Nursing workload and severity of COVID-19 patients in the Intensive Care Unit.

Revista da Escola de Enfermagem da U S P Pub Date : 2024-08-23 eCollection Date: 2024-01-01 DOI:10.1590/1980-220X-REEUSP-2024-0107en
Wesley Cajaiba Santos, Maria Carolina Barbosa Teixeira Lopes, Cassia Regina Vancini-Campanharo, Daniela Boschetti, Sirlei Oliveira da Silva Dias, Meire Cristina Novelli E Castro, Luis Humberto Vieri Piacezzi, Ruth Ester Assayag Batista
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Abstract

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.

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重症监护室 COVID-19 患者的护理工作量和严重程度。
目的使用 COVID-19 评估重症监护室(ICU)病人的工作量和严重程度:在一家私立医院的重症监护室开展横断面分析研究。研究对象包括 2020 年 9 月至 2021 年 6 月期间入院的所有诊断为 COVID-19 的 18 岁以上患者。工作量通过护理活动评分(NAS)进行评估,严重程度通过序贯器官衰竭评估进行评估。结果:共纳入 217 名患者,大部分为男性,平均年龄 62.41 岁,白人,肥胖,不吸烟,久坐不动。平均 NAS 值为 84.79。人员配备符合法律规定和 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、住院和死亡有关:结论:工作量大,与严重程度或结果无关。严重程度与人口统计学和临床条件有关。这项研究表明,为了提高护理的安全性和质量,确定人员规模非常重要。
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