Singh Navneet, Arthur Heather M, Worster Andrew, Iacobellis Gianluca, Sharma Arya M
Honours Program/Cardiovascular Obesity Research and Management, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
J Adv Nurs. 2007 Jul;59(2):140-5. doi: 10.1111/j.1365-2648.2007.04266.x. Epub 2007 Jun 3.
This study reports an investigation to assess patients' and nurses' perceptions of equipment adequacy for obese patients presenting at an emergency department and to assess nurses' knowledge of equipment weight limits in the emergency department.
The increasing weight of populations in many societies is a challenge to healthcare providers and facilities. Emergency department equipment, specifically, may be inadequate for patient care.
Two questionnaires were developed. One was administered to 134 emergency department patients with suspected cardiac ischaemia; the other was administered to their respective nurses. Patient and nurse equipment adequacy scores were computed. Patients' self-reported height and weight were used to calculate body mass index. Waist circumference was measured. The data were collected in Canada in 2005.
Patient equipment adequacy scores correlated inversely with both body mass index (r = -0.55, 95% CI = -0.70 to -0.41, P < 0.01) and waist circumference (r = -0.62, 95% CI = -0.75 to -0.48, P < 0.01). Nurse equipment adequacy scores were also inversely related to patient body mass index (r = -0.34, 95% CI = -0.50 to -0.18, P < 0.01) and waist circumference (r = -0.40, 95% CI = -0.56 to -0.24, P < 0.01). There was a weak correlation between nurse and patient equipment adequacy scores (r = 0.27, 95% CI = -0.44 to -0.10, P < 0.01). Small minorities of nurses reported accurate knowledge of weight limits for beds, commodes and toilets.
Specialized equipment and staff education are needed for adequate management of obese patients in the emergency department.
本研究报告了一项调查，旨在评估急诊科肥胖患者及其护士对设备充足性的看法，并评估护士对急诊科设备重量限制的了解情况。
许多社会中人口体重的增加对医疗服务提供者和设施构成了挑战。特别是急诊科设备可能不足以满足患者护理需求。
编制了两份问卷。一份发给134名疑似心脏缺血的急诊科患者；另一份发给他们各自的护士。计算患者和护士的设备充足性得分。使用患者自我报告的身高和体重来计算体重指数。测量腰围。数据于2005年在加拿大收集。
患者设备充足性得分与体重指数（r = -0.55，95%可信区间 = -0.70至-0.41，P < 0.01）和腰围（r = -0.62，95%可信区间 = -0.75至-0.48，P < 0.01）均呈负相关。护士设备充足性得分也与患者体重指数（r = -0.34，95%可信区间 = -0.50至-0.18，P < 0.01）和腰围（r = -0.40，95%可信区间 = -0.56至-0.24，P < 0.01）呈负相关。护士和患者的设备充足性得分之间存在弱相关性（r = 0.27，95%可信区间 = -0.44至-0.10，P < 0.01）。少数护士报告对病床、便桶和马桶的重量限制有准确的了解。
急诊科对肥胖患者进行充分管理需要专门的设备和工作人员培训。
