Nursing Activities Score in critically ill patients on invasive mechanical ventilation.

IF 1.2 Q3 NURSING

Revista Brasileira De Enfermagem Pub Date : 2026-10-19 eCollection Date: 2026-01-01 DOI:10.1590/0034-7167-2025-0390

Larissa Moreira Bianchi, Tayse Tâmara da Paixão Duarte, Michelle Zampieri Ipolito, Kamilla Grasielle Nunes da Silva, Walterlânia Silva Santos, Marcia Cristina da Silva Magro

{"title":"Nursing Activities Score in critically ill patients on invasive mechanical ventilation.","authors":"Larissa Moreira Bianchi, Tayse Tâmara da Paixão Duarte, Michelle Zampieri Ipolito, Kamilla Grasielle Nunes da Silva, Walterlânia Silva Santos, Marcia Cristina da Silva Magro","doi":"10.1590/0034-7167-2025-0390","DOIUrl":null,"url":null,"abstract":"Objective: to assess the association between invasive mechanical ventilation duration, classified as prolonged and non-prolonged, and nursing workload in critically ill patients.Method: a prospective cohort study with adult patients on mechanical ventilation for up to 21 days or more. Nursing workload was measured using the Nursing Activities Score (NAS). Clinical data were collected using a structured questionnaire. A significance level of 5% was adopted.Results: considering 61 patients, there was no significant difference in nursing workload between prolonged and non-prolonged mechanical ventilation according to NAS [111.2 (105.118) vs. 111.8 (107.119); p=0.880], nor was there an association between mechanical ventilation time and this score (AUC=0.512). Prolonged mechanical ventilation was associated with vasoactive drugs (96%; p=0.007) and greater severity of acute kidney injury (KDIGO=3.78%; p=0.009).Conclusion: mechanical ventilation duration was not associated with changes in nursing workload, which remained high regardless of the ventilatory support duration.","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":"79 ","pages":"e20250390"},"PeriodicalIF":1.2000,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13679590/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista Brasileira De Enfermagem","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1590/0034-7167-2025-0390","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: to assess the association between invasive mechanical ventilation duration, classified as prolonged and non-prolonged, and nursing workload in critically ill patients.

Method: a prospective cohort study with adult patients on mechanical ventilation for up to 21 days or more. Nursing workload was measured using the Nursing Activities Score (NAS). Clinical data were collected using a structured questionnaire. A significance level of 5% was adopted.

Results: considering 61 patients, there was no significant difference in nursing workload between prolonged and non-prolonged mechanical ventilation according to NAS [111.2 (105.118) vs. 111.8 (107.119); p=0.880], nor was there an association between mechanical ventilation time and this score (AUC=0.512). Prolonged mechanical ventilation was associated with vasoactive drugs (96%; p=0.007) and greater severity of acute kidney injury (KDIGO=3.78%; p=0.009).

Conclusion: mechanical ventilation duration was not associated with changes in nursing workload, which remained high regardless of the ventilatory support duration.

查看原文本刊更多论文

危重患者有创机械通气护理活动评分。

目的：评价危重患者有创机械通气时间（延长和非延长）与护理工作量的关系。方法：对使用机械通气21天或更长时间的成年患者进行前瞻性队列研究。使用护理活动评分（NAS）测量护理工作量。采用结构化问卷收集临床资料。采用5%的显著性水平。结果：61例患者中，按照NAS标准延长与非延长机械通气的护理工作量无显著差异[111.2（105.118）比111.8 (107.119)]；p=0.880]，机械通气时间与该评分无相关性（AUC=0.512）。延长机械通气与血管活性药物（96%,p=0.007）和急性肾损伤的严重程度相关（KDIGO=3.78%, p=0.009）。结论：机械通气时间与护理工作量的变化无关，无论通气支持时间长短，护理工作量的变化都很高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Revista Brasileira De Enfermagem NURSING-

CiteScore

2.30

自引率

7.70%

发文量

477

审稿时长

21 weeks

期刊介绍： The Revista Brasileira de Enfermagem created in 1932, March 20 is the official publication of the Associação Brasileira de Enfermagem (Brazilian Nursing Association) has as purpose to disseminate the scientific production from different nursing interest areas of knowledge, including those which express the political project of the Association. The Revista Brasileira de Enfermagem is the oldest journal of the Brazilian nursing. Its first title was "Annaes de Enfermagem" from 1932 to 1941, being entitled Anais de Enfermagem" until 1955, when its title was changed to the current.