基于自理能力和疾病严重度的病人分类方法研究  

The research of inpatient's classification based on self-care ability and severity of illness in a general hospital

作　　者：蔡虻[1] 孙红[1] 冷婧[1] 赵芹芹[2] 郭红[1] 

机构地区：[1]卫生部北京医院,北京市100730 [2]中国协和医科大学研究生院

出　　处：《中华护理杂志》2008年第6期490-492,共3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

摘　　要：目的比较不同自理能力、不同疾病严重程度成年住院病人所需直接护理时间的差异,探索一种依据自理能力和疾病严重度对病人进行分类的方法。方法对某综合医院428例成年住院病人采用Barthel指数评定量表评价病人自理能力,应用急性生理功能和慢性健康疾病状况评估系统2(APACHEⅡ)评价病人疾病严重程度,采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病人24h所需直接护理时间。结果不同疾病严重度和病人自理能力等级组合的病人24h所需直接护理时间有差异。结论依据不同自理能力、疾病严重程度病人所需直接护理时间的差异,可将病人分类,为护理人力科学配备及成本核算提供依据。Objective To compare the direct care time of the inpatients with different self-care ability and severity of illness and find out the feasibility of classifying the inpatients based on their self-care ability and severity of illness. Methods The Barthel index and APACHE Ⅱ of inpatients were used to assess the patients＇ self-care ability and severity of illness ,patients＇ direct care time was measured and recorded according to a self-designed table, Results The direct care time of the inpatients in a 24-hour period varied based on different levels of self-care ability and the severity of illness. Conclusions The inpatients could be classified according to their self-care ability and illness severity. It is the foundation for the nursing resource assignment and cost accounting.

关 键 词：疾病严重程度指数 护理 时间 护理管理研究 

分 类 号：R473[医药卫生—护理学]