Alina Renghea, Miguel Angel Cuevas-Budhart, Hugo Yébenes-Revuelto, Mercedes Gómez Del Pulgar, María Teresa Iglesias-López
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引用次数: 0
Abstract
Introduction: 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.
Objetive: 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.
Methods: 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.
Results: 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.
Conclusions: 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.
综合保健是一个广泛应用于护理计划和组织的概念。这是一个高度热门的概念，但同时它也深深植根于护理的理论和模式，从一开始就作为一门科学。目前还没有一个清晰、一致的定义来描述它。目的:从护理、护理领域和护理特点的角度，对护理学中有关“全面护理”概念的现有知识进行梳理。方法:在Web of Science、Scopus、Medline、PubMed、Cochrane和Dialnet等数据库中以西班牙语、葡萄牙语、英语和罗马尼亚语进行文献检索，检索时间为2013 - 2019年。使用的搜索词是:综合医疗保健，健康和护理。普洛斯彼罗登记号170327。结果:确定了16个文件，其中包括8个国家，主要是巴西，是在这方面产出最高的国家，在定性范式和定量范式中发现了10个文件。"综合护理"的概念通常用来指综合护理技术、规程、方案和计划，涵盖个人所有方面的护理，作为保健所产生的临床需要的补充或独立。结论:“综合护理”概念的特征定义促进了护理计划的使用和规范化，提高了患者的随访，发现了与入院原因无关的新的危险因素、并发症和新的健康问题。这提高了预防能力，改善了患者及其初级和/或家庭照顾者的生活质量，从而降低了卫生系统的成本。
期刊介绍：
The mission of the journal of Nursing and Education is to present scientific and technical information about health, illnesses and related topics. The journal serves as the conduit [medium] through which the experiences of our own nursing and social science departments can be shared within Columbia and internationally. It is written primarily for nurses, general health practitioners and other related disciplines but can also be used by students and researchers.
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