摘要
对上海市17家老年护理机构1297例老年患者使用老年护理院分级护理标准进行分级，并与现行护理分级标准进行比较。结果显示，用本老年护理院分级护理标准对患者进行分级，A级护理占4．4％（57例），B级护理占45．6％（591例），c级护理占25．8％（335例），D级护理占24．2％（314例）。按现行护理分级，特级护理为0，一级护理为66．1％（857例），二级护理为26．4％（342例），三级护理7．5％（98例）。两种分级方法比较，最高级别的护理比例高于原分级（P〈0．01），次高级别护理比例低于原分级（P〈0．01），最低级别护理高于原分级（P〈0．01）。老年护理院分级护理标准由医生判断病情、护士量化评估患者日常生活能力，符合老年护理院患者现状和护理需求，易于护士实施和护理质量的控制。
We investigated health condition and evaluate the viability of Barthel＇s measuring scale for 1297 elder patients at 17 nursing homes. We nursed all patients by standards and performed a comparison stud）＇. The nursing percentages of highest and lowest levels were higher than the previous ones （P 〈 0. 01 ） , while the nursing percentage of normal level was lower than the previous one （ P 〈 0. 01 ）. The cooperation between doctors and nurses became optimized through progressive patient care. Ideal nursing standard should be based upon the doctors＇ judgment and nurses＇ evaluation. The new standard will be more suitable for patients and easier to control for nurses.
出处
《中华全科医师杂志》
2012年第8期596-598,共3页
Chinese Journal of General Practitioners
基金
基金项目：上海市卫生局地方标准预研制项目（2010SH01）
关键词
老年护理学
患者分级医疗
Geriatric nursing
Progressive patient care
