护士对慢性危重症患者临床结局预测的准确性
The Accuracy of Nurses' Predictions for Clinical Outcomes in the Chronically Critically Ill.
作者信息
Lipson Amy R, Miano Sarah J, Daly Barbara J, Douglas Sara L
机构信息
FPB School of Nursing, Case Western Reserve University, USA.
出版信息
Res Rev J Nurs Health Sci. 2017 Sep;3(2):35-38. Epub 2017 Jul 25.
BACKGROUND
Accurately predicting survivorship of patients in the intensive care unit is known to be difficult. Previous research has shown that nurses are more likely to recognize futile medical care than other disciplines. The purpose of this study was to describe the accuracy of nurse's predictions for survival of patients who are chronically critically ill (CCI).
METHODS
Using a secondary data analysis from a longitudinal, descriptive study, we evaluated nurses' predictions for survival at admission and until ICU discharge or patient death.
RESULTS
Nurses were able to more accurately predict survival of CCI patients than death and prognostication appeared to improve with prolonged ICU stays.
CONCLUSION
This is the first longitudinal study that focused on nurse prognostication in a chronically critically ill patient population. Future research should explore the relationship between ICU nurse characteristics and the accuracy of survival predictions.
背景
众所周知，准确预测重症监护病房患者的存活率很困难。先前的研究表明，与其他学科相比，护士更有可能识别出无效的医疗护理。本研究的目的是描述护士对慢性危重症（CCI）患者生存预测的准确性。
方法
我们使用一项纵向描述性研究的二次数据分析，评估护士对患者入院时以及直至重症监护病房出院或患者死亡时生存情况的预测。
结果
护士能够比预测死亡更准确地预测CCI患者的生存情况，并且随着在重症监护病房住院时间的延长，预后似乎有所改善。
结论
这是第一项关注慢性危重症患者群体中护士预后判断的纵向研究。未来的研究应探索重症监护病房护士的特征与生存预测准确性之间的关系。
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