基于住院患者直接护理时间的综合护理分级可行性研究  

Feasibility of the integrated nursing grading system based on direct nursing time in hospitalized patients

作　　者：胡成文[1] 黄家丽[1] 叶祺[1] 张鹏年[1] 孙正勤[1] 薛宁宁[1] 

机构地区：[1]安徽医科大学附属省立医院护理部,合肥市230001

出　　处：《中华护理杂志》2013年第6期521-523,共3页Chinese Journal of Nursing

基　　金：安徽高校省级自然科学研究资助项目(编号:KJ2012Z141)

摘　　要：目的比较不同护理级别分类方法在住院患者中直接护理时间的差异,探索综合护理分级的可行性。方法通过实时观察某三级甲等医院461例住院患者24h直接护理时间,比较直接护理时间在医嘱护理分级、日常生活活动能力(ADL)护理分级以及综合护理分级之间的差异。结果不同医嘱护理级别、ADL护理分级及综合护理分级患者的直接护理时间的差异有统计学意义。结论以医嘱护理分级作为病情观察需要、ADL护理分级作为患者生活护理需求为依据的综合护理分级,更能满足患者病情和生活护理需求。Objective To compare the difference of direct nursing time for hospitalized patients based on different nursing grading system,and to explore the feasibility of integrated nursing grading system. Methods The direct nursing time among 461 inpatients were recorded and compared among nursing grading system based on physicians＇ orders,Barthel index and integrated grading. Results There were significant differences in the direct nursing time among different nursing grading systems. Conclusion It is suggested that the integrated nursing grading system based on physicians＇ orders and activities of daily living can better meet the severity of disease and basic nursing needs of hospitalized patients.

关 键 词：护理 时间 日常生活活动 自我护理 

分 类 号：R472[医药卫生—护理学]