Primer censo de unidades de heridas crónicas en España

  1. Héctor González de la Torre
  2. José Verdú Soriano
  3. Francisco Pedro García Fernández
  4. José Javier Soldevilla Ágreda
Revista:
Gerokomos: Revista de la Sociedad Española de Enfermería Geriátrica y Gerontológica

ISSN: 1134-928X

Ano de publicación: 2017

Volume: 28

Número: 3

Páxinas: 142-150

Tipo: Artigo

Resumo

ABSTRACT Introduction: Despite the growing interest in wound care units as an organizational model for the provision of services to people with chronic wounds, we do not have information about the number, distribution, functioning and characteristics of these structures in Spain. Objectives: To identify the units of specialized care of chronic wounds in our country and to carry out the first census of these. Methodology: Observational study of a descriptive cross-sectional type. A non - probabilistic sampling system was made up of three sampling steps. A questionnaire specifically designed for this purpose (CVI-Total for Pertinence = 0.96 and CVI-Total for Relevance = 0.94) was used to obtain dates, which included the collection of information on: Name, Location, Year of creation, Agency responsible and Scope of the units. Results: A total of 75 possible candidate units were detected in the three sampling stages. 44 units were recruited for the study, although 2 units had to be retired. Finally, a total of 42 units were included in the first census of wound units in Spain. Conclusions: The number of wound units in Spain is low, with a great disparity with respect to their geographical distribution by regions. In addition, these structures are subject to many changes. This leads to the disappearance and appearance of wounded units relatively quickly, although it seems to be an increasingly accepted organizational system in Spain, with an increasing number of these organizational structures in our country.

Referencias bibliográficas

  • (2008). Documento de Posicionamiento: Heridas de difícil cicatrización: un enfoque integral. MEP Ltd. Londres.
  • Sen, CK, Gordillo, GM, Roy, S, Kirsner, R, Lambert, L, Hunt, TK. (2009). Human skin wounds: a major and snowballing threat to public health and the economy. Wound Repair Regen. 17. 763
  • García-Fernández, FP, López-Casanova, P, Segovia-Gómez, T, Soldevilla-Agreda, JJ, Verdú-Soriano, J. (2012). Unidades Multidisciplinares de heridas crónicas; clínicas de heridas. Grupo Nacional para el Estudio y Asesoramiento en Úlceras por Presión y Heridas Crónicas. Logroño.
  • Gottrup, F. (2004). A specialised wound healing center concept: importance of a multidisciplinary department structure and surgical treatment facilities in the treatment of chronic wounds. Am J Surg. 187. 38-43
  • Kim, PJ, Evans, KK, Steinberg, JS, Pollard, ME, Attinger, CE. (2013). Critical elements to building an effective wound care center. J Vasc Surg. 57. 1703
  • Pruim, L, Wind, A, Harten, WH van. (2017). Assessing and comparing the quality of wound centres: a literature review and benchmarking pilot. Int Wound J.
  • Morbach, S, Kersken, J, Lobmann, R, Nobels, F, Doggen, K, Acker, K Van. (2016). The German and Belgian accreditation models for diabetic foot services. Diabetes Metab Res Rev. 32. 318
  • Doggen, K, Van Acker, K, Beele, H, Dumont, I, Félix, P, Lauwers, P. (2014). Implementation of a quality improvement initiative in Belgian diabetic foot clinics feasibility and initial results. Diabetes Metab Res Rev. 30. 435
  • Beaskoetxea Gómez, P, Bermejo Martínez, M, Capillas Pérez, R, Cerame Pérez, S, García Collado, F, Gómez Coiduras, J. (2013). Situación actual sobre el manejo de heridas agudas y crónicas en España: Estudio ATENEA. Gerokomos. 24. 27-31
  • Ruano, OM. (2007). El trabajo de campo en investigación cualitativa II. Nure Investig. 1-4
  • Verdu, J., Soldevilla, J., González de la Torre, H.. Developing a Questionnaire to the study for wound care units in Spain. 25thConference of the European Wound Management Association. London. Mayo 2015.
  • Robledo Martín, J. (2005). Diseños de muestreo (II). Nure Investig.
  • Casal, J, Mateu, E. (2003). Tipos de muestreo. Rev Epidem Med Prev. 1. 3-7
  • González Pisano, A. (2011). Manual de investigación cuantitativa para Enfermería. Federación de Asociaciones de Enfermería Comunitaria y Atención primaria. Asturias.
  • Manual de acreditación de Unidades-Clínicas de heridas para la gestión de úlceras por presión y otras heridas.
  • Acreditaciones Gneaupp.
  • Acker, K Van. (2012). Developing evidence-based ways of working Employing interdisciplinary team working to improve patient outcomes in diabetic foot ulceration-our experience. EWMA Journal. 12. 31
  • Gottrup, F. (2003). Multidisciplinary wound healing concepts. EWMA Journal. 3. 5-11
  • Sholar, AD, Wong, LK, Culpepper, JW, Sargent, LA. (2007). The specialized wound care center: a 7-year experience at a tertiary care hospital. Ann Plast Surg. 58. 279
  • Attinger, CE, Hoang, H, Steinberg, J, Couch, K, Hubley, K, Winger, L. (2008). How to make a hospital-based wound center financially viable: the Georgetown University Hospital model. Gynecol Oncol. 111. 92
  • Loureiro Rodríguez, MT, Rosendo Fernández, JM, Antón Fuentes, VM, Bello Jamardo, AM, Esperón Güimil, JA, Fiel Paz, L. (2014). Impacto de un proyecto de enfermería en el cuidado de las heridas crónicas. Gestión y Evaluación de Costes sanitarios. 15. 1-19
  • Arantón Areosa, L. (2015). Evaluación de un programa integral de mejora de la calidad en prevención y tratamiento del deterioro de la integridad cutánea y tisular en Galicia. Universidad de A Coruña.
  • Eskes, AM, Maaskant, JM, Holloway, S, van Dijk, N, Alves, P, Legemate, DA. (2014). Competencies of specialised wound care nurses: a European Delphi study. Int Wound J. 11. 665
  • Ramírez García, P, Hernández Vián, O, Sáenz de Ormijana Hernández, A, Reguera Alonso, AI, Meneses Jiménez, MT. (2002). Enfermería de práctica avanzada historia y definición. Enferm Clin. 12. 286
  • Jiang, Y, Xia, L, Jia, L, Fu, X. (2016). Survey of Wound-Healing Centers and Wound Care Units in China. Int J Low Extrem Wounds. 15. 274
  • García Armesto, S, Abadía Taira, MB, Durán, A, Hernández Quevedo, C, Bernal Delgado, E. (2011). España: Análisis del sistema sanitario. Sistemas sanitarios en transición. 12. 1-269
  • Rubio, JA, Aragón-Sánchez, J, Lázaro-Martínez, JL, Almaraz, MC, Mauricio, D, Antolín Santos, JB. (2014). Unidades de pie diabético en España: conociendo la realidad mediante el uso de un cuestionario. Endocrinol Nutr. 61. 79-86
  • (2007). International Consensus on the Diabetic Foot & Practical Guidelines on the Management and Prevention of the Diabetic Foot 2007. IWGDF-Consultative Section of the IDF (International Diabetes Federation).