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[评估护理活动评分(NAS)作为成人重症监护病房护理工作量测量工具的效果]

[Evaluation of the Nursing Activities Score (NAS) as a nursing workload measurement tool in an adult ICU].

作者信息

Conishi Regina Maria Yatsue, Gaidzinski Raquel Rapone

机构信息

UTI do Hospital Sírio Libanês, Brasil.

出版信息

Rev Esc Enferm USP. 2007 Sep;41(3):346-54. doi: 10.1590/s0080-62342007000300002.

Abstract

UNLABELLED

This is an exploratory, descriptive, prospective field study with a quantitative approach carried out at a general/adult Intensive Care Unit in the city of São Paulo.

OBJECTIVES

to evaluate the NAS Nursing Activities Score--as a tool for measuring nursing workload, its use in measuring shifts, and its correspondence to the number of effective nursing personnel. Thirty-three patients, with mean age of 70 years (+/- 16.5), were classified. Most were males (66.7%). Length of stay in the ICU was 17 days (+/- 20.4); SAPSII was 41.7 (+/- 17.9), with mean probability of death of 33.5% (+/- 26.8); 63.6% were transferred to Intermediate Care Units and 18.2% died during ICU stay. Three hundred and ninety six NAS measures (shifts) were performed (134-morning, 132-afternoon, 130-evening), with averages of 55.4 (+/- 12.3) and 147 in 24-hour NAS and mean of 69.6 (+/- 18.2). NAS performed better in 24-hour application than in shifts, and proved to be an interesting tool for patient and nursing workload classification in intensive care.

摘要

未标注

这是一项探索性、描述性、前瞻性的现场研究,采用定量方法,在圣保罗市的一家综合/成人重症监护病房进行。

目的

评估NAS护理活动评分——作为衡量护理工作量的工具,其在轮班测量中的应用,以及与实际护理人员数量的对应关系。对33例患者进行了分类,平均年龄为70岁(±16.5)。大多数为男性(66.7%)。在重症监护病房的住院时间为17天(±20.4);简化急性生理学评分II(SAPSII)为41.7(±17.9),平均死亡概率为33.5%(±26.8);63.6%的患者被转至中级护理病房,18.2%的患者在重症监护病房住院期间死亡。进行了396次NAS测量(轮班)(134次上午、132次下午、130次晚上),24小时NAS的平均值为55.4(±12.3)和147,平均为69.6(±18.2)。NAS在24小时应用中的表现优于轮班,并且被证明是重症监护中用于患者和护理工作量分类的一个有趣工具。

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