治疗干预评分系统-28在ICU护理工作量评估中的应用研究 |
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引用本文: | 廖常菊,杨明全,邹雪梅,张会礼,明淑兰. 治疗干预评分系统-28在ICU护理工作量评估中的应用研究[J]. 护理研究, 2012, 26(7): 641-643 |
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作者姓名: | 廖常菊 杨明全 邹雪梅 张会礼 明淑兰 |
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作者单位: | 四川省自贡市第一人民医院,643000 |
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摘 要: | [目的]探讨治疗干预评分系统-28(TISS-28)在重症监护病房(ICU)护理工作量评估中的应用。[方法]应用TISS-28评分软件,选择ICU病人24h内病情最重时进行评分,并记录ICU每天护士岗位职数。[结果]每位病人每天TISS-28评分为29.11分±8.29分,ICU每天总的TISS-28评分为236.38分±73.75分,每天满足病人直接护理需要的护士岗位职数为17.87人±5.93人,而实际每天护士岗位职数为13.45人±2.70人;ICU护士每天人均TISS-28评分为52.84分±14.00分;1周中每天的总工作量比较差异无统计学意义(P>0.05),1周中每天护士人均护理工作量比较差异有统计学意义(P<0.05)。[结论]TISS-28可准确、简便地测量ICU护理工作量,ICU护士处于超负荷工作状态,ICU护士人力资源现状与所需存在一定的差距。
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关 键 词: | 治疗干预评分系统 重症监护病房 护理工作量 护患比 |
Study on application of therapeutic intervention scoring system -28 in ICU nursing workload assessment |
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Affiliation: | Liao Changju,Yang Mingquan,Zou Xuemei,et al(First People’s Hospital of Zigong City Sichuan Province,Sichuan 643000 China) |
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Abstract: | Objective:To probe into the application of therapeutic intervention scoring system-28(TISS-28) in nursing workload assessment in intensive care unit(ICU).Methods:TISS-28 score software,the patients in ICU were scored when the disease was the most severe in 24h,then to record the number of ICU nurse post every day.Results:TISS-28 score of each patient was 29.11±8.29 every day,the total TISS-28 score in ICU in every day was 236.38±73.75,the number of ICU nurse post was 17.87±5.93 which meet the direct care needs of patients,however,the actual number of ICU nurse post every day was 13.45±2.70;daily per capita TISS-28 score of ICU nurses was 52.84±14.00;the daily total workload was not statistical significant difference(P>0.05) in one week,daily nurses per capita nursing workload had a significant difference in a week(P<0.05).Conclusion:TISS-28 can measure the nursing workload accurately and easily,ICU nurses are in the state of work overload,and human resource status of ICU nurses has a certain gap with required human resource. |
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Keywords: | therapeutic intervention scoring system ICU nursing workload nurse-patient ratios |
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