CCU护理工作量调查及相关因素分析

目的调查心血管危重症监护室（ccu）护理工作量及其影响因素，为合理安排护理人力资源、提高护理工作效率提供依据。方法采用ICU护理工作量测量量表（ICNSS）对入住某三甲综合医院CCU的77例患者进行护理工作量调查。结果CCU护理工作量总评分（25．5714±6．48）分，第1，2，3，4季度ICNSS评分分别为（27．24±4．438），（25．62±4．535），（22．33±9．403），（27．24±6．953）分，差异均有统计学意义（F=11．867，P〈0．01），各季度ICNSS评分LSD法多重比较，第1季度与第2，3季度比较，评分差异有统计学意义（P〈0．05）；第2季度与第3季度，第3季度与第4季度比较，评分差异均有统计学意义（P〈0．05）；以轮椅和平车入院患者护士护理工作量评分分别为（20．74±4．663），（25．89±6．508）分，差异有统计学意义（t=0．319，P〈0．05）；不同住院时间及是否行介入治疗对患者护理工作量的差异有统计学意义（P〈0．05）；同病种入院当日及支架置入当日患者的护理工作量最重，随着入住时间的延长，护理工作量逐渐递减（P〈0．05）；36例行介入治疗后患者手术当日护理工作量得分（26．35±4．057），术后第1天（23．58±3．525）分，术后第2天（22．16±4．537）分，3d后（19．17±3．637）分，行介入治疗后不同天数患者护理工作量得分比较，差异有统计学意义（F=21．024，P〈0．05）。结论护理管理者应根据疾病特点、患者主要治疗及护理工作量变化及时调整人力资源配置，实行弹性排班。

Investigation of nursing workload and related factors of CCU

Objective To investigate nursing workload and related factors of Coronary Care Unit (CCU),and to provide evidence for rationally arranging nursing human resources and improving nursing efficiency.Methods 77 inpatients of a third-grade class-A hospital were surveyed by means of Intensive Care Nursing Scoring System (ICNSS) to investigate workload of CCU nurses.Results Total score of CCU nursing workload was (25.5714 ± 6.48) points.ICNSS scores of the four seasons were (27.24 ± 4.438 ),( 25.62 ±4.535),(22.33 ±9.403),(27.24 ±6.953 ),respectively,the difference was statistically significant (F =11.867,P ＜0.01 ).The LSD multiple comparison showed that there were significant differences of ICNSS scores between the first quarter and the second quarter,the first quarter and the third quarter,the second quarter and the third quarter,the third quarter and the fourth quarter,the difference was statistically significant (P ＜0.05 ).The workload of the nurses who took care of the patients admitted by means of wheel chair and stretcher was (20.74 ± 4.663 ) and (25.89 ± 6.508 ) points,and the difference was statistically significant ( t =0.319,P ＜0.05 ).There was significant difference of nursing workload regarding length of stay and percutaneous coronary intervention (P ＜ 0.05 ).Among same type of disease,workload of CCU nurses was the highest on admission and on the day of percutaneous coronary intervention.Nursing workload was found negatively correlated with length of stay of the patients ( P ＜ 0.05 ).Of the 36 patients undergone percutaneous coronary intervention,the workload of CCU nurses was (26.35 ± 4.057 ) scores on the day of intervention,(23.58 ±3.525) scores on day 1,( 22.16 ± 4.537 ) scores on day 2 and ( 19.17 ± 3.637 ) points after day3,the difference was statistically significant ( F =21.024,P ＜ 0.05 ).Conclusions A flexible staff arrangement should be adopted according to the characters of the disease,patients' conditions and the nursing workload.