ABSTRACT
Objetivo: Demostrar el coste-efectividad de la cura en ambiente húmedo (CAH) sobre la cura tradicional (CT) en pacientes hospitalizados con úlceras por presión (UPP) de categorías I y II. Metodología: Estudio longitudinal comparativo, aleatorizado, abierto, dividido en dos grupos, tratados y seguidos durante 4 semanas. El tamaño de la muestra se calculó con base en el metaanálisis de Heyer. Creamos un árbol de decisión para comparar el coste-efectividad de cada cura. Los datos se recopilaron directamente de los formularios de informes de casos de pacientes y los costes se extrajeron de los registros hospitalarios. Realizamos análisis de sensibilidad y costeefectividad incrementales. Resultados: El análisis mostró un dominio de la CAH sobre la CT (223,00/0,84 vs. 298,00/0,51), ya que fue más rentable al final del estudio. La hospitalización fue más corta en la CAH y la curación se logró en menos días que con la CT, lo que tiene un impacto en los costes relacionados con los tiempos de atención de enfermería, gasto de recursos materiales y días de hospitalización de los pacientes. Conclusiones: La CAH es más coste-efectiva que la CT cuando se aplica a pacientes hospitalizados con UPP de categorías I y II (AU)
Objective: To demonstrate the cost-effectiveness of the moist environment dressings treatment over the Traditional Cure (TC), in hospitalized patients, with Pressure Ulcers (UPP) categories I and II. Methods: This is a comparative, randomized, open-label, longitudinal study, comprising 60 patients, divided into two groups, treated and followed for four weeks. The sample size was calculated based upon the meta-analysis by Heyer. We built a decision tree to compare the cost-effectiveness of each therapy. Data were collected directly from patients' case report forms and costs extracted from hospital records. Additionally, we performed sensitivity and incremental cost-effectiveness analyses. Results: The analysis showed a dominance of advanced therapy over traditional therapy ( 223.00/0.84 vs. 298.00/0.51), as it was more cost-effective at the end of the study. Hospitalization was shorter in the advanced therapy and healing was achieved in fewer days than the traditional therapy. Conclusions: Advanced therapy with healing products in a humid environment is more cost-effective than traditional therapy when applied to hospitalized patients with category I and II pressure ulcers (AU)
Subject(s)
Aged , Cost-Benefit Analysis , Wounds and Injuries/economics , Wounds and Injuries/nursing , Longitudinal Studies , Prospective StudiesABSTRACT
Resumen: Introducción: La rinitis alérgica (RA) es considerada como un problema de salud pública, por lo tanto, es indispensable poner a prueba estrategias de educación para la salud como la consejería de enfermería (CE) dirigida a grupos poblacionales como niños con rinitis alérgica y sus tutores. Este trabajo tuvo como objetivo medir durante un año los beneficios en la salud de población infantil con esta enfermedad. Métodos: Estudio longitudinal, aleatorio, comparativo, con una muestra de 100 pacientes pediátricos de ambos sexos, con edades de 6 a 12 años, con diagnóstico de rinitis alérgica, con consejería (grupo estudio) y sin consejería (grupo control). En ambos grupos se obtuvo carta de consentimiento informado firmada por ambos tutores, además de cédulas de conocimiento y de valoración; la segunda incluyó escala de sintomatología y de Morisky Green (adherencia al tratamiento). Los niños del grupo estudio recibieron intervención basada en educación personalizada, material didáctico, apoyo del grupo multidisciplinario en caso necesario (médico, dermatólogo y psicólogo). El grupo control recibió atención habitual. En ambos grupos se hizo seguimiento vía telefónica, lo que permitió identi"car el número de recaídas en un año. Resultados: Para la comparación de los resultados se aplicó la prueba de Wilcoxon rank-sum (Mann-Whitney); la presencia de recaídas en el grupo control comparado con el grupo estudio se encontró estadísticamente significativa. Conclusiones: Se encontró que la población infantil que recibe CE, tiene como beneficio mejor control de la sintomatología y disminución de recaídas al año.
Abstract: Background: Allergic rhinitis (AR) is considered to be a public health problem, therefore it is essential to test health education strategies such as nursing counseling (NC) aimed at population groups such as children with allergic rhinitis and their tutors. This study aimed to measure the health benefits of children with this disease for a year. Methods: Longitudinal, randomized, comparative study with a sample of 100 pediatric patients of both sexes, aged 6 to 12 years, with diagnosis of allergic rhinitis, with counseling (study group) and without counseling (control group). In both groups, an informed consent letter signed by both tutors was obtained, in addition to knowledge and assessment papers; the latter included a scale of symptomatology and Morisky Green (adherence to treatment). The children in the study group received intervention based on personalized education, didactic material, support of the multidisciplinary group if necessary (doctor, dermatologist and psychologist). The control group received usual care. In both groups, telephone follow-up was performed, which allowed the number of relapses to be identified in one year. Results: The Wilcoxon rank-sum test (Mann-Whitney) was used to compare the results; the presence of relapses in the control group was statistically significant compared to the study group. Conclusions: It was found that the infant population that receives NC, has as a better benefit the control of the symptomatology and decrease of relapses per year.
Subject(s)
Child , Female , Humans , Male , Patient Education as Topic/methods , Counseling/methods , Rhinitis, Allergic/nursing , Nurses/organization & administration , Recurrence , Telephone , Follow-Up Studies , Longitudinal Studies , Statistics, NonparametricABSTRACT
BACKGROUND: Allergic rhinitis (AR) is considered to be a public health problem, therefore it is essential to test health education strategies such as nursing counseling (NC) aimed at population groups such as children with allergic rhinitis and their tutors. This study aimed to measure the health benefits of children with this disease for a year. METHODS: Longitudinal, randomized, comparative study with a sample of 100 pediatric patients of both sexes, aged 6 to 12 years, with diagnosis of allergic rhinitis, with counseling (study group) and without counseling (control group). In both groups, an informed consent letter signed by both tutors was obtained, in addition to knowledge and assessment papers; the latter included a scale of symptomatology and Morisky Green (adherence to treatment). The children in the study group received intervention based on personalized education, didactic material, support of the multidisciplinary group if necessary (doctor, dermatologist and psychologist). The control group received usual care. In both groups, telephone follow-up was performed, which allowed the number of relapses to be identified in one year. RESULTS: The Wilcoxon rank-sum test (Mann-Whitney) was used to compare the results; the presence of relapses in the control group was statistically significant compared to the study group. CONCLUSIONS: It was found that the infant population that receives NC, has as a better benefit the control of the symptomatology and decrease of relapses per year.