Ann Intensive Care：护士的高工作量/人员比例与危重病人生存率降低有关？

2017-05-24 MedSci MedSci原创

尽管护士在重症监护中有核心作用，重症监护护士的工作量/人员比例和生存率之间的关系尚未明确。我们确定是否存在一个工作量/人员比例的阈值，高于该值，医院生存率降低，，然后模拟病人在ICU的任何时期人员配备不足与风险调整后医院生存率之间的关系。对来自两个多学科重症监护病房的病人的一个队列的前瞻性数据进行回顾性分析。使用净效益回归方法和逻辑回归分析ICU所有病人每天护理工作量[使用治疗干预评分系统（TIS

尽管护士在重症监护中有核心作用，重症监护护士的工作量/人员比例和生存率之间的关系尚未明确。我们确定是否存在一个工作量/人员比例的阈值，高于该值，医院生存率降低，，然后模拟病人在ICU的任何时期人员配备不足与风险调整后医院生存率之间的关系。

对来自两个多学科重症监护病房的病人的一个队列的前瞻性数据进行回顾性分析。使用净效益回归方法和逻辑回归分析ICU所有病人每天护理工作量[使用治疗干预评分系统（TISS-76）评价]与每班床旁护士平均人数的比例（工作量/护士人数）、疾病的严重程度（急性生理和慢性健康评估Ⅲ）和医院生存率。

研究共分析了894名独立入院病人中的845名。分析显示，当最大护士工作量比值＜40时出院率大概有95%，当比例＞52时，死亡率可能高于95%。当病人在ICU暴露于高工作量/护士比值（≥52）一天一天及以上，比没有暴露在高比值中的病人的风险调整后的医院生存率要低（OR0.35，95% CI 0.16–0.79）。

总而言之，该研究发现护理危重病人的高工作量/人员比例与生存率大幅下降有关。

原始出处：

Anna Lee,Yip Sing Leo Cheung,et al., Are high nurse workload/staffing ratios associated with decreased survival in critically ill patients? A cohort study.Ann Intensive Care. 2017; 7: 46. Published online 2017 May 2. doi: 10.1186/s13613-017-0269-2

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2018-04-06 xinmeili

#危重病#

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2018-03-23 12498ebem19暂无昵称

#TENS#

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2018-01-30 仁心济世

#工作量#

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2017-06-04 136****3321

护士人力必须的补足，工作质量才有保障

87 0
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2017-05-26 guoyibin

#生存率#

73 0
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2017-05-26 listen322

#危重病人#

64 0
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2017-05-25 184****9840

学习了谢谢分享。

75 0

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