贴合住院患者生活护理需求的护理级别分类方法探讨  

Two Nursing Grading Systems and Inpatients' Living Nursing Needs

作　　者：胡成文[1] 薛宁宁[1] 邓小山[1] 乔晓斐[1] 宋瑰琦[1] 

机构地区：[1]安徽医科大学附属省立医院护理部,安徽合肥230001

出　　处：《护理学报》2012年第7期60-63,共4页Journal of Nursing（China）

基　　金：安徽高校省级自然科学研究项目(KJ2012Z141)

摘　　要：目的探讨更贴合住院患者实际生活护理需求的护理级别分类方法,为分级护理改革提供依据。方法采用整群抽样法选择内科、外科住院患者共502例,医生按常规开分级护理医嘱,责任护士应用Barthel指数对住院患者进行日常生活活动能力(activities of daily living,ADL)评估和护理分级,并采用生活护理问卷调查患者的生活护理需求。结果 502例患者中,医嘱护理分级与ADL护理分级经Spearman秩相关分析显示有统计学意义(rs=0.209,P<0.01);生活护理需求排序在2种分类方法中差别不大,但ADL护理分级方法比医嘱护理分级法与患者的生活护理需求一致性程度更高。结论与医嘱护理分级相比,ADL护理级别分类法更能体现住院患者生活护理需求的个性化。Objective To explore the nursing grading system which satisfies inpatients＇ living nursing needs and to provide a theoretical and practical base for nursing grade reform.Methods By cluster sampling,502 inpatients from surgery and internal medicine departments were collected.The Barthel index was used to assess the inpatients＇ activities of daily living（ADL） and identify their nursing grade by duty nurses.Doctors delivered routine nursing grades and a basic nursing questionnaire was adopted for obtaining information of patients＇ living nursing needs.Results There was positive correlation between medical order of nursing grade and nursing grade through ADL（rs=0.209,P0.01）.The analysis of variance with block design showed that all 24 items of living nursing needs had significant difference between two kinds of nursing grades.Conclusion Nursing grade through ADL can satisfy inpatients＇ living nursing needs.

关 键 词：住院患者 护理分级 日常生活活动能力 生活护理 

分 类 号：R472[医药卫生—护理学]