虚弱的老年人会影响重症监护病房的护理工作量吗？
Do frail elderly people affect the nursing workload in intensive care units?
机构信息
Universidade Federal de São Paulo, Escola Paulista de Enfermagem, São Paulo, SP, Brazil.
出版信息
Rev Esc Enferm USP. 2022 Nov 14;56:e20210599. doi: 10.1590/1980-220X-REEUSP-2021-0599en. eCollection 2022.
OBJECTIVE
Compare the nursing workload according to the condition of frailty in elderly people in an intensive care unit (ICU).
METHOD
A cross-sectional study whose sample included patients aged ≥60 years who were hospitalized for ≥24 hours in the ICU of a university hospital in São Paulo, Brazil. The Tilburg Frailty Indicator (TFI) was used to identify frailty in elderly people and the Nursing Activities Score (NAS) was used to measure the nursing workload.
RESULTS
In a sample of 204 elderly people, frailty was found in 156 (76.5%). The elderly people contributed to high nursing workload (mean NAS 75.9) on the first day in the ICU, but frailty did not significantly change the NAS (p = 0.606) (frail 75.7 versus non-frail 76.5), either based on the mean value or the proportion of patients in each category.
CONCLUSION
The condition of frailty in elderly people did not increase the nursing workload in the ICU.
目的
比较重症监护病房（ICU）中老年人衰弱状况的护理工作量。
方法
这是一项横断面研究，样本包括在巴西圣保罗一所大学医院 ICU 住院时间≥24 小时的≥60 岁患者。使用 Tilburg 衰弱指数（TFI）来确定老年人的衰弱状况，并使用护理活动评分（NAS）来衡量护理工作量。
结果
在 204 名老年人样本中，有 156 人（76.5%）存在衰弱。老年人在 ICU 的第一天就有较高的护理工作量（平均 NAS 75.9），但衰弱并没有显著改变 NAS（p=0.606）（衰弱组 75.7 与非衰弱组 76.5），无论是基于平均值还是每个类别中患者的比例。
结论
老年人的衰弱状况并未增加 ICU 的护理工作量。
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