Monroy J C, Hurtado Pardos B
Unidad de Cuidados Intensivos Pediátricos (UCIP) del Hospital Sant Joan de Déu de Barcelona. Spain.
Enferm Intensiva. 2002 Jul-Sep;13(3):107-12. doi: 10.1016/s1130-2399(02)78071-1.
In 1994, sponsored by the European Communities Commission and the FRICE (Foundation for Research on Intensive Care in Europe), the EURICUS proyect was born, which, among other objectives, sets out to know objectively the work loads of the nursing staff in the intensive medicine services. As a consequence, the FRICE developed and validated a new therapeutic index, the nine equivalents of nursing manpower use score, NEMS. This scale (NEMS) can determine the therapeutic effort required by critically ill patients in a simple way and only using nine therapeutic variables. The objectives of this study are: to know if the NEMS scale reflects the therapeutic effort of the pediatric critical patients and validate if the NEMS scale measures the health care effect of the nursing staff in a pediatric intensive care unit (PICU). The study was performed in the Pediatrics Intensive Care Unit of the Hospital Sant Joan de Déu in Barcelona. The population studied was made up by the patients admitted to the PICU during a three week period (January 17 to February 6, 2001). Eight nurses from the unit having different shifts participated in the data collection. The NEMS scale was measured at 7 am.m. and 7 p.m. respectively in all the patients and then a qualitative assessment of the data obtained was performed. During this period, there were 50 admissions in the unit: 2.2 admissiions per day. The occupancy rate during the days of the study was 75%. A total of 389 measurements were performed, obtaining a mean value of 26.1 on the NEMS scale. Principal contributions of the nurses participating in the study were:They believe that use of the health care effort scales is useful in the intensive care units. The NEMS scale is easy to use and requires little time to be filled out. The NEMS scale reflects the therapeutic effort of the pediatric critically ill patients, but does not reflect the nursing staff cares. In a pediatric ICU, the age of the patient who is hospitalized influences the requirements of the nursing staff. Depending on at what time the scale is measured, not all the nursing activity is reflected, due to the high number of daily admissions and discharges. The NEMS scale is simple to use and reflects the therapeutic effort of the patients admitted to a PICU; however it only measures those cares delegated from therapeutic intervention and does not reflect the basic nursing cares.
1994年，在欧洲共同体委员会和欧洲重症监护研究基金会（FRICE）的赞助下，EURICUS项目诞生了。该项目除其他目标外，旨在客观了解重症医学服务中护理人员的工作量。因此，FRICE开发并验证了一种新的治疗指数——护理人力使用评分的九个等效值（NEMS）。这个量表（NEMS）可以通过一种简单的方式，仅使用九个治疗变量来确定重症患者所需的治疗强度。本研究的目的是：了解NEMS量表是否反映儿科重症患者的治疗强度，并验证NEMS量表是否能衡量儿科重症监护病房（PICU）中护理人员的医疗护理效果。该研究在巴塞罗那圣琼·德乌医院的儿科重症监护病房进行。研究对象为在三周时间（2001年1月17日至2月6日）内入住PICU的患者。该科室八名不同班次的护士参与了数据收集。分别在上午7点和晚上7点对所有患者测量NEMS量表，然后对获得的数据进行定性评估。在此期间，该科室共收治50例患者，日均收治2.2例。研究期间的床位占用率为75%。总共进行了389次测量，NEMS量表的平均值为26.1。参与研究的护士的主要看法有：他们认为在重症监护病房使用医疗护理强度量表是有用的。NEMS量表易于使用，填写所需时间少。NEMS量表反映了儿科重症患者的治疗强度，但没有反映护理人员的护理情况。在儿科重症监护病房，住院患者的年龄会影响护理人员的需求。由于每日出入院人数众多，根据测量量表的时间不同，并非所有护理活动都能得到反映。NEMS量表使用简单，反映了入住儿科重症监护病房患者的治疗强度；然而，它仅测量了治疗干预所委托的护理，并未反映基本护理情况。
