Lima Felipe da Cruz, Ribeiro Joathan Borges, Denadai Samia, Nogueira Lilia Souza, Ferretti-Rebustini Renata Eloah de Lucena
Universidade de São Paulo, Escola de Enfermagem, São Paulo, SP, Brazil.
Hospital Sírio-Libanês, Unidade de Terapia Intensiva, São Paulo, SP, Brazil.
Rev Esc Enferm USP. 2025 Jul 14;59:e20240302. doi: 10.1590/1980-220X-REEUSP-2024-0302en. eCollection 2025.
To verify the influence of neurological severity and the degree of dependence of patients after stroke on the nursing workload required during hospitalization in the Intensive Care Unit (ICU).
Retrospective cohort of post-stroke patients admitted between 2019-2022 to a private ICU in the city of São Paulo, Brazil. Neurological severity was measured through the National Institutes of Health Stroke Scale (NIHSS), the level of dependency through the Katz Index, and the nursing workload through the Nursing Activities Score (NAS). Information from the 98 patients was collected from electronic medical records and the mixed effects model was applied in the analyses.
In a sample of older people (76.1 ± 14.8 years) and consisting predominantly of men (62.4%), it was observed that neurological severity (p < 0.001) and the degree of dependence (p = 0.002) independently predict NAS values, without any relation to the time at which this variable was measured (admission, average day of hospitalization, or discharge from the ICU).
Neurological severity and degree of dependence influence the nursing workload required by post-stroke patients in the ICU and should be considered when determining the size of the team.
验证中风后患者的神经功能严重程度和依赖程度对重症监护病房（ICU）住院期间所需护理工作量的影响。
对2019年至2022年间入住巴西圣保罗市一家私立ICU的中风后患者进行回顾性队列研究。通过美国国立卫生研究院卒中量表（NIHSS）测量神经功能严重程度，通过卡茨指数测量依赖程度，通过护理活动评分（NAS）测量护理工作量。从电子病历中收集98例患者的信息，并在分析中应用混合效应模型。
在一个以老年人（76.1±14.8岁）为主且男性占比62.4%的样本中，观察到神经功能严重程度（p<0.001）和依赖程度（p=0.002）独立预测NAS值，与测量该变量的时间（入院、住院平均日或ICU出院）无关。
神经功能严重程度和依赖程度会影响中风后患者在ICU所需的护理工作量，在确定团队规模时应予以考虑。
