慢性患者 (HCCP) 进行流行病学监测.
- 标准化的护理语言对于评估HCCP群体的护理需求和功能障碍至关重要.
- 了解护理需求和功能障碍的分布对于有针对性的干预至关重要.
研究的目的:
- 为了确定在一个定义的健康领域内HCCP的护理需求和功能障碍的普遍性.
- 分析这些因素按市镇和地理区域 (大都会,北部,南部) 的分布.
- 确定社会人口统计学,财务,健康特征和护理需求/功能障碍之间的相关性.
主要方法:
- 进行了一项流行病学,观察性,描述性,横截面研究.
- 分析了31个市区的51,374个HCCP的数据.
- 变量包括社会人口统计学,金融,健康,功能状态和护理诊断.
主要成果:
- 北部地区的老年HCCP的患病率更高,收入更低,失业率更高,疾病更多,焦虑缓解/抗精神病治疗的使用增加.
- 虽然整体功能障碍在不同地区没有显著差异,但北方的13种特定护理诊断的患病率更高.
- 在人口特征,功能障碍和普遍的护理诊断之间发现了显著的相关性.
结论:
- 地理和社会人口统计因素与HCCP之间不同的护理需求和诊断有关.
- 该研究成功地绘制了市政部门的功能障碍和护理需求的分布图.
- 研究结果强调了使用标准化护理语言的流行病学方法对于公平的家庭和社区护理HCCP的重要性.
相关概念视频
Documentation in Long-Term and Home Healthcare Setting
882
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
882
Restorative Care
1.9K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
1.9K
Methods of Documentation VI: Case Management Model
569
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
569
Specialized Care Centers and Settings-I
940
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
940
Continuing Care
1.5K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.5K
Secondary Healthcare System
1.5K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.5K


