与住院成人严重 COVID-19 疾病吸氧需求相关的护理干预:一项回顾性研究。

IF 2.4 Q1 NURSING Nursing Reports Pub Date : 2024-10-22 DOI:10.3390/nursrep14040227
Nicolás Santiago-González, María de Lourdes García-Hernández, Patricia Cruz-Bello, Lorena Chaparro-Díaz, María de Lourdes Rico-González, Yolanda Hernández-Ortega, Jesús Santiago-Abundio
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引用次数: 0

摘要

COVID-19会影响呼吸系统,降低血氧饱和度,导致低氧血症,增加代谢氧合需求:描述与重症监护病房重症 COVID-19 成人患者吸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,方便样本为 n = 430,研究依据为北美护理诊断协会(NANDA)、护理干预分类(NIC)和护理结果分类(NOC)。分析采用非参数检验,以确定护理干预与吸氧需求之间的关联:研究结果旨在改进护理干预措施,其统计学关联如下: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分类的预期结果中,通气34%(146例)、气体交换改变33.7%(145例)和呼吸状态558.9%(253例)受到严重影响:维持呼吸状态的护理干预措施主要集中在气道护理和氧疗上,以提高血氧饱和度,降低吸氧需求的严重程度。
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Nursing Interventions Related to the Need for Oxygenation in Severe COVID-19 Disease in Hospitalized Adults: A Retrospective Study.

COVID-19 affects the respiratory system, reducing the oxygen saturation level, leading to hypoxemia and increasing the metabolic oxygenation need.

Objective: To describe the nursing interventions related to the need for oxygenation in hospitalized adults with severe COVID-19 disease in the Intensive Care Unit.

Method: This was an observational, retrospective and descriptive study in a population of 2205 patients with a convenience sample of n = 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.

Results: The findings are aimed at improving nursing interventions with statistical associations as follow: oxygen therapy (p < 0.000), airway suctioning (p < 0.000), airway management (p = 0.029), invasive mechanical ventilation (p < 0.000) and non-invasive mechanical ventilation (p = 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.

Conclusions: 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.

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来源期刊
Nursing Reports
Nursing Reports NURSING-
CiteScore
2.50
自引率
4.20%
发文量
78
期刊介绍: Nursing Reports is an open access, peer-reviewed, online-only journal that aims to influence the art and science of nursing by making rigorously conducted research accessible and understood to the full spectrum of practicing nurses, academics, educators and interested members of the public. The journal represents an exhilarating opportunity to make a unique and significant contribution to nursing and the wider community by addressing topics, theories and issues that concern the whole field of Nursing Science, including research, practice, policy and education. The primary intent of the journal is to present scientifically sound and influential empirical and theoretical studies, critical reviews and open debates to the global community of nurses. Short reports, opinions and insight into the plight of nurses the world-over will provide a voice for those of all cultures, governments and perspectives. The emphasis of Nursing Reports will be on ensuring that the highest quality of evidence and contribution is made available to the greatest number of nurses. Nursing Reports aims to make original, evidence-based, peer-reviewed research available to the global community of nurses and to interested members of the public. In addition, reviews of the literature, open debates on professional issues and short reports from around the world are invited to contribute to our vibrant and dynamic journal. All published work will adhere to the most stringent ethical standards and journalistic principles of fairness, worth and credibility. Our journal publishes Editorials, Original Articles, Review articles, Critical Debates, Short Reports from Around the Globe and Letters to the Editor.
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