摘要
目的比较综合性医院不同日常生活自理能力、不同疾病严重度的成年住院病人所需直接护理时间的差异,并探讨各变量之间的相关关系。方法对某综合性医院428例成年住院病人采用Barthel指数评定量表、急性生理功能和慢性健康疾病状况评估系统Ⅱ(APACHEⅡ)评价病人的自理能力和疾病严重度,用自行设计的病人基本护理需求与直接护理时间观测表观察记录成年住院病人24h所需直接护理时间。结果①不同自理能力病人所需直接护理时间不同;②不同疾病严重度病人直接护理时间不同;③直接护理时间与自理能力负相关,与疾病严重度正相关。结论①病人的直接护理时间与自理能力和疾病严重度相关;②科学地测量护理工作量和配备护理人力应考虑到病人的日常生活自理能力和疾病严重度。
Objective To investigate the direct-care time of inpatients with different levels of Activities of Daily Living （ADL） and severity of illness in a general hospital, and describe the relationships among these variables, Methods The Barthel index and APACHE H were used to assess the inpatients＇ ADL and severity of illness respectively. The patients＇ 24 hours direct-care time was measured and recorded according to a self-designed table. Results The direct-care time per day of the inpatients with different levels of ADL and the severity of illness were significantly different. The direct-care time of the inpatients was related to patients＇ ADL negatively, and related to patients＇ severity of illness positively. Conclusions The direct-care time of inpatients with different levels of ADL and severity of illness were different, The nursing managers can assign the nursing resource more scientifically based on the characters of inpatients.
出处
《中华护理杂志》
CSCD
北大核心
2007年第10期875-878,共4页
Chinese Journal of Nursing
基金
首都医学发展科研基金重点课题
项目编号:2002-2035
关键词
护理
工时测量
日常生活自理能力
疾病严重度
Nursing care
Time
Activities of Daily Living
Severity of illness index
