在COVID-19和非COVID-19重症监护病房住院患者的护士工作量和多器官衰竭的比较
Mohammad Moradi1, Lilia de Souza Nogueira2, Nasrin Hanifi1
1Critical Care and Emergency Nursing, Zanjan University of Medical Sciences, Zanjan, Iran.
Iranian journal of nursing and midwifery research
|January 6, 2025
概括
与COVID-19单位相比,在非COVID-19重症监护病房中,护士的工作量较高,尽管患者的严重程度更高. 这凸显了需要全面评估重症监护病房人员和工作量.
科学领域:
- 临界护理医学 临界护理医学
- 护理研究 护理研究
- 公共卫生 公共卫生
背景情况:
- 在重症监护室 (ICU) 评估护士工作量至关重要,尤其是在COVID-19大流行期间.
- 了解影响工作量和患者结果的因素对于有效的ICU管理至关重要.
- 这项研究比较了COVID-19和非COVID-19ICU之间的护士工作量和患者器官衰竭.
研究的目的:
- 为了比较护士的工作量和COVID-19和非COVID-19重症监护病房之间的患者多器官衰竭.
- 分析护士工作量与不同ICU环境中的患者严重程度之间的关系.
- 确定重症监护环境中护士工作负载的关键预测因素.
主要方法:
- 一项观察性研究,涉及2021年津市ICU中的768名患者.
- 使用护理活动得分 (NAS) 和顺序器官衰竭评估 (SOFA) 来收集数据.
- 采用独立的t测试,奇二测试,皮尔森相关性和多重线性回归来进行分析.
主要成果:
- 与非COVID-19重症监护室 (NAS 56.38%,SOFA 5.62) 相比,非COVID-19重症监护室的NAS (59.90%) 和SOFA分数 (6.98) 显著更高.
- 在NAS和SOFA分数之间观察到正相关性,在COVID-19ICU中更强 (r=0.71).
- 预测NAS的因素包括意识水平,SOFA分数,停留时间和人工气道存在.
结论:
- 治疗非COVID-19患者的重症监护病房表现出较高的护士工作量和患者严重程度.
- 这些发现强调了评估所有ICU类型的工作量和人员数量的重要性.
- 建议进行进一步的研究,以探索重症监护机构的额外工作负载决定因素.
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