<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1134-928X</journal-id>
<journal-title><![CDATA[Gerokomos]]></journal-title>
<abbrev-journal-title><![CDATA[Gerokomos]]></abbrev-journal-title>
<issn>1134-928X</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Enfermería Geriátrica y Gerontológica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1134-928X2020000100008</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Resultados clínicos de las enfermeras de práctica avanzada en heridas crónicas complejas en Andalucía]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical results of the nurses of advanced practice in complex chronic wounds in Andalucía]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jiménez García]]></surname>
<given-names><![CDATA[Juan Francisco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguilera Manrique]]></surname>
<given-names><![CDATA[Gabriel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Jiménez]]></surname>
<given-names><![CDATA[Francisco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutiérrez García]]></surname>
<given-names><![CDATA[María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arboledas Bellón]]></surname>
<given-names><![CDATA[Josefa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Fernández]]></surname>
<given-names><![CDATA[Francisco Pedro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Distrito Sanitario Poniente de Almería  ]]></institution>
<addr-line><![CDATA[Almería ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Almería Facultad de Ciencias de la Salud Departamento de Enfermería]]></institution>
<addr-line><![CDATA[Almería ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Distrito Sanitario Metropolitano de Granada  ]]></institution>
<addr-line><![CDATA[Granada ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Área de Gestión Sanitaria Serranía de Málaga  ]]></institution>
<addr-line><![CDATA[Málaga ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Distrito Sanitario Jaén Nordeste  ]]></institution>
<addr-line><![CDATA[Jaén ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Universidad de Jaén Facultad de Ciencias de la Salud Departamento de Enfermería]]></institution>
<addr-line><![CDATA[Jaén ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<volume>31</volume>
<numero>1</numero>
<fpage>36</fpage>
<lpage>40</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1134-928X2020000100008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1134-928X2020000100008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1134-928X2020000100008&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivo: Describir y analizar el rol clínico de la enfermera de práctica avanzada en heridas crónicas complejas (EPA-HCC) en Andalucía, en cuanto al seguimiento de pacientes con heridas crónicas.  Métodos: Estudio descriptivo transversal en los distritos Poniente de Almería, del A.G.C. Jaén Norte-Nordeste, A.G.S. Serranía de Málaga y Distrito Metropolitano de Granada entre junio del 2015 y junio del 2018, midiendo variables descriptivas como: diagnóstico etiológico de las heridas crónicas, tiempo de evolución antes de ser remitidos a EPAHCC, tasas de cicatrización, mejoría, empeoramiento, total de heridas crónicas, tasas de derivación desde EPA-HCC a hospitales.  Resultados: Se realizó seguimiento de un total de 767 personas con heridas crónicas, donde el 70% de todas ellas fueron úlceras por presión, úlceras venosas y lesiones de pie diabético, con una media de evolución de todas las lesiones de 21 meses y cuya derivación por parte de las EPA-HCC hacia los especialistas hospitalarios fue del 13,82%, siendo más del 86,18% (n = 661) de los pacientes gestionados de forma eficaz por las EPA-HCC. La derivación directa de los pacientes a consulta de especialistas médicos desde la implantación de la figura fue tan solo del 5%, con el importante ahorro en coste que esto supuso; además, las EPA-HCC atendieron a casi una de cada 4 heridas crónicas, datos estos que solo hicieron referencia a la atención directa, no de consultoría.  Conclusiones: El rol clínico y coordinación que desempeñaron las EPA-HCC en los pacientes con heridas crónicas es efectiva en la mejora de los cuidados.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Objective: To describe and to analyze the clinical role performed by the advanced practice nurse in complex chronic wounds (APN-CCW) in Andalusia, regarding the follow-up of patients with chronic wounds.  Methods: Cross-sectional descriptive study in the Poniente of Almería Districts, of the H.M.A. Jaén NorthNortheast, H.M.A. Serranía de Málaga and the Metropolitan District of Granada between June 2015 and June 2018, measuring descriptive variables such as: etiological diagnosis of chronic wounds, evolution time before referring to APN-CCW, healing, improvement, worsening and deaths rates, total of chronic wounds, referral rates from APN-CCW to hospitals.  Results: A total of 767 people with chronic wounds were followed up, and 70% of all of them were pressure ulcers, venous ulcers and diabetic feet, with an average of 21 monthsevolution of all injuries and whose derivation from APN-CCW to hospital specialists was 13.82%, with more than a 86.18% (n=661) of patients effectively managed by APN-CCW. The direct derivation of patients to the medical specialists office since the implementation of the figure was only 5%, with the significant cost savings that this supposed, besides, the APN-CCW attended almost one in every 4 chronic wounds, no consulting.  Conclusions: The clinical role and coordination of the APN-CCW in patients with chronic wounds is effective in improving care.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Enfermera de práctica avanzada]]></kwd>
<kwd lng="es"><![CDATA[resultados clínicos]]></kwd>
<kwd lng="es"><![CDATA[heridas crónicas]]></kwd>
<kwd lng="es"><![CDATA[Andalucía]]></kwd>
<kwd lng="en"><![CDATA[Advanced practice nurse]]></kwd>
<kwd lng="en"><![CDATA[Clinical results]]></kwd>
<kwd lng="en"><![CDATA[Chronic wounds]]></kwd>
<kwd lng="en"><![CDATA[Andalusia]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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