护士工作量增加与极低出生体重儿血流感染有关。
Increased nurse workload is associated with bloodstream infections in very low birth weight infants.
机构信息
Division of Neonatology, Pediatric Intensive Care & Neuropediatrics, Department of Pediatrics and Adolescent Medicine, Medical University of Vienna, Vienna, Austria.
Department of Epidemiology, Center for Public Health, Medical University of Vienna, Vienna, Austria.
出版信息
Sci Rep. 2019 Apr 19;9(1):6331. doi: 10.1038/s41598-019-42685-x.
Neonatal sepsis is a major cause of morbidity and mortality in very low birth weight infants (VLBWI). Nurse workload considerably affects infection rates in intensive care units. However, data concerning the impact of staff workload on bloodstream infections (BSI) in VLBWI are scarce. The aim of the study was to examine the association between nurse workload and BSI in VLBWI. VLBWI admitted to our neonatal intensive care unit during 2016-2017 were retrospectively analysed. Association between nurse workload, determined by a standardized nursing score, and the BSI occurrence was investigated. A higher nurse workload was significantly associated with higher occurrence of BSI (p = 0.0139) in VLBWI. An assumed workload of 120% or higher, representing the need for additional nurses in our NICU setting, is associated with an elevated risk for BSI in this vulnerable population OR 2.32 (95% CI: 1.42-3.8, p = 0.0005). In conclusion, nurse understaffing is associated with a higher risk for BSI in VLBWI.
新生儿败血症是极低出生体重儿（VLBWI）发病率和死亡率的主要原因。护士工作量对重症监护病房的感染率有很大影响。然而，关于工作人员工作量对 VLBWI 血流感染（BSI）的影响的数据很少。本研究旨在探讨护士工作量与 VLBWI 中 BSI 的关系。对 2016-2017 年我院新生儿重症监护病房收治的 VLBWI 进行回顾性分析。研究护士工作量（通过标准化护理评分确定）与 BSI 发生之间的关系。结果发现，护士工作量较高与 VLBWI 中 BSI 的发生率较高显著相关（p=0.0139）。在我们的 NICU 环境中，假设工作量为 120%或更高，需要额外的护士，这与该脆弱人群的 BSI 风险增加有关 OR 2.32（95%CI：1.42-3.8，p=0.0005）。总之，护士人手不足与 VLBWI 中 BSI 的风险增加有关。
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