133例大面积烧伤患者护理时数影响因素分析  

Multiple influential factors for nursing time in 133 severe burn patients

作　　者：霍焱[1] 尚少梅[1] 张永文[1] 

机构地区：[1]海军总医院海战伤救治研究中心,北京市100037

出　　处：《中华护理杂志》2006年第12期1073-1076,共4页Chinese Journal of Nursing

摘　　要：目的探讨大面积烧伤患者伤后早期护理工作量的影响因素,为战时一线医院烧伤病房护理人力配备提供借鉴。方法统计2000年1月至2006年3月在某全军烧伤中心住院治疗的133例大面积烧伤患者伤后5d内的护理时数,多因素逐步回归分析大面积烧伤患者护理时数最重要的影响因素。结果大面积烧伤患者第1天护理时数分值与其后4d差异显著(P<0.001);烧伤面积、吸入性损伤、头面烧伤、致伤因子是大面积烧伤患者伤后早期护理时数最重要的影响因素,且与其正性相关。结论大面积烧伤患者入院5d内以第1天护理工作量最大,其后逐步递减;其中烧伤面积大、有头面部烧伤或吸入性损伤者护理工作量大,且不同的致伤因素可导致护理工作量不同;护理管理者在配备护理人力时应予充分考虑。Objective To identify the influential factors for nursing time in severe burn patients in order to establish a rational nursing staff arrangement in war. Methods Project research of nursing （PRN） system was used to calculate the nursing time that 133 severe burn patients received within 5 days after admission from January 2000 to March 2006. The influential factors of nursing time were analyzed by multiple factor stepwise regression analysis. Results Significant difference of nursing time among the first day and the later 4 days were found（P〈0. 001）. The total burn surface area（TBSA）, burn in facial area, injury factor and inhalation injury are 4 top influential factors of nursing time in severe burn patients. Conclusions The nursing workload of nurses care for severe burn patients in the first day was the heaviest, as days passed it would decrease. Patients who had higher TBSA and inhalation injury , burnt in facial area may bring heavier nursing workload. Different causes of burn results in different nursing workload. So the nursing administrators should take those factors into account.

关 键 词：烧伤 护理工作 人员配备和时间安排 

分 类 号：R473.6[医药卫生—护理学]