摘要
目的：探讨护理记录评分系统（NCR-11）与APACHE Ⅲ评分的相关性,评价NCR-11在重症患者病情评估中的价值。方法前瞻性收集2013年3月1日—9月30日97例ICU患者的临床资料。患者入住ICU后次日作为第1天开始统计NCR-11评分,连续评估5 d。同时对患者进行APACHE Ⅲ评分,并将患者分为APACHE Ⅲ评分〈60分组和APACHE Ⅲ评分≥60分组。计算两组患者NCR-11评分与APACHE Ⅲ评分的相关系数,同时比较两组患者 NCR-11评分的差异。结果 APACHE Ⅲ评分〈60分组患者连续5 d的NCR-11评分为（52.63±10.66）分,与APACHE Ⅲ评分呈正相关,差异具有统计学意义（r=0.619,P〈0.01）。 APACHE Ⅲ评分≥60分组患者连续5 d的NCR-11评分为（56.88±9.34）分,与APACHE Ⅲ评分相关系数r=0.283,P〈0.01。 APACHE Ⅲ评分≥60分组患者连续5 d的NCR-11评分大于APACHEⅢ评分〈60分组,差异有统计学意义（F=4.873,P〈0.01）,两组患者第1~5天NCR-11评分变化趋势差异无统计学意义（F=0.096,P〉0.05）。结论 NCR-11与APACHE Ⅲ评分有一定的相关性,能间接反映重症患者的疾病严重程度,在重症医学科患者病情评估中有一定的应用价值。
Objective To explore the correlation between nursing document marking system （NCR-11） and APACHE Ⅲ score, and evaluate the value of NCR-11 for the assessment of critical care patients. Methods From March 1st to September 30th, 2013, 97 inpatients in ICU were chosen as sampling prospectively and were collected their clinical medical information. NCR-11 was calculated from next day to the sixth day of hospitalization and all patients were divided into two groups according to APACHE Ⅲ score： 〈60 score （ A group ） , ≥60 score （ B group ） , then statistically analyzed the correlation between NCR-11 and APACHE Ⅲ score and compared the difference between A and B group. Results The A group obtained the score of NCR-11 （52. 63 ± 10. 66）, which had positive correlation with APACHE Ⅲ score （r=0. 619,P〈0. 01）, while B group acquired （56. 88 ± 9. 34） and correlation coefficent with APACHE Ⅲ score was r =0. 283,P〈0. 01. The score of NCR-11 in B group was higher than that of A group （F=4. 873,P〈0. 01）, but the change of A and B group had no statistical significance from 5 days assessment （F=0. 096,P〉0. 05）. Conclusions NCR-11 and APACHE Ⅲ score has a certain correlation and could reflect the severity of the disease indirectly. It has some value in evaluating the severity of critical care patients.
出处
《中华现代护理杂志》
2015年第10期1148-1150,共3页
Chinese Journal of Modern Nursing
