Carga de trabalho de enfermagem e a mortalidade dos pacientes em unidade de terapia intensiva

Aline Nassiff; Thamiris Ricci de Araújo; Mayra Gonçalves Menegueti; Fernando Bellissimo-Rodrigues; Anibal Basile-Filho; Ana Maria Laus

Aline Nassiff Escola de Enfermagem de Ribeirão Preto (EERP). Universidade de São Paulo (USP) (Ribeirão Preto, São Paulo, Brasil)
Thamiris Ricci de Araújo Escola de Enfermagem de Ribeirão Preto (EERP). Universidade de São Paulo (USP) (Ribeirão Preto, São Paulo, Brasil)
Mayra Gonçalves Menegueti Escola de Enfermagem de Ribeirão Preto (EERP). Universidade de São Paulo (USP) (Ribeirão Preto, São Paulo, Brasil)
Fernando Bellissimo-Rodrigues Faculdade de Medicina de Ribeirão Preto (FMRP). Universidade de São Paulo (USP) (Ribeirão Preto, São Paulo, Brasil)
Anibal Basile-Filho Faculdade de Medicina de Ribeirão Preto (FMRP). Universidade de São Paulo (USP) (Ribeirão Preto, São Paulo, Brasil)
Ana Maria Laus Escola de Enfermagem de Ribeirão Preto (EERP). Universidade de São Paulo (USP) (Ribeirão Preto, São Paulo, Brasil)

Palabras clave: Carga de trabajo, Personal de enfermería, Unidades de cuidados intensivos, Mortalidad, de severidad de la enfermedad

Key-words: Workload, Nursing staff, Intensive Care Units, Mortality, Severity of illness index

Palavras chave: Carga de trabalho, Recursos humanos de enfermagem, Unidades de Terapia Intensiva, Mortalidade, Índice de gravidade de doença

Resumen

Objetivo: verificar si la carga de trabajo de enfermería aferida por el Nursing Activity Score como predictor de mortalidad en Unidad de Terapia Intensiva. Método: estudio documental, retrospectivo, corte transversal, desarrollado en la Unidad de Terapia Intensiva de un hospital universitario terciario. Se utilizó la curva Receiver Operator Characteristic Curve compuesta por el Nursing Activity Score y índice de gravedad APACHE y regresión logística para análisis de la predicción de mortalidad. Resultados: compusieron la muestra 324 pacientes, siendo 214 (66%) sobrevivientes. El promedio Nursing Activities Score de las primeras 24 horas de internación fue de 79,3 puntos, variando de 34,8 a 134,2 puntos y el APACHE II mediano fue de 24,5 (2-42). En el análisis de la curva Receiver Operator Characteristic Curve o Nursing Activities Score evidenció un área sobre la curva de 0,626; IC 0,570 a 0,678 y el APACHE II de 0,721 con intervalo de confianza IC 95% de 0,669 a 0,769. Conclusión: la carga de trabajo de enfermería no fue un predictor de mortalidad en Unidad de Terapia Intensiva, pues los pacientes que demandan la mayor carga de trabajo de enfermería no necesariamente son aquellos que evolucionan a muerte

Abstract

Objective: to verify if the nursing workload is a predictor of mortality at an Intensive Care Unit. Method: cross-sectional and retrospective documentary study, developed at the Intensive Care Unit of a tertiary university hospital. The Receiver Operator Characteristic Curve was used, consisting of the Nursing Activities Score and the APACHE severity score, using logistic regression to analyze the prediction of mortality. Results: the sample included 324 patients, 214 (66%) of whom survived. The mean Nursing Activities Score during the first 24 hours of hospitalization was 79.3 points, ranging from 34.8 to 134.2 points, and the median APACHE II was 24.5 (2-42). In the analysis of the Receiver Operator Characteristic Curve, the Nursing Activities Score evidenced an area under the curve corresponding to 0.626; CI between 0.570 and 0.678 and an APACHE II score of 0.721, with a 95% confidence interval from 0.669 to 0.769. Conclusion: the nursing workload did not serve as a mortality predictor at the Intensive Care Unit, as the patients who demand the main nursing workload are not necessarily the patients who evolve to death

Resumo

Objetivo: verificar se a carga de trabalho de enfermagem é em preditor de mortalidade em Unidade de Terapia Intensiva. Método: estudo documental, retrospectivo, corte transversal, desenvolvido na Unidade de Terapia Intensiva de um hospital universitário terciário. Utilizou-se a curva Receiver Operator Characteristic Curve composta pelo Nursing Activities Score e índice de gravidade APACHE e regressão logística para análise da predição de mortalidade. Resultados: compuseram a amostra 324 pacientes, sendo 214 (66%) sobreviventes. A média Nursing Activities Score das primeiras 24 horas de internação foi de 79,3 pontos, variando de 34,8 a 134,2 pontos e o APACHE II mediano foi 24,5 (2-42). Na análise da curva Receiver Operator Characteristic Curve o Nursing Activities Score evidenciou uma área sobre a curva de 0,626; IC 0,570 a 0,678 e o APACHE II de 0,721 com intervalo de confiança IC 95% de 0,669 a 0,769. Conclusão: a carga de trabalho de enfermagem não foi um preditor de mortalidade em Unidade de Terapia Intensiva, pois os pacientes que demandam a maior carga de trabalho de enfermagem não necessariamente são aqueles que evoluem para óbito

Bibliografía

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Carga de trabalho de enfermagem e a mortalidade dos pacientes em unidade de terapia intensiva

Nursing workload and the patient mortality at an intensive care unit

Carga de trabajo de enfermería y la mortalidad de los pacientes en unidad de terapia intensiva

Resumen

Abstract

Resumo

Bibliografía