Costs of most frequent nursing activities in highly dependent hospitalized patients

Abstract

This quantitative study aimed to identify the costs of the most frequent nursing activities in highly dependent hospitalized patients at a medical clinic. The non-probabilistic convenience sample corresponded to 607 observations regarding oral feeding activities (OF), blood pressure verification (BP) / heart rate (HR), body temperature checking (BTC), performance of intimate hygiene and management of feeding probe. The costs identified corresponded to R$2.40 (SD±2.64) for OF feeding; R$1.26 (SD±0.48) to verify the BP/HR; R$1.17 (SD±0.46) for BTC; R$15.59 (SD±8.62) to perform intimate hygiene and R$5.95 (SD±2.13) for management of feeding probe. This study will facilitate cost management, with a view to avoiding waste related to unnecessary resource consumption and establish a correlation between costs and care delivery results. Costos de las actividades de enfermería realizadas con mayor frecuencia a los pacientes de alta dependencia hospitalizadosEl propósito de este estudio cuantitativo fue identificar los costos de las actividades de enfermería realizadas con mayor frecuencia en pacientes hospitalizados con una unidad de alta dependencia en una clínica médica. La muestra de conveniencia, no probabilística, correspondió a 607 observaciones en relación a las actividades de alimentación por vía oral (VO); verificación de la presión arterial (PA) / frecuencia cardiaca (FC), verificación de la temperatura corporal (TC); realización de la higiene íntima y la administración de alimentación a través de la sonda. Los costos identificados correspondía a R$2,40 (DP±2,64) para la alimentación de VO; R$1,26 (DP±0,48) para verificar la PA/FC; R$1,17 (DP±0,46) para la verificación de la TC; R$15,59 (DP±8,62) para la realización de la higiene íntima y R$5.95 (DP±2,13) para la administración a través de la sonda de alimentación. Este estudio ayudará a administrar los costos con el fin de evitar que los desechos relacionados con el consumo innecesario de recursos, así como el establecimiento de una correlación entre los costos y resultados de la atención. IntroductionAccording to the Brazilian Institute of Geography and Statistics, the hospitalization coefficient (number of hospitalizations divided by the number of inhabitants), the hospitalization rate (number of hospitalization days consumed per inhabitant and year) and the hospitalization cost rate (hospitalization cost consumed per inhabitant) of the Unified Health System are higher for the age range over 60 years than for any other age range in the Brazilian population. It is even observed that the hospitalization rate and the hospitalization cost rate increase progressively after that age and that the occurrence of rehospitalization among the elderly is five times higher than in the age range between 15 and 59 years (1) .It is estimated that 85% of the elderly suffer from at least one chronic disease, at least 10% of whom have five concomitant problems (2) . In hospital contexts, it is observed that this association is directly related with the elderly's dependence lev...

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