应用日常生活自理能力量表构建护工分级服务标准的实践与效果评价  

Practice and effects of construction of nursing assistant classification service standards based on Activities of Daily Living Scale

作　　者：丘宇茹[1] 王吉文[2] 吴惠文[3] 陈贵花[1] Qiu Yuru;Wang Jiwen;Wu Huiwen;Chen Guihua(Nursing Department,Sun Yat-sen Memorial Hospital,Sun Yat-sen University,Guangzhou 510288,China;Intensive Care Unit,Sun Yat-sen Memorial Hospital,Sun Yat-sen University,Guangzhou 510288,China;Neurosurgery Department,Sun Yat-sen Memorial Hospital,Sun Yat-sen University,Guangzhou 510288,China)

机构地区：[1]中山大学孙逸仙纪念医院护理部,广州510288 [2]中山大学孙逸仙纪念医院重症医学科,广州510288 [3]中山大学孙逸仙纪念医院神经外科,广州510288

出　　处：《中华现代护理杂志》2020年第21期2858-2862,共5页Chinese Journal of Modern Nursing

摘　　要：目的应用日常生活自理能力(ADL)量表Barthel指数评分法制订护工分级服务标准内容,为护工的服务管理提供客观依据。方法中山大学孙逸仙纪念医院2018年6月实施ADL量表制定护工不同分级服务标准。以实施开始时间分组,将2017年6月—2018年5月作为实施前组,2018年6月—2019年5月作为实施后组。采用自制电子满意度调查问卷,比较实施前后患者、患者家属、护士长、护士对护工工作质量满意度、护工对工作满意度和护工的流失率。结果实施后患者和患者家属对护工工作的总满意度评分中位数从21分下降至14分,护工人员流失率由59.6%下降至29.0%,差异均有统计学意义(P<0.01)。结论应用ADL评定护工分级服务标准,能提高护工工作的质量与满意度,降低流失率,值得在护工护理管理中推广。Objective To construct the nursing assistant classification service standards based on the Activities of Daily Living(ADL)Scale,Barthel Index,so as to provide an objective basis for service management of nursing assistants.Methods The Sun Yat-sen Memorial Hospital of Sun Yat-sen University formulated the classification service standards for nursing assistants according to the ADL Scale in June 2018.Pre-implementation group(from June 2017 to May 2018)and post-implementation group(June 2018 to May 2019)were divided according to the implementation start time.The self-designed Electronic Satisfaction Questionnaire was used to compare the satisfaction of patients and their family members,head nurses and nurses with working quality of nursing assistants,satisfaction of nursing assistants with working and the turnover rate of nursing assistants before and after implementation.Results After implementation,the median of satisfaction score of patients and their family members on the work of nursing assistants dropped from 21 to 14,and the turnover rate of nursing assistants decreased from 59.6%to 29.0%with statistical differences(P<0.01).Conclusions Application of ADL to evaluate the classification service standards for nursing assistants can improve the working quality and satisfaction of nursing assistants and reduce the turnover rate which is worthy of promotion in nursing management of nursing assistants.

关 键 词：护工 日常生活自理能力量表 服务标准 满意度 

分 类 号：R47[医药卫生—护理学]