<?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>S1134-928X2021000400011</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Comparación entre el coste y el cierre de heridas en una unidad de gestión clínica que incluye una enfermera de práctica avanzada en heridas crónicas complejas]]></article-title>
<article-title xml:lang="en"><![CDATA[Comparison between the cost and the wound closure in a Clinical Management Unit that includes an Advanced Practice Nurse on Complex Chronic Wounds]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Díaz]]></surname>
<given-names><![CDATA[Francisco Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Muñoz Conde]]></surname>
<given-names><![CDATA[Mercedes]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cabello Jaime]]></surname>
<given-names><![CDATA[Rafael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Área de Gestión Sanitaria de Algarrobo. Este de Málaga-Axarquía Unidad de Gestión Clínica de Algarrobo ]]></institution>
<addr-line><![CDATA[Málaga ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Área de Gestión Sanitaria Este de Málaga-Axarquía  ]]></institution>
<addr-line><![CDATA[Málaga ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Área de Gestión Sanitaria. Este de Málaga-Axarquía Unidad de Gestión Clínica Vélez-Norte ]]></institution>
<addr-line><![CDATA[Málaga ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<volume>32</volume>
<numero>3</numero>
<fpage>193</fpage>
<lpage>198</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1134-928X2021000400011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1134-928X2021000400011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1134-928X2021000400011&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: Las heridas de difícil cicatrización o complejas que aquejan a un alto porcentaje de la población, además de afectar a la calidad de vida de quien las padece, repercute en un alto coste económico, en tiempo de enfermería y en estancias hospitalarias.  Objetivo: Conocer el coste económico, las heridas complicadas, el coste medio para el cierre y la media de días para el mismo que ha tenido cada profesional de enfermería comparado con la enfermera de práctica avanzada (EPA) en heridas crónicas complejas (HCC) de la Unidad.  Metodología: Estudio descriptivo longitudinal del total de los informes de valoración de heridas generados desde la aplicación de heridas en DIRAYA (sistema de información asistencial corporativo para todo el Servicio Andaluz de Salud, historia de salud única de todos los episodios asistenciales del ciudadano) y que necesitaron materiales de cura en ambiente húmedo suministrados por la Unidad de Gestión Clínica (UGC). El estudio se desarrolló en la UGC de Algarrobo, perteneciente al Área de Gestión Sanitaria Este de Málaga-Axarquía, desde junio 2019 hasta junio 2020. Se trata de una muestra conceptual, ya que se ha incluido a toda la población de enfermeros y enfermeras de la UGC y las correspondientes hojas emitidas por ellos.  Resultados: Durante el periodo de estudio se registraron un total de 416 heridas en la Unidad, de las cuales se cerraron 338, el 81,2%. La EPA trató el 22,6% del total de las heridas (94 heridas) y resolvió el 90,4% de ellas, siendo el coste medio para el cierre de las heridas de 21,3 &#8364;, en un plazo medio de 30,7 días, mientras que el resto de profesionales tuvo que tratar de media 32,2 heridas y se resolvieron de media el 76,7%, siendo el coste medio para el cierre de una herida de 36,2 &#8364; en un plazo medio de 172,1 días.  Conclusiones: La introducción de la EPA en HCC en la UGC ha llevado a la Unidad a un mejor resultado en cuanto a gasto en materiales y al acortamiento de los días para la resolución de las heridas, lo que influye en una mejor calidad de vida para aquellos que las padecen. Además, la introducción de la EPA ha servido de revulsivo para los profesionales y les ha llevado a un mejor hacer en su trabajo con las heridas, lo que influye tanto en su autoestima profesional como en los pacientes a los que tratan.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Hard-to-heal or complex wounds that afflict a high percentage of the population, besides affecting the quality of life of the ones who suffer from them, impacts on a high economic cost, on nursing time and on hospital stays.  Aims: Knowing the economic cost, complex wounds, average cost for closing and the average number of days for it that every nurse had compared to the Advanced Practice Nurse (APN) on complex chronic wounds from the unit.  Methodology: Longitudinal descriptive study of the total injury assessment reports generated from the wounds application on DIRAYA (corporate healthcare information system for the entire Andalusian health service, unique Health Story of all citizen welfare episodes) and that needed healing material in a humid environment supplied by CMU. The study was developed in the Clinical Management Unit (CMU) of Algarrobo, belonging to the East Health Management Area of Málaga - Axarquía, since June 2019 until June 2020. This is a conceptual sample as the entire CMU nurse population and the corresponding pages issued by them have been included.  Results: During the study period, a total of 416 wounds were registered in the Unit, of which 338 were closed, 81.2%. The APN treated 22.6% of the total wounds (94 wounds) and resolved the 90.4% of them, being the average cost for the wounds closure of 21.3 &#8364;, within an average of 30.7 days. While the rest of the professionals had to treat an average of 32.2 wounds and the average resolved was 76.7%, being the average cost for the wound closure of 36.2 &#8364; within an average of 172,1 days.  Conclusions: The introduction of the APN on complex chronic wounds in the CMU had led the unit to a better result in terms of spending on materials and shortening the days for the wounds resolution, which influences a better quality of life for those who suffer from them. In addition, the introduction of the APN has served as a stimulus for professionals, leading them to do a better job with the wound, which influences both their professional self-esteem and as well as the patients they treat.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cicatrización de lesiones]]></kwd>
<kwd lng="es"><![CDATA[heridas complejas]]></kwd>
<kwd lng="es"><![CDATA[enfermera de práctica avanzada]]></kwd>
<kwd lng="es"><![CDATA[costes]]></kwd>
<kwd lng="en"><![CDATA[Wound healing]]></kwd>
<kwd lng="en"><![CDATA[complicated wounds]]></kwd>
<kwd lng="en"><![CDATA[advanced practice nursing]]></kwd>
<kwd lng="en"><![CDATA[cost]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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