Associate Professor in the Nursing Department, Universidad de La Laguna, and Health Care Information Systems Facilitator and Blended-Learning Advisor in Primary Health Care Management, Servicio Canario de la Salud. Member of the University Study Center for Social Inequalities and Governance, CEDESOG Universidad de La Laguna, Tenerife, Canary Islands, Spain.
Associate Professor in the Nursing Department, Universidad de La Laguna, and Research Nurse in Primary Care Management, Servicio Canario de la Salud, Tenerife, Canary Islands, Spain.
Int J Nurs Knowl. 2023 Jan;34(1):42-54. doi: 10.1111/2047-3095.12371. Epub 2022 Apr 22.
To assess the association between vulnerable populations and nursing care needs, using NANDA-I diagnostics, in the population of the Canary Islands, Spain.
Nursing social epidemiology study. Cross Mapping of Medical Records to NANDA-I to Identify Nursing Diagnoses in a Population usinga medical, epidemiological follow-up study of a cohort of 7,190 people. The level of vulnerability of the participants was assigned, among those who were also assigned nursing diagnoses, using the "ICE index" to calculate the expected associations.
The most prevalent nursing diagnosis in our sample was Sedentary lifestyle (60.5%), followed by Ineffective health self-management (33.8%) and Risk-prone health behaviour (28.7%). Significant differences were found by sex, age group and social class, with the nursing diagnoses included in the study being more prevalent among the most socio-economically disadvantaged social class.
The cross-mapping method is useful to generate diagnostic information in terms of care needs, using the NANDA-I classification. The expected associations between high social vulnerability and care needs have been verified in a comprehensive and representative sample of the Canarian population (Spain).
From an epidemiological perspective, identifying nursing diagnoses at the population level allows us to find the most prevalent needs in the different community groups and to focus appropriate nursing interventions for their implementation and impact assessment.
使用 NANDA-I 诊断标准评估西班牙加那利群岛脆弱人群与护理需求之间的关联。
护理社会流行病学研究。通过对 7190 人的队列进行医学、流行病学随访研究，对病历进行跨映射以识别 NANDA-I 中的护理诊断。使用“ICE 指数”对那些也被分配了护理诊断的参与者进行脆弱性水平评估，以计算预期的关联。
在我们的样本中，最常见的护理诊断是久坐的生活方式（60.5%），其次是无效的健康自我管理（33.8%）和健康行为风险（28.7%）。研究中包括的护理诊断在性别、年龄组和社会阶层方面存在显著差异，与社会经济地位较低的社会阶层相比，这些诊断更为普遍。
跨映射方法可用于使用 NANDA-I 分类生成有关护理需求的诊断信息。在加那利群岛（西班牙）的综合代表性人群样本中，验证了高社会脆弱性与护理需求之间的预期关联。
从流行病学的角度来看，在人群层面识别护理诊断可以帮助我们发现不同社区群体中最普遍的需求，并为其实施和影响评估集中适当的护理干预措施。
