Resultados clínicos de las enfermeras de práctica avanzada en heridas crónicas complejas en Andalucía

  1. Juan Francisco Jiménez García 1
  2. Gabriel Aguilera Manrique 2
  3. Francisco González Jiménez 3
  4. María Gutiérrez García 4
  5. Josefa Arboledas Bellón 5
  6. Francisco Pedro García Fernández 6
  1. 1 Distrito Sanitario Poniente de Almería.
  2. 2 Facultad de Ciencias de la Salud. Universidad de Almería.
  3. 3 Distrito Sanitario Metropolitano de Granada
  4. 4 Área de Gestión Sanitaria Serranía de Málaga.
  5. 5 Distrito Sanitario Jaén Nordeste. Jaén
  6. 6 Facultad de Ciencias de la Salud. Universidad de Jaén
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Journal:
Gerokomos: Revista de la Sociedad Española de Enfermería Geriátrica y Gerontológica

ISSN: 1134-928X

Year of publication: 2020

Volume: 31

Issue: 1

Pages: 36-40

Type: Article

DOI: 10.4321/S1134-928X2020000100008 DIALNET GOOGLE SCHOLAR

More publications in: Gerokomos: Revista de la Sociedad Española de Enfermería Geriátrica y Gerontológica

Abstract

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.

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Data source: Dialnet