疾病诊断相关分组指标在内科系统护理人力资源配置中的应用研究

目的探讨疾病诊断相关分组(DRGs)相关指标在内科系统护理人力资源配置中的应用价值,为合理调配护理人员提供依据。方法回顾性查阅临沂市人民医院2017年1月1日—12月31日内科系统住院患者的病历信息,分析2017年内科系统全年的产出能力得分,根据产出能力得分对2018年内科系统护理人力资源进行合理配置,比较实施前后内科系统产出能力得分、医疗服务效率、医疗服务安全、护理质量评分、护士对护理人力资源调配方案满意度及患者对护理工作满意度。采用SPSS 18.0软件进行数据处理和分析。结果根据DRGs产出能力得分进行护理人力资源配置后,2018年医院内科系统产出能力得分高于实施前,医疗服务效率中时间效率指数较实施前降低,病区管理质量、护理安全管理质量、临床护理服务质量、护理文书书写质量、健康教育质量、危重患者管理质量、消毒隔离质量、患者对护理工作满意度及护士对护理人力资源方案满意度得分情况均较实施前提高,差异均有统计学意义(t值分别为-3.636、3.367、-13.090、-14.665、-11.630、-10.005、-11.572、-13.941、-8.906;P<0.05)。结论医院内部以DRGs产能得分合理配置护理人力资源,可以在有限的护理人力资源条件下,满足临床护理工作需要,同时提高工作效率及护理质量,提升患者及护理人员满意度。

Application of diagnosis related groups indexes in nursing human resource allocation of internal medicine system

Objective To explore the effects of diagnosis related groups(DRGs)related indexes in nursing human resource allocation of internal medicine system so as to provide a basis for reasonably allocating nursing human resource.Methods This study retrospectively consulted the medical record information of inpatients in internal medicine system of Linyi People's Hospital from 1st January 2017 to 31st December 2017,analyzed the production capacity of internal medicine system in 2017.Based on the capacity,this study allocated 2018 nursing human resource allocation of internal medicine,and compared the production capacity scores of internal medicine capacity,the medical service efficiency,medical service safety,nursing quality,satisfaction of nurses with nursing human resource allocation and patients'satisfaction with nursing care before and after implementation.SPSS18.0 software was used in data processing and analysis.Results After allocating nursing human resource based on DRGs capacity score,the production capacity scores were higher than those before implentation;the time efficiency of medical service efficiency reduced compared with that before implementation;ward management quality,nursing safety management quality,clinical nursing service quality,nursing documentation writing quality,health education quality,critical patients management quality,disinfection isolation quality,patients'satisfaction with nursing care and satisfaction of nurses with nursing human resource allocation in 2018 internal medicine system improved compared with those before implementation with statistical differences(t=-3.636、3.367、-13.090、-14.665、-11.630、-10.005、-11.572、-13.941、-8.906;P<0.05).Conclusions Nursing human resource allocation based on DRGs capacity score could cover the demand of clinical nursing work,improve the work efficiency and nursing quality,and increase satisfaction of patients and nurses under the condition of limited nursing human resource.