重症监护护理评分系统在ICU护理资源配置中的应用效果研究

Application Effect of Intensive Care Nursing Scoring System in Nursing Resources Allocation of ICU

目的:探讨重症监护护理评分系统在ICU护理护理资源配置中的应用价值。方法:选择2013年1-12月本院ICU收治的重症患者120例,以1-6月收治的重症患者56例为对照组,7-12月收治的重症患者64例为观察组,对照组患者进行常规护理管理,将患者平均分配给各管床护士;观察组患者按重症监护护理评分系统进行护理资源配置。比较两组患者住院时间、住院费用、并发症及护理满意度,评价两组护理质控评分及护士满意度。结果:观察组患者住院时间短于对照组,住院费用低于对照组,护理满意度评分高于对照组;观察组患者压疮、计划外拔管、院内感染发生率明显低于对照组;观察组护理质控评分及护士满意度明显高于对照组,比较差异均有统计学意义(P<0.05)。结论:根据重症监护护理评分系统进行护理资源配置可提高重症监护室护理工作效率及护理质量,值得应用。

Objective： To investigate the application effect of intensive care nursing scoring system in nursing resources allocation of ICU.Method： 120 intensive patients admitted in ICU of our hospital were selected, 56 cases from January to June as control group, 64 cases from July to December as observation group. The patients of the control group were given routine care management, and were assigned to each tube bed nurse; patients of the observation group were given nursing resource allocation according to intensive care nursing scoring system. The hospital stay time, treatment costs, complications and nursing satisfaction of patients was compared, nursing quality score and nurses’ satisfaction were evaluated.Result： The hospital stay time of the observation group was shorter than that of the control group, hospital cost was lower than that of the control group, nursing satisfaction score was higher , the difference was significant （P〈0.05）. The pressure sore, unplanned extubation, nosocomial infection rate of the observation group was significantly lower than that of the control group （P〈0.05）. The nursing quality score and nurses’ satisfaction score of the observation group was significantly higher, the difference was statistically significant （P〈0.05）.Conclusion： In ICU, nursing resource allocation according to intensive care nursing scoring system can improve the efficiency and quality of nursing care, it is worth applications.