Facultad de Ciencias de la Salud. Universidad Francisco de Vitoria.Email:
Unidad de Investigación Médica en Enfermedades Nefrológicas,IMSS, México.
Invest Educ Enferm. 2022 Oct;40(3). doi: 10.17533/udea.iee.v40n3e05.
Integrated health care is a concept widely used in the planning and organisation of nursing care. It is a highly topical concept, but at the same time it is deeply rooted in the theory and models of Nursing right from its inception as a science. There is no clear, agreed definition that describes it.
To systematise the knowledge available on the concept of "comprehensive care" in Nursing from the point of view of nursing care, its domains and characteristics.
A literature search has been carried out in several languages (Spanish, Portuguese, English and Romanian) in the databases Web of Science, Scopus, Medline, PubMed, Cochrane and Dialnet, covering the period between 2013 and 2019. The search terms used were: comprehensive health care, health and nursing. Prospero register 170327.
Sixteen documents were identified, which grouped 8 countries, mainly Brazil, being the country with the highest output on this context 10 documents were found within the qualitative paradigm and 6 quantitative ones. The concept "Comprehensive Care" is commonly used to refer to comprehensive nursing care techniques, protocols, programmes and plans, covering care in all aspects of the individual as a complement to or independent of the clinical needs arising from health care.
The definition of features pertaining to the concept "Comprehensive Care" encourages the use and standardisation of nursing care plans, improving patient follow-up, the detection of new risk factors, complications and new health problems not related to the reason for admission.This increases the capacity for prevention and improves the patients quality of life, and their primary and/or family caregivers, which translates into lower costs in the health system.
综合医疗保健是护理规划和组织中广泛使用的概念。它是一个非常热门的概念，但同时，它从护理科学的诞生开始就深深植根于护理的理论和模式中。没有一个明确的、公认的定义来描述它。
从护理的角度出发，对护理领域的“综合护理”概念及其领域和特征进行系统梳理。
在 Web of Science、Scopus、Medline、PubMed、Cochrane 和 Dialnet 等多个数据库中，以西班牙语、葡萄牙语、英语和罗马尼亚语进行了文献检索，检索时间范围为 2013 年至 2019 年。使用的检索词是：综合保健、健康和护理。Prospéro 注册号为 170327。
共确定了 16 份文件，这些文件将 8 个国家的文献分组，其中巴西的文献数量最多，有 10 篇文献来自定性研究范式，6 篇来自定量研究范式。“综合护理”的概念通常用于指代综合护理技术、协议、方案和计划，涵盖了个体各方面的护理，是对临床护理需求的补充或独立于临床护理需求。
对“综合护理”概念特征的定义鼓励了护理计划的使用和标准化，从而改善了患者的随访，提高了对新风险因素、并发症和与入院原因无关的新健康问题的发现能力。这提高了预防能力，改善了患者及其初级/家庭护理人员的生活质量，从而降低了医疗系统的成本。
