体外膜肺氧合患者护理工作量水平研究

Current status of extracorporeal membrane oxygen patient care workload

目的对体外膜肺氧合(ECMO)患者护理工作量进行调查,根据护理工作量推算护理时数,并分析人力资源现状,提高护理质量及护理效果。方法运用护理活动评估量表对浙江省人民医院重症监护室ECMO患者每天的护理工作量进行评价,分析影响工作量的相关因素。结果ECMO患者每天护理工作量平均分为(76.06±7.23)分,每日护士护理ECMO患者时间为10.31 h,每日需直接参与患者的理想护士人数为2.28人。护理工作量与患者年龄、是否使用肝素和血管活性药物以及预后情况有关(t值为-3.184~7.291,P<0.05或0.01)。结论ECMO患者护理工作量较大,现阶段我院护患比1∶1配置合理,年龄、使用肝素、血管活性药物及预后影响ECMO患者护理工作量水平。

Objective To investigate the workload of extracorporeal membrane oxygen(ECMO)patients,estimate the number of hours of care based on the amount of nursing work,and to analyze the status of human resources,improve the quality of care and the effect of nursing.Methods The Nursing Activity Assessment Scale was used to evaluate the daily workload of ECMO patients in the Intensive Care Unit of Zhejiang Province People′s Hospital,and the relevant factors affecting the workload were analyzed.Results The average daily workload of ECMO patients was(76.06±7.23)points,the daily nurse care ECMO patients time was 10.31 h,and the number of ideal nurses who needed to participate directly in the daily patients was 2.28.The workload was related to age,whether heparin and vasoactive drugs were used,and prognosis(t values were-3.184-7.291,P<0.05 or 0.01).Conclusions The workload of ECMO patients is relatively large.At this stage,the ratio of nurse to patient is reasonable in our hospital.The patients′age,use the heparin,vasoactive drugs and prognosis affect the level of nursing workload of ECMO patients.