摘要
目的探讨简单临床评分量表在公立医院普通成人病房分级护理中的应用价值。方法采用便利抽样方法对343例普通成年住院患者进行问卷调查和24 h直接护理工时测量,通过对患者SCS评分与标准护理等级、APACHEⅡ评分、Barthel指数的相关性分析,对不同SCS等级患者24 h直接护理工时比较来验证SCS在普通成人病房分级护理中的敏感性和适用性。结果 343例患者中微风险患者182例,低风险患者77例,中风险患者49例,高风险患者35例。SCS评分与标准护理等级、Barthel指数呈明显负相关(P<0.01),与APACHEⅡ评分显著正相关(P<0.01)。不同SCS等级患者24 h直接护理工时差异有统计学意义(P<0.01)。结论 SCS作为普通成年病房患者疾病严重程度的评价工具,可作为公立医院护理等级的划分依据,具有较好的借鉴意义。
Objective To evaluate the effectiveness of simple clinical score（SCS） in nursing grading system in general adult wards of public hospitals. Methods A descriptive and cross-sectional study was carried out. Totally 343 patients were enrolled. The reliability of SCS scale was evaluated by analyzing the correlation between SCS score and standard nursing grade, APACHE II score and Barthel index and comparing the differences of 24h direct nursing time in patients with different SCS grades. Results In 343 cases, 182 cases were very low risk patients, 77 cases were low risk patients, 49 cases were average risk patients, and 35 cases were high risk patients. The SCS score was negatively correlated with standard nursing grade and Barthel index （P 〈 0.01）, and it was significantly positively correlated with APACHE II score （P 〈 0.01）. There was significant difference in 24h direct nursing time between patients with different SCS grades （P 〈 0.01）. Conclusion SCS scale, as an evaluation tool for patients’ disease severity in general adult wards, can be used as a classification tool for nursing grade.
出处
《中国医院管理》
北大核心
2017年第2期64-66,共3页
Chinese Hospital Management
基金
国家自然科学基金资助项目(71573140)
南京中医药大学青年自然科学基金项目(13XZR33)
江苏省优势学科二期项目南京中医药大学护理学一级学科指令性课题(YSHL2016-007)
关键词
简单临床评分
疾病严重程度
护理分级
评价研究
simple clinical score, severity of illness index, nursing grading system, evaluation study
