内科护理工作量和相关因素:两家巴西医院外科病房的横截面分析
Eliane Clara Constante1, Vanessa de Brito Poveda2, Ramon Antonio Oliveira3
1Surgical Unit, Hospital e Maternidade Sepaco, São Paulo, Brazil.
BMJ open
|November 17, 2025
概括
在手术期间的护理工作量对于更长的手术和更生病的患者来说更高. 外科领导人应该考虑手术的长度和患者的严重性,在人员护理团队有效管理外科手术后的工作量时.
科学领域:
- 在外科手术期间的医学.
- 护理管理 护理管理
- 外科手术工作流程分析
背景情况:
- 在手术期间的护理工作量是患者安全和员工福祉的关键因素.
- 了解影响工作负载的因素对于有效的资源配置和管理至关重要.
研究的目的:
- 为了量化手术内护理工作量.
- 为了确定与成人手术期间护理工作量相关的因素.
主要方法:
- 在两个巴西医院进行了一项横截面研究.
- 美国国家航空航天局 - 任务负载指数 (NASA-TLX) 用于评估工作负载.
- 分析了116个护理专业人员和402次手术的数据.
主要成果:
- 与其他手术相比,心脏手术的NASA-TLX分数显著更高.
- 超过120分钟的外科手术导致工作量增加约25%.
- 美国麻醉学会 (ASA) 身体状况分类III和IV的患者与ASA I相比,工作负载增加了24%.
结论:
- 手术的持续时间和患者的ASA身体状况是手术期间护理工作负载的重要决定因素.
- 周术领导人应优先考虑长期手术和重症患者的人员调整,以优化护理工作量管理.
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