哥伦比亚北部某医院患者重症监护后综合征相关因素:一项定量和相关性研究

IF 2 Q1 NURSING
Jorge Luis Herrera Herrera, Yolima Judith Llorente Pérez, Edinson Oyola López, Gustavo Edgardo Jiménez Hernández
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引用次数: 0

摘要

背景/目的:我们在哥伦比亚北部的患者样本中确定了与重症监护后综合征相关的因素。方法:本研究采用定量、观察、描述性和相关性研究方法。采用非概率方便抽样法抽取成人样本277例,采用包含社会人口学和临床变量的特征表。还使用了健康老化脑保健监护监护仪(HABC-M),这是一种检测重症监护室(ICU)存活患者重症监护后综合征(PICS)的高容量临床工具。结果:最终样本包括277名成年人,其中67.5%为男性,具有大学学历,同居,工作,来自城市地区,信仰天主教。70%的患者同时出现心血管和神经系统病变并被送入ICU, 66%的患者有动脉高血压(AHT)和2型糖尿病(DM2)的个人病史。患者在ICU的平均住院时间为10.7天,标准差为4天,根据急性生理学和慢性健康评估II (APACHE II),患者的发病率和死亡率为中等风险。38.6%的患者接受了机械通气,平均持续时间8.3天,7.5%的患者接受了气管切开术。镇静方面,38.6%的患者使用芬太尼。总的来说,83.4%的样本出现了正在研究的综合征,以严重类别为主。以量表整体得分为因变量,与社会人口学变量(如出身、宗教)和临床变量(如接受药物治疗)的差异均有统计学意义(p < 0.05)。结论:该样本在全球范围内呈现了PICS,并显示了它如何影响不同的维度,显示了与感兴趣的社会人口统计学和临床变量的关联。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factors Associated with Post-Intensive Care Syndrome in Patients Attending a Hospital in Northern Colombia: A Quantitative and Correlational Study.

Background/Objectives: We identified the factors related to post-intensive care syndrome in a sample of patients from northern Colombia. Methods: This study employed a quantitative, observational, descriptive, and correlational approach. A sample of 277 adults was obtained through non-probabilistic convenience sampling, and a characterization form comprising sociodemographic and clinical variables was applied. The Healthy Aging Brain Care Monitor (HABC-M) instrument was also used, which is a clinical tool with a high capacity to detect post-intensive care syndrome (PICS) in surviving intensive care unit (ICU) patients. Results: The final sample consisted of 277 adults, 67.5% male, with university degrees, cohabiting in a marital union, working, from urban areas, and of the Catholic religion. Seventy percent of the sample presented both cardiovascular and neurological alterations and was admitted to the ICU, and 66% had a personal history of arterial hypertension (AHT) and type 2 diabetes mellitus (DM2). Patients had a mean ICU stay of 10.7 days, with a standard deviation of 4 days, and displayed a moderate risk of morbidity and mortality according to Acute Physiology and Chronic Health Evaluation II (APACHE II). A total of 38.6% of the sample received mechanical ventilation, with a mean duration of 8.3 days, and 7.5% underwent tracheostomy. As for sedation, 38.6% were administered fentanyl. In total, 83.4% of the sample presented the syndromes under study, with a predominance of the severe category. The global score of the scale was taken as the dependent variable, and statistical significance (p < 0.05) was found with sociodemographic variables, including origin and religion, and with clinical variables such as receiving pharmacological treatment. Conclusions: The sample presented PICS globally and showed how it affects the different dimensions, showing associations with the sociodemographic and clinical variables of interest.

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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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