临床护理级别评定的比较研究

目的 探讨由护士开具的分级护理级别与标准分级护理级别及患者的护理服务需求之间的一致性.方法 采用分级护理标准和Barthel指数评分法对120例住院患者的护理级别进行评定,然后将评定结果与由护士开具的分级护理级别进行比较.结果 由护士开具的分级护理级别与标准护理级别及Bartbel指数分级之间存在有较好的一致性,其Kappa值分别为0.862,P<0.01;0.611,P<0.01,差异有统计学意义.结论 由护士开具的分级护理级别符合分级护理制度的内容要求,能够满足患者的护理服务需求,有利于护理工作的开展,应在临床上积极推广应用.

Study on the assessment of clinical nursing grade

Objective To explore the concordance of nursing grades which are ordered by the nurses and the standards of nursing grade and the inpatients' needs. Methods 120 inpatients were rated using the three methods respectively, which were the nurses' order, the standards of musing grade and Bartbel index, and then compare the concordance of the nursing grades rated by the three. Results Then nurses' order was of well concordance with the standards of nursing grade and Barthel index,and the Kappa value was 0.862,0.611,P<0.01,respectively. Conclusions The nurses' order accords with the standards of nursing grade and the patients' needs, is helpful to develop the clinical work, and should be spreaded and exploited.