在接受体外膜氧化治疗的患者中,与护理工作量相关的因素:回顾性队列研究
André Lucas da Silva Guideli1, Luana Letícia Ribeiro de Luna1, Larissa Fernandes Araújo da Silva2
1Critical Patients Department, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Einstein (Sao Paulo, Brazil)
|October 15, 2025
概括
在体外膜氧化 (ECMO) 期间的护理工作量很大,特别是在前24小时. COVID-19和延迟的ECMO启动进一步提高了这种初始护理负担,需要调整护士与患者的比例.
科学领域:
- 关键护理护理 关键护理护理
- 身体外膜氧化 身体外膜氧化
- 患者的治疗结果.
背景情况:
- 身体外膜氧化 (ECMO) 需要密集的护理护理.
- 量化护理工作量对于集中护理单位 (ICU) 的资源分配至关重要.
- 高的护理工作量会影响患者的安全和护士的幸福感.
研究的目的:
- 在ECMO的最初24小时内量化护理工作量.
- 确定影响ECMO患者护理工作量因素.
- 在ICU管理ECMO患者的人员调整中提供信息.
主要方法:
- 使用护理活动得分 (NAS) 来衡量护理工作量.
- 分析了接受ECMO的患者的数据.
- 基于COVID-19的存在和ECMO启动时间的比较工作量.
主要成果:
- ECMO最初的24小时代表了护理工作量最高的时期.
- COVID-19和延迟的ECMO启动显著增加了最初的24小时护理工作量.
- 这些发现强调了ECMO护理的苛刻性质.
结论:
- 在ECMO期间护理工作量很大,特别是在前24小时内.
- 诸如COVID-19和延迟启动等因素加剧了这种工作量.
- 调整护士与患者的比例对于安全有效的ECMO护理至关重要.
相关概念视频
Factors Affecting Pulmonary Ventilation
2.7K
Besides the pressure difference between the external environment and the lungs, the airflow rate and ease of pulmonary ventilation are also influenced by three other factors: surface tension of the fluid in the alveoli, compliance of the lungs, and airway resistance.
Alveolar Surface Tension
The alveolar fluid lines the luminal surface of the alveoli and exerts a force called surface tension. This force is caused by the polar water molecules in the liquid being more strongly attracted to each...
Alveolar Surface Tension
The alveolar fluid lines the luminal surface of the alveoli and exerts a force called surface tension. This force is caused by the polar water molecules in the liquid being more strongly attracted to each...
2.7K
Administering Oxygen by Mask
1.9K
Administering Oxygen by Mask
Administering oxygen by mask is a common nursing intervention that provides supplemental oxygen to patients with respiratory distress or chronic lung conditions. This procedure involves delivering oxygen at a specified rate through a face mask connected to an oxygen source.
Equipment
The equipment necessary for this procedure includes:
Administering oxygen by mask is a common nursing intervention that provides supplemental oxygen to patients with respiratory distress or chronic lung conditions. This procedure involves delivering oxygen at a specified rate through a face mask connected to an oxygen source.
Equipment
The equipment necessary for this procedure includes:
1.9K
Factors Affecting Respiration
8.9K
Respiration is a crucial physiological function involving exchanging oxygen (O2) and carbon dioxide (CO2) between an organism and its environment. Various factors can impact this essential process:
8.9K
Respiratory Assessment: Purpose and Indications
1.7K
Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
1.7K
Pulmonary Embolism III: Nursing Management
311
A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
311
Acute Respiratory Failure-IV
486
Respiratory failure can manifest suddenly or gradually, characterized by a rapid decline in PaO2 and a rapid rise in PaCO2. This situation indicates a severe respiratory problem that may quickly become a life-threatening emergency. One of the early signs of hypoxemic Acute Respiratory Failure (ARF) is a change in mental status due to the brain's sensitivity to oxygen levels and changes in acid-base balance. Symptoms such as restlessness, confusion, and agitation suggest inadequate oxygen...
486


