Barthel自理能力评分与护理工作量的相关性研究

目的]研究病人自理能力评分与护理工作量之间的相关性。方法]采用Barthel评分量表评估病人的自理能力,依据病人自理能力分为完全需要照顾、大部分需要照顾、少部分需要照顾和生活基本自理4组,采用工时测算法测算住院病人的每日直接护理工作量。结果]不同自理能力病人所需直接护理工作量不同,完全需要照顾组和大部分需要照顾组差异无统计学意义（P〉0.05）,其他各组间差异均有统计学意义（P〈0.05）。13类直接护理项目中10类直接护理工作量与Barthel自理能力评分存在负相关（P〈0.01）。结论]病人自理能力是反映护理工作量的重要因素,但并不是唯一因素,能反映临床护理工作量的各因素,建立适合我国国情的病人分类系统,以实现科学合理地配置和使用护理人力目标。

Study on correlation between Barthel self-care ability score and nursing workload

Objective：To study the correlation between Barthel self-care ability score and nursing workload.Methods：Barthel assessment scale was used to assess the patients＇ self-care ability.All patients were divided into totally need of care group,most need of care group,little part need of care group and basic self-care group on the basis of patients＇ self-care ability.The man hour calculation method was used to calculate the daily direct nursing workload for inpatients.Results：Patients with different self-care ability needed different direct nursing workload,and there was no statistically significant difference between totally need of care group and most need of care group（P〉0.05）,wheras there was statistically significant difference between other groups（P〈0.05）.In the 13 direct nursing items,10 items of direct nursing workload had negative correlation with the Barthel self-care ability scores（P〉0.01）.Conclusion：Patients＇ selfcare ability is an important factor for reflecting the nursing workload,but not the only factor.It should integrate various factors reacting clinical nursing workload and establish a patient classification system suitable for our national condition to realize the scientific and rational allocation and use the nursing human goal.