Moradi Mohammad, de Souza Nogueira Lilia, Hanifi Nasrin
Critical Care and Emergency Nursing, Zanjan University of Medical Sciences, Zanjan, Iran.
Medical-Surgical Department, School of Nursing, University of São Paulo, São Paulo, Brazil.
Iran J Nurs Midwifery Res. 2024 Nov 20;29(6):691-696. doi: 10.4103/ijnmr.ijnmr_374_22. eCollection 2024 Nov-Dec.
Measuring nurses' workload and related factors in intensive care units and reviewing their staffing is very important during COVID-19. This study aims to compare nurses' workload and multiple organ failure of patients hospitalized during the COVID-19 in intensive care units and non-COVID-19 intensive care units.
An observational study was conducted with 768 patients hospitalized in intensive care units and Zanjan City (Iran) intensive care units in 2021. The data were collected using the Nursing Activities Score and the Sequential Organ Failure Assessment. Data analysis was performed by independent -test, Chi-squared (χ) test, Pearson's correlation coefficient (r), and Multiple Linear Regression (MLR). The statistical significance level was set at < 0.05.
NAS in non-COVID-19 intensive care units 59.90% (10.03) was significantly higher than that of COVID-19 intensive care units 56.38% (6.67) ( < 0.001). In addition, the SOFA score was higher in the non-COVID-19 intensive care units 6.98 (3.89) than in COVID-19 intensive care units 5.62 (3.98) ( < 0.001). The Nursing Activities Score had a positive and statistically significant relationship with the Sequential Organ Failure Assessment in both units, and this relationship was higher in the COVID-19 intensive care units (r = 0.71). In addition, predictors of NAS were identified as four variables, i.e. consciousness level, SOFA, length of stay, and having an artificial airway ( < 0.05).
Non-COVID-19 ICUs had higher NAS and SOFA scores in the study. Further investigation is needed to identify additional workload aspects in intensive care units.
在新型冠状病毒肺炎（COVID-19）疫情期间，评估重症监护病房护士的工作量及相关因素并审查其人员配置非常重要。本研究旨在比较COVID-19重症监护病房和非COVID-19重症监护病房中住院患者的护士工作量及多器官功能衰竭情况。
2021年，在伊朗赞詹市的重症监护病房对768名住院患者进行了一项观察性研究。使用护理活动评分和序贯器官衰竭评估来收集数据。数据分析采用独立样本t检验、卡方（χ²）检验、皮尔逊相关系数（r）和多元线性回归（MLR）。设定统计学显著性水平为P < 0.05。
非COVID-19重症监护病房的护理活动评分（NAS）为59.90%（10.03），显著高于COVID-19重症监护病房的56.38%（6.67）（P < 0.001）。此外，非COVID-19重症监护病房的序贯器官衰竭评估（SOFA）评分6.98（3.89）高于COVID-19重症监护病房的5.62（3.98）（P < 0.001）。两个病房中护理活动评分与序贯器官衰竭评估均呈正相关且具有统计学意义，并且这种关系在COVID-19重症监护病房中更强（r = 0.71）。此外，确定护理活动评分的预测因素为四个变量，即意识水平、序贯器官衰竭评估、住院时间和是否有人工气道（P < 0.05）。
在本研究中，非COVID-19重症监护病房的护理活动评分和序贯器官衰竭评估评分更高。需要进一步调查以确定重症监护病房其他工作量方面的情况。
