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Abstract：
One of the priorities in family and community care is the epidemiological surveillance of the care needs and dysfunctionality present in populations of highly complex chronic patients (HCCPs) using standardised nursing languages. The aim of this study is to establish the prevalence of care needs and dysfunctionality among HCCPs in a specific health area by municipalities and geographical areas (metropolitan, north, and south) while verifying correlations with sociodemographic, financial, and health characteristics. This is an epidemiological, observational, descriptive, cross-sectional study carried out with a sample of 51,374 HCCPs, whose data were grouped into 31 municipalities. Data were collected on the following variables: sociodemographic, financial, health, functional status (health patterns), and care needs (nursing diagnoses). The mean age of the HCCPs was 73.41 (1.45) years, of which 56.18 (2.86)% were women. The municipalities in the northern area have a significantly higher proportion of older patients, HCCPs, lower incomes, and higher unemployment rates. The southern area had higher proportions of non-Spanish nationals and professionals in the hotel and catering industry, and the metropolitan area had a higher proportion of employed individuals and higher levels of education. Northern municipalities had a higher prevalence of illnesses and anxiolytic and anti-psychotic treatments. Dysfunctionality frequencies did not differ significantly by area. However, a higher prevalence of 13 nursing diagnoses was observed in the north. A high number of correlations were observed between population characteristics, dysfunctionality, and prevalent diagnoses. Finally, the frequencies of dysfunctionality in the population and the most common care needs were mapped by municipality. This research sought to ascertain whether there was an unequal distribution of these two aspects among HCCPs in order to gain a deeper epidemiological understanding of them from a family and community perspective using standardised nursing languages. This study was not registered.
摘要：
家庭和社区护理的优先事项之一是使用标准化护理语言对高度复杂的慢性病患者（HCCPs）人群中的护理需求和功能失调进行流行病学监测。本研究的目的是通过市政当局和地理区域（大都市，北,和南方)，同时验证与社会人口统计学的相关性，金融,和健康特征。这是一种流行病学,观察,描述性,描述性用51,374个HCCPs样本进行的横断面研究，其数据分为31个城市。收集了以下变量的数据：社会人口统计学，金融,健康,功能状态(健康模式)，和护理需求（护理诊断）。HCCPs的平均年龄为73.41（1.45）岁，其中56.18（2.86）％是女性。北部地区的市政当局的老年患者比例明显更高,HCCPs,收入较低,和更高的失业率。南部地区的非西班牙国民和酒店和餐饮业专业人员比例较高，大都市地区的就业人员比例更高，教育水平更高。北部城市的疾病，抗焦虑和抗精神病治疗的患病率较高。功能失调的频率在面积上没有显着差异。然而,在北方观察到13例护理诊断的患病率较高.在人口特征之间观察到大量的相关性，功能失调,和普遍的诊断。最后,人口功能失调的频率和最常见的护理需求由市政当局绘制。这项研究旨在确定HCCPs之间这两个方面的分布是否不平等，以便从家庭和社区的角度使用标准化的护理语言对其进行更深入的流行病学了解。这项研究未注册。
