重症监护病房中 COVID-19 患者的护理工作量和严重程度。
Nursing workload and severity of COVID-19 patients in the Intensive Care Unit.
机构信息
Universidade Federal de São Paulo, Escola Paulista de Enfermagem, São Paulo, SP, Brazil.
Hospital e Maternidade do SEPACO, Serviço Social da Indústria do Papel, Papelão e Cortiça do Estado de São Paulo, São Paulo, SP, Brazil.
出版信息
Rev Esc Enferm USP. 2024 Aug 23;58:e20240107. doi: 10.1590/1980-220X-REEUSP-2024-0107en. eCollection 2024.
OBJECTIVE
To evaluate the workload and severity of patients in the Intensive Care Unit (ICU) with COVID-19.
METHOD
Cross-sectional, analytical study carried out in the ICU of a private hospital. All patients over the age of 18 with a diagnosis of COVID-19 admitted from September 2020 to June 2021 were included. Workload assessed by the Nursing Activities Score (NAS), and severity by the Sequential Organ Failure Assessment. Descriptive and inferential analyses were performed.
RESULTS
217 patients were included, mostly men, mean age 62.41 years, white, obese, non-smokers and sedentary. The average NAS was 84.79. Staffing was in line with legislation and NAS. NAS was not associated with severity. Severity was associated with higher age, gender, comorbidities, sedentary lifestyle, time on mechanical ventilation, hospitalization and death.
CONCLUSION
Workload was high and not associated with severity or outcomes. Severity was associated with demographic and clinical conditions. This study shows the importance of staff sizing, with a view to promoting safety and quality of care.
目的
评估 COVID-19 重症监护病房（ICU）患者的工作量和严重程度。
方法
这是在一家私立医院 ICU 进行的横断面分析研究。纳入 2020 年 9 月至 2021 年 6 月期间因 COVID-19 诊断而入院的所有 18 岁以上患者。通过护理活动评分（Nursing Activities Score，NAS）评估工作量，通过序贯器官衰竭评估（Sequential Organ Failure Assessment）评估严重程度。进行描述性和推断性分析。
结果
共纳入 217 例患者，多数为男性，平均年龄 62.41 岁，白人，肥胖，不吸烟且久坐不动。平均 NAS 为 84.79。人员配备符合法规和 NAS 标准。NAS 与严重程度无关。严重程度与较高的年龄、性别、合并症、久坐不动的生活方式、机械通气时间、住院时间和死亡有关。
结论
工作量较高，但与严重程度或结局无关。严重程度与人口统计学和临床状况有关。本研究表明了人员配备的重要性，以促进安全性和护理质量。
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