日常生活活动能力量表在实施基础护理中的应用

Application of Activities of Daily Living Assessment in Basic Nursing

目的探讨日常生活活动能力(activities of daily living,ADL)量表在实施基础护理中的应用。方法选择内、外科系统4个优质护理服务示范病房,将ADL评定纳入责任护士工作流程,每日晨间床边交接班后,责任组长对所分管床位的患者进行评估,根据得分确定患者的自理能力,按其依赖程度下达护嘱,指导责任护士按照患者的个体需要正确实施基础护理,确保患者舒适、整洁,责任组长负责督查执行情况,护士长随机抽查,确保基础护理落实到位。结果ADL量表在优质护理服务示范病房实施前(2010年10—12月)后(2011年1—3月),基础护理质量考核得分、患者对护理工作满意度得分、医生对护士工作满意度得分比较,差异均有统计学意义(P<0.05)。结论在优质护理服务示范病房应用ADL量表实施基础护理,可提高护理服务质量和护理服务满意度,达到优质护理服务工作的相关要求。

Objective To explore the application of the activities of daily living（ADL） scale in the implementation of basic nursing. Methods The ADL assessment was involved in daily nursing in four quality surgical nursing demonstration units. The basic nursing was implemented based on patients＇ activities of daily living. The monitoring was conducted randomly. Results After the application of ADL assessment in basic nursing, the score of basic nursing quality, the score of patients＇ satisfaction of nursing and the score of doctors＇ satisfaction of nursing indicated statistic significance （P〈0.05）. Conclusion The application of ADL assessment in quality nursing demonstration ward benefits the improvement of nursing quality.