护士人员不足与手术入院的不良结果有关
Paul Meredith1,2,3, Lesley Turner1, Christina Saville1,3
1School of Health Sciences, University of Southampton, Southampton, UK.
The British journal of surgery
|September 23, 2024
概括
低护士人才水平,特别是注册护士,与外科手术患者的治疗结果更差有关. 这包括更长的住院时间,增加了诸如深静脉血栓和肺炎等并发症的风险,以及更高的死亡率.
科学领域:
- 护理研究 护理研究
- 患者安全 患者安全
- 医疗保健管理的管理
背景情况:
- 护士对于手术患者的安全至关重要.
- 有限的研究存在于护士人员对手术患者结果的影响.
研究的目的:
- 检查护士人数不足和手术护理患者结果之间的关联.
- 调查注册护士和护士助理人员不足对死亡率,再入院,住院时间和住院病情的影响.
主要方法:
- 在四个英国组织中对213,910次手术入院的纵向分析.
- 模拟人员不足为每名患者的护士数量少于病房平均数量的日数,在前5天的住院治疗期间.
- 利用Cox和通用线性模型来评估死亡率,再入院,住院和不良事件.
主要成果:
- 增加注册护士人员不足与更长的住院时间和更高的深静脉血栓,肺炎和压力的风险相关.
- 护士助理人员不足也与不良事件有关,尽管影响规模较小.
- 注册护士和护士助理人员不足都与死亡和再接收的风险增加有关,注册护士人员不足对再接收的影响更大.
结论:
- 通过注册护士和护士助理,护士人员不足与患者不良事件的风险增加有关.
- 与护士助理人员不足相比,注册护士人员不足对患者结果的负面影响通常更为明显.
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