重症监护护士对诱导低温期间患者管理的工作量估计。
Critical care nurses' workload estimates for managing patients during induced hypothermia.
作者信息
Olson DaiWai M, Kelly Amy P, Washam Nicole C, Thoyre Suzanne M
机构信息
Medicine/Neurology, Duke University Medical Center, Durham, NC 27710, USA.
出版信息
Nurs Crit Care. 2008 Nov-Dec;13(6):305-9. doi: 10.1111/j.1478-5153.2008.00298.x.
INTRODUCTION
The purpose of this study was to provide an initial foundation for exploring how induced hypothermia impacts nursing workload in an intensive care unit setting.
METHODS
This descriptive study used a questionnaire to obtain input from critical care nurses.
RESULTS
The results represent 107 returned surveys from 120 surveys distributed to seven different critical care units. Nurses estimate a mean time of 9.27 min (95% CI = 5.63-12.92 min) per shift for each intervention. Nurses indicate that they typically consider employing over 10 interventions to reduce temperature or induce hypothermia (95% CI = 9.67-10.81).
CONCLUSIONS
Nurses are open to using a variety of different interventions to manage temperature in critically ill patients. The time required to complete any one intervention varies significantly, but the combination of interventions most certainly has a significant impact on the workload for bedside nurses.
引言
本研究的目的是为探索亚低温如何影响重症监护病房的护理工作量提供初步基础。
方法
本描述性研究使用问卷调查从重症护理护士处获取信息。
结果
在分发给七个不同重症监护病房的120份调查问卷中，有107份被收回。护士估计每次轮班每项干预平均耗时9.27分钟（95%置信区间=5.63 - 12.92分钟）。护士表示，他们通常会考虑采用超过10种干预措施来降低体温或诱导亚低温（95%置信区间=9.67 - 10.81）。
结论
护士愿意采用多种不同干预措施来管理重症患者的体温。完成任何一项干预所需的时间差异很大，但这些干预措施的组合肯定会对床边护士的工作量产生重大影响。
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