评估心胸重症监护病房的护理工作量:比较研究
Natasa Stojakovic1,2, Aleksandra Matic2,3, Andrej Preveden1,2
1Institute of Cardiovascular Diseases of Vojvodina, Sremska Kamenica, Serbia.
Nursing open
|October 30, 2024
概括
在心脏重症监护室 (CICU) 的护理工作量被评估使用护理活动得分 (NAS) 和九等效护理人力使用得分 (NEMS). 这两种分数都有效地衡量工作负载,NAS可能为心脏手术患者提供更详细的见解.
科学领域:
- 心血管外科心血管外科
- 密集护理护理 密集护理护理
- 医疗保健管理的管理
背景情况:
- 评估护理工作量对于在心脏重症监护病房 (CICU) 有效分配资源至关重要.
- 护理活动得分 (NAS) 和九等效护理人力使用得分 (NEMS) 是用来量化护理需求的工具.
- 了解基于手术程序和术后几天的工作量变化对于优化患者护理至关重要.
研究的目的:
- 在三种类型的心胸外科手术后,评估ICU的护理工作量.
- 为了比较NAS和NEMS在测量护理工作量方面的表现.
- 调查护理工作量与所进行的手术类型之间的关系.
主要方法:
- 在塞尔维亚的CICU中进行的一项比较研究.
- 这些数据来自808名接受冠状动脉,膜或联合手术的患者.
- 使用NAS和NEMS,并进行统计分析,包括斯皮尔曼相关性.
主要成果:
- 通过NAS和NEMS测量护理工作量,在接受联合手术的患者中最高.
- 在这两种分数中,工作量从术后第一天到第四天显著减少.
- 纳斯和NEMS显示出强烈的正相关性 (r=0.913,p<0.005).
结论:
- 无论是NAS还是NEMS都适合测量中急症监护室的护理工作量,并为人员决策提供信息.
- 由于其详细的监测和护理描述,NAS可以为心脏手术患者提供更全面的评估.
- 护理工作量受到外科手术类型的重大影响,在联合手术和术后第一天达到顶峰.
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