摘要
目的 探讨采用日常生活活动能力（ADL）量表Barthel指数评分进行护理分级对护理质量的影响。方法 将402例住院患者随机分为观察组221例和对照组191例。对照组患者南医生开写护理级别医嘱，由护士依照执行。观察组由责任护士根据患者的ADL得分确定患者的护理级别，给予相应的护理。针对不同护理级别的服务要求为2组患者实施相同的护理服务措施，同时将各护理级别的服务要求以书面形式公示给患者。采用《基础护理质量评价标准》、《住院患者对分级护理的满意度调查表》、《患者直接护理内容和时间测定表》进行检查和问卷调查，数据采用SAS软件进行分析。结果（1）观察组直接护理时间、基础护理得分、患者对分级护理的满意度显著高于对照组（P〈0．01）。（2）观察组ADLⅢ级43例直接护理时间、基础护理评价得分明显高于对照组医嘱Ⅰ级168例（P〈0．01），但分级护理的满意度得分二者比较差异无统计学意义（P〉0．05）。（3）观察组211例3种护理分级方法的护理效果两两比较差异有统计学意义（P〈0．01）。结论 在护理人力资源不足的现实情况下，应用ADL评分表进行护理分级，能提高基础护理质量，提高患者对护理工作的满意度。
Objective In order to know the effects of using activity of daily living scale in gradual nursing management. Methods Divided 402 in-patients into the observation group （211 cases） and the control group （191 cases） randomly. The method of nursing according to doctors order was used in the control group, while the method of nursing according to ADL scores was used in the observation group, compared the nursing effects between the two groups. Analyzed the data by SAS. Results The nursing time in the observation group was significantly shorter than that of in the control group, the basic nursing scores and nursing satisfactory rate in the observation group were significantly better than those of in the control group. The difference of nursing effects in the observation group among different nursing grades was significant, P〈0.05. Conclusion Carrying out nursing cares according to ADL scale can effectively improve the nursing quality, and then improve the nursing guality.
出处
《中国实用护理杂志》
2007年第10期6-8,共3页
Chinese Journal of Practical Nursing
基金
聊城市卫生局医学科研立项项目[聊卫医函（2006）2号]
关键词
活动能力
评估
护理
满意率
Activity of daily living
Evaluation
Nursing
Satisfactory rate
