Santiago-González Nicolás, García-Hernández María de Lourdes, Cruz-Bello Patricia, Chaparro-Díaz Lorena, Rico-González María de Lourdes, Hernández-Ortega Yolanda, Santiago-Abundio Jesús
Unidad de Proyectos de Investigación en Enfermería del Hospital Regional de Alta Especialidad de Ixtapaluca, Instituto Mexicano de Seguro Social para el Bienestar (IMSS-BIENESTAR), Carretera Federal México-Puebla Km 34.5, Ixtapaluca 56530, Mexico.
Facultad de Enfermería y Obstetricia, Universidad Autónoma del Estado de México (UAEMex), Toluca 50000, Mexico.
Nurs Rep. 2024 Oct 22;14(4):3126-3137. doi: 10.3390/nursrep14040227.
COVID-19 affects the respiratory system, reducing the oxygen saturation level, leading to hypoxemia and increasing the metabolic oxygenation need.
To describe the nursing interventions related to the need for oxygenation in hospitalized adults with severe COVID-19 disease in the Intensive Care Unit.
This was an observational, retrospective and descriptive study in a population of 2205 patients with a convenience sample of = 430 and based on the North American Nursing Diagnosis Association (NANDA), the Nursing Interventions Classification (NIC) and the Nursing Outcomes Classification (NOC). The analysis was performed with a non-parametric test to determine the association between the nursing interventions and the need for oxygenation.
The findings are aimed at improving nursing interventions with statistical associations as follow: oxygen therapy ( < 0.000), airway suctioning ( < 0.000), airway management ( = 0.029), invasive mechanical ventilation ( < 0.000) and non-invasive mechanical ventilation ( = 0.022). NOC taxonomy expected outcomes in ventilation, 34% (146), alteration in gas exchange, 33.7% (145), and respiratory status, 558.9% (253), were severely compromised.
The nursing interventions to maintain the respiratory status are focused on airway care and oxygen therapy in order to increase the oxygen saturation level and decrease the severity of the need for oxygenation.
新型冠状病毒肺炎影响呼吸系统，降低血氧饱和度水平，导致低氧血症并增加代谢性氧需求。
描述重症监护病房中患有重症新型冠状病毒肺炎的住院成人患者与氧需求相关的护理干预措施。
这是一项观察性、回顾性和描述性研究，研究对象为2205名患者，便利样本量为430名，基于北美护理诊断协会（NANDA）、护理干预分类（NIC）和护理结局分类（NOC）。采用非参数检验进行分析，以确定护理干预措施与氧需求之间的关联。
研究结果旨在改善具有以下统计学关联的护理干预措施：氧疗（P<0.000）、气道吸引（P<0.000）、气道管理（P = 0.029）、有创机械通气（P<0.000）和无创机械通气（P = 0.022）。NOC分类法中预期的通气结局、34%（146例）的气体交换改变和33.7%（145例）的呼吸状态、558.9%（253例）受到严重损害。
维持呼吸状态的护理干预措施侧重于气道护理和氧疗，以提高血氧饱和度水平并降低氧需求的严重程度。
