体外循环术后患者重症监护工作量的调查分析

Survey and analysis of patients' intensive care workload after extra co rporeal circulation operation

目的调查患者体外循环术后各天、各班次平均重症监护所需的直接和间接护理时数,以合理配置护理患者所需的人力资源。方法随机抽取重症监护室体外循环术后患者58例,记录患者术后各天、各班次所需直接及间接护理时数并进行统计学分析。结果体外循环术后患者各天重症监护所需直接、间接、总护理时间随着术后天数的增加减少;各班平均每小时护理时间比较,日班与前夜班、日班与后夜班之间直接、间接、总护理时间差异均有统计学意义(P<0.05)。结论体外循环术后患者各天及各班次所需的护理时间不同,护理管理者应根据患者术后的情况采取弹性排班。

Objective To investigate the average direct and indirect intensive care nursing time per day or shift of patients after extracorporeal circulation operation in order to arrange manpower reasonablely. Methods 58 patients after extracorporeal circulation operation were selected randomly. The direct and indirect nursing time per day or shift were recorded. Results ① The direct and indirect nursing time per day decreased along with the number of postoperative days（P〈0.01）.②It is significant different of the direct and indirect nursing time between day shift and swing shift. It is the same between day shift and long night shift（P〈0.01） ,while swing shift and long night shift had no difference（P〈0.05）. Conclusions The patients＇ nursing time per day or shift after extracorporeal circulation operation are different. Nursing administrator could arrange flexible working time according to the workload after operation.