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Gerokomos
Print version ISSN 1134-928X
Abstract
GONZALEZ EXPOSITO, Josefina. Self-perceived health in the elderly, NOC taxonomy and nursing practice: a pragmatical approach. Gerokomos [online]. 2017, vol.28, n.1, pp.19-24. ISSN 1134-928X.
Objective:
One of the consequences of ageing is the appearance of chronic diseases that increase morbidity, loss of functional ability and the use of healthcare resources. New indicators have been developed to evaluate health status, beyond the classical biological parameters. Health-related Quality of Life (HRQoL), an output indicator closely related to patient´s perceptions, has shown to be useful for clinicians and for management purposes. The aim was to select, according to Nursing Outcomes Classification (NOC) taxonomy, some results related to factors with a double characteristic: having a substantial negative impact on HRQol in the elderly and being sensitive to nursing practice.
Methods:
Bibliographic research. Prioritization of variables according to Hanlon method. Selection of NOC codes, with regard to the prioritized list and to the self-perception of health.
Results:
6 variables were selected. The first three prioritized factors were pressure ulcers, loss of functional ability and falls. 37 NOC codes were finally set up, related to these 3 variables and to the selfperception of health.
Conclusions:
Achieving the NOC related to variables that are associated with a strong negative impact on HRQOL in the elderly people can lead to an improvement in perceived health of
individuals. Bibliographic research and prioritization techniques are useful tools that complement the NOC methodology, improving the effectiveness and efficiency of nursing cares.
Keywords : elderly; health-related quality of life; pressure ulcers; ability; falls; nursing cares; outcomes assessment.