与内科病房相比,中等护理单位的护理活动的挑战和特点:前性研究
Serena Sibilio1, Arian Zaboli2, Marta Parodi3
1Institute of Nursing Science, University of Basel-Department of Public Health, Basel, Switzerland.
介护病房 (IMC) 的患者需要比常规病房的患者更多的护理. 这项研究发现IMC的护理工作量和超负荷较高,表明需要增加资源配置.
科学领域:
- 医疗保健管理的管理
- 护理科学 护理科学
- 临床操作 临床操作
背景情况:
- 介护病房 (IMC) 弥合了普通病房和重症监护病房之间的差距.
- 适当的护理资源分配对于IMC的有效性至关重要.
- 医疗中心管理的患者不严重,不够ICU,但需要更高的护理水平.
研究的目的:
- 在IMC和普通病房之间比较护理工作量.
- 量化护理活动和时间支出.
- 确定预测护理工作超负荷的患者特征.
主要方法:
- 意大利的观察性,前性,单中心研究.
- 包括333名内科患者 (183名IMC,150名常规病房).
- 记录了护理活动 (活动/5分钟/患者/天) 并使用了风险因素的逻辑回归.
主要成果:
- IMC患者的平均护理活动高 (32.4对22.6活动/5分钟/患者/天).
- 护理工作超负荷影响了23%的IMC患者,而常规病房患者的比例为6%.
- 较高的患者敏度和并发症与增加的护理工作量有关.
结论:
- IMC患者对护理护理的需求显著增加.
- 与普通病房相比,IMC的护理工作量在IMC中要大得多.
- 增加护理资源的分配对于IMC来说至关重要,以管理更高的患者需求.
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