护理分级影响因素的多分类Logistic回归分析  

Multinomial logistic regression analysis of the influencing factors of nursing classification

作　　者：李晓翠[1] 王亚亚[1] 么莉[2] 尚少梅[1] 郭燕红[3] 金晓燕[1] 

机构地区：[1]北京大学护理学院,100091 [2]卫生部医院管理研究所护理中心 [3]卫生部医政司

出　　处：《中国护理管理》2012年第11期11-13,共3页Chinese Nursing Management

摘　　要：目的:探讨患者病情级别和自理能力对护理分级的影响。方法:采用方便抽样法,按照"医院-病区-患者"进行三级取样,选取6省市11家医院的120个病区共3171例住院患者,采用自设的"患者护理分级调查表"对其进行调查。结果:①病情级别(r=0.550,P<0.001)、自理能力(r=0.619,P<0.001)与护理分级呈正相关;②多分类Logistic回归分析显示,不同病情级别和中、重度功能障碍对护理分级均有影响(P<0.01),轻度功能障碍对特级护理无影响(P=0.082)。结论:在临床工作中,护理分级评定需全面考虑患者的病情和自理能力,以更好地适应临床护理工作的需要。Objective： To explore the influencing factors of nursing classification, including disease condition and self-care ability. Methods： We investigated 3171 patients from 120 wards of 11 hospitals in 6 provinces by hospital-ward-patient three level sampling. Results： ① Patient＇s condition（r=0.550, P0.001） and self-care ability （r=0.619, P0.001） were positively correlated with nursing classification： ② Multinomial logistic regression analysis showed that disease condition, moderate and severe disability were the influencing factors of nursing classification （P0.01） and mild disability has no influence to nursing classification （P=0.082）. Conclusions： To make decision of nursing classification, we need fully consider the patients＇ disease condition and self-care ability to fit in with clinical nursingworks＇needs.

关 键 词：护理分级 BARTHEL指数 病情 自理能力 

分 类 号：R47[医药卫生—护理学]