在COVID-19期间的重症监护病房中的直接与间接护理 (观察性研究)
Marzieh Adel Mehraban1, Fateme Asvad2, Mahboubeh Rasouli3
1Nursing Management Department, Nursing and Midwifery Care Research Center, Health Management Research Institute, School of Nursing and Midwifery, Iran University of Medical Science, Tehran, Iran.
Iranian journal of nursing and midwifery research
|September 22, 2025
概括
在COVID-19大流行期间,重症监护室 (ICU) 的护士在间接护理上花费的时间超过了直接护理. 这凸显了需要重新评估ICU的护理护理交付方法的需要.
科学领域:
- 护理 护理 护理
- 护理重症监护室 (ICU) 护理重症监护室
- 全球流行病应对行动
背景情况:
- 护士在重症监护室 (ICU) 提供基本护理.
- "COVID-19"大流行严重影响了医疗保健和护理工作量.
- 这项研究的重点是比较大流行期间的直接和间接护理.
研究的目的:
- 为了比较在ICU环境中直接和间接护理所花费的时间.
- 为了确定在COVID-19大流行期间执行的直接和间接护理活动的类型.
- 分析直接和间接护理之间的时间分配差异.
主要方法:
- 在2022年,在德黑兰的一个ICU中进行了一项观察性研究.
- 持续观察和记录了42名护士的活动.
- 通过修改的护理实践国际分类检查清单收集了直接和间接护理数据,并使用依赖t-test进行分析.
主要成果:
- 间接护理,如报告撰写 (34.90分钟),比直接护理活动,如心肺复苏 (27.30分钟) 耗费的时间更多.
- 最短的直接护理时间是注射甲状腺 (4.8分钟),间接护理时间是卸下个人防护设备 (6.11分钟).
- 发现了显著的差异,护士在间接护理上花费了更多的时间 (t = -6.62,p < 0.001).
结论:
- 间接的护理服务比直接的护理服务更频繁.
- 间接护理需求的增加与人员短缺和大流行期间患者数量的增加有关.
- 研究结果表明,需要重新评估ICU中的护理护理模式,以优化效率.
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