全髋关节置换术患者的复杂性与护士实际感知工作量的相关性研究  

Correlation between the complexity of patients undergoing total hip arthroplasty and the actual perceived workload of nurses

作　　者：曹丽[1] Cao Li(Department of Orthopaedics,the Second People's Hospital of Dalian,Liaoning Province 116001,China)

机构地区：[1]大连市第二人民医院骨科,116001

出　　处：《中国实用护理杂志》2019年第12期916-919,共4页Chinese Journal of Practical Nursing

摘　　要：目的研究全髋关节置换术患者的复杂性与护士实际感知工作量的相关性。方法本研究为回顾性队列研究,按随机数字表法选取2016年3月至2017年3月入住大连市第二人民医院骨科行髋关节置换术的患者共45例,记录每个患者来院时的一般情况,用美国麻醉医师协会分级评分(ASA)、Charlson并发症指数评分(CCI)、Katz自理能力评分(Katz-ADL)评估患者的手术复杂性。术后第1天记录骨科护士的实际工作量,评估护士实际感知的工作量。分别将ASA评分、CCI评分、Katz-ADL、体质量指数与骨科护士实际工作量和实际感知工作量做相关性分析。结果患者的复杂性(ASA评分、CCI评分、Katz-ADL评分)与骨科护士实际工作量无统计学意义的相关性(P>0.05)。ASA和CCI与骨科护士实际感知工作量有统计学意义的相关性(tau_b=0.73,Rho=0.64,P<0.01)。结论骨科护士对全髋关节置换术的患者自感工作压力较大,自感工作量多。Objective To investigate the relationship between the complexity of patients undergoing total hip arthroplasty and the actual workload of nurses.Methods This study was a retrospective cohort study.A total of 45 patients were randomly selected from March 2016to March 2017to undergo hip arthroplasty at the hospital orthopedic department.The general condition of each patient at the time of admission was recorded,using ASA,CCI and The Katz-ADL scale score evaluates the complexity of the patient's surgery.Actual nursing workload was recorded on the first postoperative day.Use the self-developed questionnaires in the department to assess the workload actually felt by nurses.The correlations between the above scores,BMI and actual workload scores and actual perceived workload were analyzed.Results There was no statistically significant correlation between the actual workload of nurses and patient complexity.There was a statistically significant correlation between ASA(tau_b=0.73,P<0.01)and CCI(Rho=0.64;P<0.01)and nurses'actual perceived workload.Conclusions Orthopedic nurses have greater self-induction work pressure for the patients undergoing total hip arthroplasty.

关 键 词：全髋关节置换术 并发症 工作量 ASA分级 护士 

分 类 号：R473.6[医药卫生—护理学]