Các yếu tố dự đoán sớm tình trạng xấu đi về mặt lâm sàng ở người bệnh sau khi rời khỏi phòng Hồi sức tích cực tại Khoa nội – Hồi sức thần kinh, Bệnh viện Hữu nghị Việt Đức

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Tác giả: Minh Đức Dương, Thị Phương Nguyễn, Thị Ngọc Phạm

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Khoa học Điều dưỡng, 2022

Mô tả vật lý: tr.200

Bộ sưu tập: Metadata

ID: 336424

Thêm vào giỏ Liên kết toàn văn

Mục tiêu: Xác định các yếu tố dự đoán sớm tình trạng xấu đi về mặt lâm sàng ở người bệnh sau khi rời khỏi phòng Hồi sức tích cực tại Khoa Nội – Hồi sức Thần kinh, Bệnh viện Hữu Nghị Việt Đức. Phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang được thực hiện trên 95 người bệnh hồi sức. Bộ công cụ National Early Warning Score (NEWS) được sử dụng để xác định tình trạng xuất hiện xấu đi sớm trên lâm sàng của người bệnh tại thời điểm rời khỏi ICU. Kết quả: Tỉ lệ người bệnh xuất hiện tình trạng xấu đi sớm trên lâm sàng là 15,8%. Các yếu tố bao gồm tuổi, thời gian nằm ICU, hình thức xuất ICU, điểm NEWS và sử dụng vận mạch khi xuất ICU có liên quan có ý nghĩa thống kê với sự xuất hiện của tình trạng xấu đi sớm trên lâm sàng. Trong đó tuổi, điểm NEWS và có sử dụng vận mạch khi xuất ICU dự đoán có ý nghĩa thống kê đến sự xuất hiện tình trạng xấu đi sớm trên lâm sàng của người bệnh sau khi rời khỏi ICU. Kết luận: Việc xuất khỏi ICU có liên quan chặt chẽ với một số yếu tố nhân khẩu học và do đó liên quan đến tiên lượng xấu. Tình trạng xấu đi sớm trên lâm sàng có liên quan đáng kể với thời gian nằm ICU và do đó sẽ làm tăng chi phí cũng như một số biến chứng mắc phải tại bệnh viện. Do đó để nâng cao kết quả chăm sóc người bệnh, hạn chế tình trạng xuất hiện xấu đi sớm trên lâm sàng thì việc đào tạo cho nhân viên y tế đặc biệt là đối tượng điều dưỡng ICU về việc sử dụng thang điểm NEWS để họ có thể phát hiện được những người bệnh có nguy cơ cao (tuổi cao, điểm NEWS cao và có sử dụng vận mạch khi rời khỏi ICU) sẽ giúp làm giảm tỉ lệ người bệnh xuất hiện tình trạng xấu đi sớm trên lâm sàng sau khi rời khỏi ICUObjectives: To determine the prediction factors to clinical deterioration of discharge ICU patients in Department of Neurology and Neuro Intensive Care, Viet Duc University Hospital. Methods: Descriptive cross-sectional study was performed on 95 ICU patients. The National Early Warning Score (NEWS) is used to identify patients at risk of clinical deterioration after discharge from Intensive Care Unit. Results: The prevalence of patients developing clinical deterioration was 15,8%. Age, intensive care unit length of stay, types of ICU discharge, NEWS score, and using vasopressor at the time of discharging ICU were significantly associated with the occurrence of clinical deterioration
in which age, NEWS score, and using vasopressor at the time of discharging ICU were statistically significant prediction to early clinical deterioration. Conclusion: ICU discharge is strongly associated with several demographic characteristics, therefore associated with poor prognosis. Early clinical deterioration is statistically significant association with length of stay in the ICU and the consequences is increasing costs and hospital-acquired complications. Therefore, in order to improve patient outcomes and limit the occurrence of early clinical deterioration, it is necessary to train medical staffs, especially ICU nurses on using the NEWS scale so that they are able to detect high-risk patients (older, high NEWS score, and using vasopressor at the time discharging ICU) will help reduce the percentage of early clinical deterioration

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