[Nursing diagnosis of risks. Analysis of cost effectiveness].
BACKGROUND
Today, there is a discussion on the importance of the utilization of the nursing diagnosis: This makes convenient to evaluate the principal two existing methodological alternatives, that they are: 1) the problems identification, 2) the diagnoses statement of the NANDA within process nursing. The study is centered on the risk diagnoses.


OBJECTIVE
1) To know which the two work methodologies is more effective. 2) To know if exist economic differences.


METHODS
It is accomplished a cohorts study, in a population of user included in Program of Handicapped. These were studied during a year.


RESULTS
In the group of patients without diagnoses the incidence rate was of 0.64 conversions/person-year), in the group with diagnoses was of 0.22 (p < 0.001). The mean of visits after that the is made real, in the group with diagnoses was of 0.35, in the group without diagnoses of 1.69 (p = 0.012).


CONCLUSIONS
The analysis cost-efficiency of the two work methodologies is clearly more favorable for the methodology than states nursing diagnosis of the taxonomy of the NANDA.
Vázquez Sánchez
M A
MA
Distrito Sanitario Málaga-Oeste.
Bueno Ferrán
M
M
Casals Sánchez
J L
JL
García Cabello
J M
JM
D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D003362:Cost-Benefit Analysis; D006233:Persons with Disabilities / Q000145:classification*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009733:Nursing Diagnosis / Q000145:classification* / Q000191:economics; D015403:Nursing Evaluation Research; D012189:Retrospective Studies; D018570:Risk Assessment; D012307:Risk Factors
Diagnósticos de enfermería sobre riesgos. Análisis coste-efectividad.