Cuidados prestados ao paciente pronado: uma análise dos indicadores assistenciais e carga de trabalho

Nathália Ferreira Santos Tosti; Isabela Menezes Pinelli da Silva; Raelson Ribeiro Rodrigues; Beatriz Quirino Afonso; Fabiola Mika Tanabe; Francine Jomara Lopes

doi:10.15253/2175-6783.20242593836

Authors

Nathália Ferreira Santos Tosti Hospital Sírio-Libanês https://orcid.org/0000-0002-7158-2947
Isabela Menezes Pinelli da Silva Hospital Sírio-Libanês https://orcid.org/0009-0007-8809-2892
Raelson Ribeiro Rodrigues Hospital Sírio-Libanês https://orcid.org/0000-0001-9564-2046
Beatriz Quirino Afonso Hospital Sírio-Libanês https://orcid.org/0000-0002-1133-4351
Fabiola Mika Tanabe Hospital Sírio-Libanês https://orcid.org/0000-0002-7007-967X
Francine Jomara Lopes Hospital Sírio-Libanês https://orcid.org/0000-0001-8756-093X

DOI:

https://doi.org/10.15253/2175-6783.20242593836

Keywords:

COVID-19; Respiratory Distress Syndrome; Prone Position; Workload; Quality of Health Care.

Abstract

Objective: to analyze care indicators and workload, associating them with the quality of care provided to prone patients. Methods: a retrospective study with a convenience sample, including patients undergoing prolonged mechanical ventilation, diagnosed with COVID-19, invasive ventilation, and prone positioning. Demographic variables, information on comorbidities, ventilatory and hemodynamic status, workload using the Nursing Activities Score, quality of care indicators, diet therapy, and outcomes were collected. Results: 71 patients were evaluated; 55 (77.5%) were men, with a mean age of 65.5 years; 44 (62%) had cardiovascular diseases and 46 (62%) with metabolic diseases; 69 (97.2%) had severe hypoxemia and 52 (73.2%) used vasoactive drugs. The average Nursing Activities Score was 92.2 points; 67 (94.4%) did not reach the calorie/protein target, 47 (66.2%) developed ventilator-associated pneumonia, and 38 (53.5%) pressure injuries; 17 (23.9%) died. Conclusion: there was no statistical correlation between the worsening of care indicators and the increase in workload, although this was high at all the times studied. Contributions to practice: the high workload was related to adverse outcomes, demonstrating a relationship with the severity of the patients studied.

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