RESUMEN
PURPOSE: To establish technical values for nursing diagnoses in primary healthcare with which to weight the delivery of care based on criteria of complexity and relevance. METHODS: A three-phase cross-sectional descriptive study: (1) establishing and weighting of the assessment criteria of technical values, (2) scoring of the assessment criteria per diagnosis, and (3) assigning technical values. FINDINGS: Diagnoses were ordered on the scoring scale obtained and a technical value of 1 to 4 was assigned according to their quartile. CONCLUSIONS: Having a technical value for each nursing diagnosis helps to measure the diversity and complexity of care. IMPLICATIONS FOR NURSING PRACTICE: Technical values may contribute to improving nursing management indicators, as they incorporate a quantitative view into the assessment process.
OBJETIVO: Definir un valor técnico para los diagnósticos enfermeros en Atención Primaria que permita ponderar la prestación de cuidados en base a criterios de complejidad y relevancia. MÉTODOS: Estudio descriptivo transversal realizado en 3 fases: 1) definición y ponderación de los criterios de valoración del valor técnico, 2) puntuación de los criterios de valoración por diagnóstico, 3) asignación del valor técnico. RESULTADOS: Se ordenaron los diagnósticos en la escala de puntuación obtenida y se asignó un valor técnico del 1 al 4 en función del cuartil. CONCLUSIONES: Disponer de un valor técnico de cada diagnóstico enfermero permite dimensionar la diversidad y la complejidad de los cuidados. IMPLICACIONES: El valor técnico puede contribuir a mejorar los indicadores de gestión de servicios enfermeros al añadir una visión cuantitativa al proceso evaluativo. PALABRAS CLAVE: diagnóstico de enfermería; terminología normalizada de enfermería; Atención Primaria de salud; indicadores de calidad de la atención de salud; indicadores de gestión.
Asunto(s)
Diagnóstico de Enfermería , Atención Primaria de Salud , Adulto , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana EdadRESUMEN
Fundamento y objetivo: La obesidad es uno de los principales problemas de salud pública. En la adolescencia existe una falta de contacto con el sistema sanitario que impide realizar un diagnóstico de la misma y de la morbilidad que asocia. El objetivo del presente estudio es conocer a los 18 años la prevalencia de obesidad, sobrepeso, factores de riesgo cardiovascular (FRCV) y su posible asociación con existencia de FRCV en padres y hermanos. Pacientes y método: Se realiza un estudio de 153 niños seguidos hasta los 18 años en un centro de salud, determinando índice de masa corporal (IMC), perímetro de cintura, FRCV y antecedentes familiares. Resultados: La prevalencia de obesidad es del 7,18% (intervalo de confianza del 95% [IC 95%] 3,0-11,0) (6,25% en varones y 7,86% en mujeres) y la de sobrepeso del 18,3% (IC 95% 11,9-24,0) (26,56% en varones y 12,35% en mujeres). Refieren antecedentes familiares de FRCV un 53,9% (IC 95% 46,1-61,9) de los casos: hipertensión arterial (25%), obesidad (23,6%), dislipidemia (21,7%) y diabetes (7,2%), globalmente más frecuentes (72,72%) en el grupo de obesidad que en el de sobrepeso (64,2%) y normopeso (49,59%). Existe asociación entre obesidad a los 18 años y obesidad y diabetes en sus familiares de primer grado, así como entre hipertensión arterial a dicha edad e hipertensión arterial en familiares de primer grado. Conclusiones: Con el fin de diagnosticar en jóvenes adultos situaciones de obesidad, sobrepeso y posibles complicaciones a ellas asociadas se debe realizar un seguimiento especial a hijos de padres y hermanos de personas con factores de riesgo, fundamentalmente hipertensos, diabéticos y obesos
Background and objetive: Obesity is a major concern in public health. The fact that most teenagers stop contacting the health system during this period of life prevents detection of this problem and its associated morbidity. The aim of this study is to measure the prevalence of obesity at 18. We also aimed to detect overweight, cardiovascular risk factors (CVRF) and association with CVRF in parents and siblings. Patients and method: The research includes 153 children followed up to 18years old in a community health center. Measures of body mass index (BMI), waist perimeter, CVRF, and familiar history were taken. Results: The prevalence of obesity in our study group was 7.18%, (IC: 3.0-11.0), (6.25% male and 7.86% female). The prevalence of overweight was 18.3% (IC: 11.9-24.0), (26.56% male and 12.35% female). A familiy history of CVRF was found in 53.9% (IC: 46.1-61.9) of cases, including high blood pressure (25%), obesity (23.6%), dyslipemia (21.7%), and diabetes (7.2%). This finding was more prevalent in the obesity group (72.72%) than in those with overweight only (64.2%), or with normal weight (49.59%). A family history of obesity and diabetes in first-degree relatives was associated to obesity in the study group. Also, a family history of high blood pressure was associated to the presence of high blood pressure in this group. Conclusions: In order to detect obesity, overweight, and associated complications in young adults, specific attention to children and siblings of persons who present risk factors is recommended. Those with high blood pressure, diabetes or obesity have the higher risk (AU)
Asunto(s)
Humanos , Masculino , Femenino , Adolescente , Enfermedades Cardiovasculares/epidemiología , Obesidad/epidemiología , Predisposición Genética a la Enfermedad , Factores de Riesgo , Probabilidad , Hipertensión/complicaciones , Diabetes Mellitus/epidemiologíaRESUMEN
BACKGROUND AND OBJECTIVE: Obesity is a major concern in public health. The fact that most teenagers stop contacting the health system during this period of life prevents detection of this problem and its associated morbidity. The aim of this study is to measure the prevalence of obesity at 18. We also aimed to detect overweight, cardiovascular risk factors (CVRF) and association with CVRF in parents and siblings. PATIENTS AND METHOD: The research includes 153 children followed up to 18 years old in a community health center. Measures of body mass index (BMI), waist perimeter, CVRF, and familiar history were taken. RESULTS: The prevalence of obesity in our study group was 7.18%, (IC: 3.0-11.0), (6.25% male and 7.86% female). The prevalence of overweight was 18.3% (IC: 11.9-24.0), (26.56% male and 12.35% female). A familiy history of CVRF was found in 53.9% (IC: 46.1-61.9) of cases, including high blood pressure (25%), obesity (23.6%), dyslipemia (21.7%), and diabetes (7.2%). This finding was more prevalent in the obesity group (72.72%) than in those with overweight only (64.2%), or with normal weight (49.59%). A family history of obesity and diabetes in first-degree relatives was associated to obesity in the study group. Also, a family history of high blood pressure was associated to the presence of high blood pressure in this group. CONCLUSIONS: In order to detect obesity, overweight, and associated complications in young adults, specific attention to children and siblings of persons who present risk factors is recommended. Those with high blood pressure, diabetes or obesity have the higher risk.