Abstract

GARCIA FERNANDEZ, Francisco Pedro  and  CARRASCOSA GARCIA, Mª Isabel. Nursing outcomes in pluripathology process to improve clinical practice. Gerokomos [online]. 2008, vol.19, n.4, pp.18-24. ISSN 1134-928X.

Objectives: To establish frequency activation of criteria result (CR). To determine the effectiveness of clinical nurses interventions in the health of pluripathology patients based on the improved results listed on the CP. To identify the criteria for submitting results need for continuity of care. Methods: Observational study retrospective descriptive research in outcomes (according to the taxonomy of Nursing Outcomes Classification) on all patients admitted to the Hospital of Jaén to which we applied the CP EPI pluripathology regardless of admission between January 1, 2007 and July 31, 2008. We analyzed the absolute frequency activation of each CR and percentage that each represents. It was measured the overall average score on admission and at discharge of all CR activated, comparing averages by Student T. Results were considered statistically significant value of p< 0.05. We calculated the average of each CR to the high income and to determine what criteria need continuity of care and what interventions have shown greater effectiveness. Results: The PC has been applied to a total of 987 patients. We have activated a total of 6,677 CR what represent an average of 6.7 criteria per patient. The CR most frequently have been Mobility (570 of 987 patients), Self-care: AVD, tolerance and knowledge of the process of disease. The CR Conduct Assessment and psychosocial Change: change of life have been the least active. There is an improvement after CR interventions nurses almost 1 point on the Likert scale (0.8), which is statistically significant (T= 52.43 p< 0.0001), which shows their effectiveness. The criteria with more improvement and where interventions are most effective have been Self anxiety, Knowledge: disease process and acceptance of health status, while the CR Health physical and emotional health of primary caregiver and Conduct improvement have fewer compliance. The CR where continuity of care is needed, are those related to patient dependence (Self-care: ADL; Mobility and tolerance activity). Conclusion: Despite the effectiveness of interventions, continuity of care is essential. At high mobility, tolerance to the activity and its ability to assume self-care and the emotional state remains committed and, since they affect both their health and that of caregivers, would be key, guiding the care of nurses both levels on these "hot spots" using interventions related to education, health promotion, prevention and reduction of anxiety.

Keywords : Nursing intervention; clinical practice based-nursing; complicate chronic disease.

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