Nursing Activities Score (NAS): 5 Years of experience in the intensive care units of an Italian University hospital
Nursing Activities Score (NAS): 5 Years of experience in the intensive care units of an Italian University hospital
复制标题
DOI：
10.1016/j.iccn.2013.10.004
复制
发表时间：
2014-06-01
影响因子：
5.3
通讯作者：
Fumagalli, Roberto
中科院分区：
文献类型：
--
作者：
Lucchini, Alberto;De Felippis, Christian;Fumagalli, Roberto
目的：回顾性分析2006年1月至2011年12月护理活动评分（NAS）在某重症监护室的应用情况。方法：研究对象为意大利某大学医院3个重症监护室（GICU：普通重症监护室，NeurolCU：神经外科重症监护室，CICU：心胸重症监护室）的5856例患者。每24小时计算每位患者的NAS。在普通ICU收治的患者中，除NAS外，还记录SAPS 2、SAPS 3（简化急性生理评分）、RASS （Richmond躁动镇静量表）、Braden评分。结果：所有患者的平均NAS为65.97%（标准差+/- 2.53），GICU为72.55% (+/- 16.28)，NeurolCU为59.33% (+/- 16.54)，CICU为63.51% （SD +/- 14.69）。平均住院时间（LOS）为4.82 （SD±8.68）。NAS在LOS增加的患者中较高（p < 0.003），而除0-10岁儿童外，各年龄组间无显著差异（p < 0.002）。NAS与SAPS 2的相关系数r= 0.24 (p= 0.001)， NAS与SAPS 3的相关系数r= -0.26 (p= 0.77)， NAS与RASS的相关系数r=-0.23 (p= 0.001)， NAS与Braden的相关系数r= 0.22 （p= 0.001）。结论：本研究描述了日常使用NAS来确定护理工作量，并定义了所需的人员。(C) 2013 Elsevier Ltd.版权所有。
Objective: To retrospectively analyse the application of the Nursing Activities Score (NAS) in an intensive care department from January 2006 to December 2011.Method: The sample consists of 5856 patients in three intensive care units (GICU: General Intensive Care Unit, NeurolCU: Neurosurgical Intensive Care Unit, CICU: Cardiothoracic Intensive Care Unit) of an Italian University hospital.The NAS was calculated for each patient every 24 hours. In patients admitted to general ICU, the following scores: SAPS 2 and SAPS 3 (Simplified Acute Physiology Score), RASS (Richmond Agitation Sedation Scale) and Braden were also recorded along with the NAS.Results: The mean NAS for all patients was 65.97% (Standard Deviation +/- 2.53), GICU 72.55% (+/- 16.28), NeurolCU 59.33% (+/- 16.54), CICU 63.51% (SD +/- 14.69). The average length of hospital stay (LOS) was 4.82 (SD +/- 8.68). The NAS was high in patients with increasing LOS (p < 0.003) whilst there were no significant differences for age groups except for children 0-10 years (p < 0.002). The correlation of NAS and SAPS 2 was r= 0.24 (p= 0.001), NAS and SAPS 3 r= -0.26 (p= 0.77), NAS and RASS r=-0.23 (p = 0.001), NAS and Braden r = 0.22 (p= 0.001).Conclusions: This study described the daily use of the NAS for the determination of nursing workload and defines the staff required. (C) 2013 Elsevier Ltd. All rights reserved.