Barthel指数评估在内科患者分级护理管理中的应用研究  

Study on the application of Barthel index assessment in grading nursing management for patients in internal medicine

作　　者：莫惠梅 肖丹丹[1] 符蝶 符秀梅[2] MO Hui-mei;XIAO Dan-dan;FU die(Department of Bone and Joint Rehabilitation,Cadre Sanatorium of Hainan(Geriatric Hospital of Hainan),Haikou 571100,China;不详)

机构地区：[1]海南省干部疗养院(海南省老年病医院)骨与关节康复科,海南海口571100 [2]海南省干部疗养院(海南省老年病医院)护理部,海南海口571100

出　　处：《中国医学装备》2020年第9期177-181,共5页China Medical Equipment

基　　金：海南自然科学基金面上项目(817372)“医养结合养老模式中老年脑卒中患者居家养老医疗服务模式的构建与实践研究”。

摘　　要：目的:构建基于Barthel指数评估的分级护理模型,探讨其在医院内科患者分级护理管理中的应用价值。方法:收集患者护理需求、Barthel指数和临床护理数据,采用德尔菲法评估,构建内科患者分级护理模型。选取医院收治的922例内科病患者,按接诊时间将2017年1-12月住院的425例患者纳入对照组,采用常规护理管理;将2018年7月至2019年6月住院的497例患者纳入观察组,采用基于Barthel指数评估的分级护理模型管理。对比分析两组患者的护理需求、Barthel指数、护理分级和护理服务匹配度、护理质量和患者满意度。结果:两组患者护理需求得分和Barthel指数评估得分均无统计学意义;两组患者临床护理分级得分差异有统计学意义(t=2.368,P<0.05)。对照组患者的护理需求和Barthel指数分别与临床护理分级呈显著正相关,观察组呈高度正相关。对照组护理服务匹配度、护理质量和患者满意度均低于观察组,其差异有统计学意义(t=3.107,t=2.065,t=4.246;P<0.05)。结论:基于Barthel指数评估的分级护理模型在内科患者分级护理管理中,能够较好地满足患者的护理需求,提高临床护理服务质量。Objective: To construct a grading nursing model based on Barthel index assessment and explore its application value in grading nursing management of internal medicine of hospital for patients. Methods: The requirement of patients for nursing, Barthel index and clinical nursing data were collected. Delphi method was used to assess and construct a grading nursing model for patients of internal medicine. A total of 922 hospitalized patients were selected, and 425 patients from January to December 2017 were included in the control group that adopted conventional nursing management. And 497 patients who were hospitalized from July 2018 to June 2019 were included in the observation group that adopted grading nursing model based on the Barthel index assessment. The nursing demand, Barthel index, matching degree of nursing grading and nursing service, nursing quality and satisfaction of patients between two groups were compared and analyzed. Results: The differences of the scores of nursing requirement and Barthel index ssessment between two groups were no significant. The difference of the score of clinically nursing grading between two groups was significant(t=2.368, P<0.05). In the control group, the nursing demands and Barthel index of patients were significantly positive correlation with clinical nursing grading, respectively, while they were highly positive correlation with clinical nursing grading in the observation group. The matching degree of nursing service, nursing quality and satisfaction of patients in control group were significantly lower than those in observation group(t=3.107, t=2.065, t=4.246, P<0.05). Conclusion: In the grading nursing management of internal medicine for patients, the grading nursing model based on Barthel index assessment can better meet the nursing demand of patients and improve the service quality of clinical nursing.

关 键 词：分级护理 BARTHEL指数 护理需求 服务质量 患者满意度 

分 类 号：R47-05[医药卫生—护理学]