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© 2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.

Abstract

One of the priorities in family and community care is the epidemiological surveillance of the care needs and dysfunctionality present in populations of highly complex chronic patients (HCCPs) using standardised nursing languages. The aim of this study is to establish the prevalence of care needs and dysfunctionality among HCCPs in a specific health area by municipalities and geographical areas (metropolitan, north, and south) while verifying correlations with sociodemographic, financial, and health characteristics. This is an epidemiological, observational, descriptive, cross-sectional study carried out with a sample of 51,374 HCCPs, whose data were grouped into 31 municipalities. Data were collected on the following variables: sociodemographic, financial, health, functional status (health patterns), and care needs (nursing diagnoses). The mean age of the HCCPs was 73.41 (1.45) years, of which 56.18 (2.86)% were women. The municipalities in the northern area have a significantly higher proportion of older patients, HCCPs, lower incomes, and higher unemployment rates. The southern area had higher proportions of non-Spanish nationals and professionals in the hotel and catering industry, and the metropolitan area had a higher proportion of employed individuals and higher levels of education. Northern municipalities had a higher prevalence of illnesses and anxiolytic and anti-psychotic treatments. Dysfunctionality frequencies did not differ significantly by area. However, a higher prevalence of 13 nursing diagnoses was observed in the north. A high number of correlations were observed between population characteristics, dysfunctionality, and prevalent diagnoses. Finally, the frequencies of dysfunctionality in the population and the most common care needs were mapped by municipality. This research sought to ascertain whether there was an unequal distribution of these two aspects among HCCPs in order to gain a deeper epidemiological understanding of them from a family and community perspective using standardised nursing languages. This study was not registered.

Details

Title
Community Care Needs of Highly Complex Chronic Patients: An Epidemiological Study in a Healthcare Area
Author
Brito-Brito, Pedro Ruymán 1   VIAFID ORCID Logo  ; Rodríguez-Álvaro, Martín 2   VIAFID ORCID Logo  ; Fernández-Gutiérrez, Domingo Ángel 3 ; Núñez-Marrero, Janet 3 ; Cabeza-Mora, Antonio 4 ; Alfonso Miguel García-Hernández 1   VIAFID ORCID Logo 

 Nursing Department, Faculty of Healthcare Sciences, University of La Laguna, 38200 Santa Cruz de Tenerife, Spain; [email protected] (P.R.B.-B.); [email protected] (A.M.G.-H.) 
 Health Services Management Board of La Palma, The Canary Islands Health Service, 38713 Breña Alta, Spain 
 Primary Care Management Board of Tenerife, The Canary Islands Health Service, 38003 Santa Cruz de Tenerife, Spain; [email protected] 
 Primary Care Management Board of Gran Canaria, The Canary Islands Health Service, 35006 Las Palmas de Gran Canaria, Spain; [email protected] 
First page
1260
Publication year
2024
Publication date
2024
Publisher
MDPI AG
ISSN
2039439X
e-ISSN
20394403
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
3072608532
Copyright
© 2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.