摘要
Abstract
Objective To explore the value of modified Nursing Activities Score (NAS), Therapeutic Intervention Scoring System-28 (TISS-28) and Acute Physiology and Chronic Health Evaluation (APCHE)-IV to predict the reasonable number of patients responsible by nurses in ICU, and to provide reference for scientific and flexible allocation of patients in each shift. Methods From December 2016 to June 2017 of ICU, a total of 360 shifts of nursing workload in ICU in a third-level first-class hospital in Guizhou Province was assessed by using three scoring systems involving 330 cases of patients. The reasonable number of patients responsible by each ICU nurses was calculated by the scores predicted from 3 scoring systems. Results The score difference between the modified NAS and TISS-28 were statistically significant (P<0.001) and the modified NAS was superior toTISS-28 and APCHE -Ⅳ regarding to the allocation of patients. When the score of modified NAS ranged from 40.9 to 52.8, the nurse-patient ratio could be 1.0:2.5; when that from 52.9 to 62.3, the nurse-patient ratio 1.0:2.0;when that from 62.4 to 67.9, the nurse-patient ratio 1.0:1.5 and when that from 68.0 to 98.4, the nurse-patient ratio 1.0:1.0. Conclusion Basic nursing accounts for a large proportion of ICU nursing. With direct and indirect reflection of nursing workload, more detailed basic nursing items, simple nurse-patient ratio calculation method, modified NAS is effective for assessing the allocation of patients in ICU.关键词
重症监护室/基础护理工作量/护患比/改良版护理活动评分系统/治疗干预评分系统-28/急性生理与慢性健康状况评分系统-IVKey words
intensive care unit/basic nursing/nurse-patient ratio/modified Nursing Activities Score/Therapeutic Intervention Scoring System-28/Acute Physiology and Chronic Health Evaluation-Ⅳ分类
医药卫生
