治疗干预计分系统用于心胸外科监护工作量评估的研究  

Research of Using TISS to Evaluate Nursing Workload in a Thoracic and Cardiovascular Surgical ICU

作　　者：王泓[1] 申萍[1] 杜益平[1] 仲继红[1] 曹涌[1] 郭晓帆[1] 王晓峰[1] 

机构地区：[1]中国人民解放军南京军区南京总医院心胸外科,江苏南京210002

出　　处：《护理学报》2006年第3期80-82,共3页Journal of Nursing（China）

基　　金：南京军区南京总医院2003年重点课题(2003088)

摘　　要：目的尝试用治疗干预计分系统评分分析心胸外科的监护工作量,探索一种能快速评估心胸外科ICU护理工作量的方法。方法收集心胸外科ICU 52例病人术后当日、第1天、第2天各班次的直接护理时间和治疗干预计分系统(TISS)评分。结果各类手术以当日护理工作量最多,TISS分值最高,在普通胸外科疾病、先天性心脏病、瓣膜置换3类手术病人中以换瓣病人术后的直接护理时间和TISS分值最高;发现班次、手术种类、术后天数不同,单病人直接护理时间或TISS评分之间的比较均有统计学意义(P<0.01);各种手术术后白班的护理时间和TISS分值最高的,术后第1天和第2天各班的护理时间及TISS分值的比较均无统计学意义(P>0.01)。结论虽然由于国内外护理人力使用的不同,治疗干预计分系统不能反映全部的ICU护理工作量,但是它确实为心胸外科监护室护理工作量的评估和人力资源的合理使用提供了有力的依据。Objective To attempt to use TISS to evaluate nursing workload in an thoracic and cardiovascular surgical intensive care unit （ICU） and to explore a simple method to measure the nursing workload. Methods The direct nursing time and the TISS score of 52 postoperative patients in a thoracic and cardiovascular ICU were measured and collected per shift and per day of the operational day and 1, 2 d after it. Results The direct nursing time and TISS score were highest in valve replacement patients and on operational day. There were significant differences in shift, type of operation, days after operation, direct nursing time for each patient and TISS score（P〈0.01）. After different operations, nursing time of day shift and TISS score were highest and there was no statistical significance in comparison of nursing time of 1, 2d after operation and TISS score（P〉0.01）. Conclusion Although the using of nursing resource was so different between the inside and outside of China and TISS can not totally reflect the workload of ICU, it was sure that it provided evidence of measuring the nursing workload and resource utilization in a thoracic and cardiovascular surgical ICU.

关 键 词：ICU 护理工作量 护理管理 治疗干预计分系统 

分 类 号：C931.2[经济管理—管理学]