护理资源管理配置重症监护护理与急性生理学和慢性健康状况评分系统在重症监护室中的应用效果对比

Comparison of effect of intensive care nursing scoring system and acute physiology and chronic health evaluation Ⅱ score in ICU nursing resource allocation

目的对比重症监护护理评分系统(ICNSS)与急性生理学和慢性健康状况评分系统(APACHE II)在重症监护室(ICU)护理资源管理配置中的应用效果。方法选取该院2015年5月‐2016年4月收治的55例ICU患者为研究对象,将其设为观察组,按照重症监护护理评分系统量表对护理工作量进行评估,并根据其结果对相关护理资源进行合理配置;另择取同期55例ICU患者作为对照组,并采用动态监测急性生理学和慢性健康状况评分标准对护理工作量进行评估,同时根据其评估结果对相关护理资源进行配置。记录两组ICU患者此次总体住院时间、治疗期间并发症发生情况、护理资源配置的合理程度、医疗费用以及患者或家属对护理工作的满意情况等,同时对两组结果进行统计学比较。结果观察组患者ICU住院时间、住院费均明显优于对照组患者(P<0.05);观察组患者在整体护理过程中并发症发生率为23.64%,显著低于对照组患者的40.00%(P<0.05);观察组在基础护理质量、专科护理质量、护理文书质量、抢救物品和消毒隔离5方面评分均优于对照组(P<0.05);观察组护士对此次人力资源配置满意度为93.33%明显高于对照组护士的80.00%(P<0.05);观察组患者对护理工作的满意度为87.27%高于对照组患者的72.73%(P<0.05)。结论 ICNSS在ICU护理资源管理配置中的应用效果显著优于APACHE II评分,临床可考虑推广使用。

【Objective】To compare the application effect of Intensive Care Nursing Scoring System（ICNSS） and Acute Physiology and Chronic Health Evaluation（APACHE） II score in nursing resources management of Intensive Care Unit（ICU）.【Methods】Fifty cases of ICU patients admitted to our hospital from May 2015 to April 2016 were selected as the research object（observation group）, the nursing workload was assessed using the intensive care nursing scoring scale, and the related nursing resources were allocated rationally according to the results; the other 55 ICU patients in the same period were selected as the control group, the nursing workload was assessed by dynamic monitoring of APACHE score, at the same time the related nursing resources were allocated rationally according to the results. The total hospitalization time, incidence of complications, a reasonableallocation of resources, medical expenses and the satisfaction of the patient or family in the two groups were recorded, and the results of two groups were compared.【Results】In the observation group, ICU hospitalization time and the cost of hospitalization were significantly better than the control group（P 〈0.05）; the complication rate in the observation group was 23.64% in the whole process of nursing care, in the control group was 40%, which was significantly lower in the observation group than in the control group（P 〈0.05）; the evaluation scores at basic nursing quality, specific nursing quality, nursing documents quality, rescue goods, disinfection and isolation of the observation group were better than those of the control group（P〈 0.05）; the satisfaction for the allocation of human resources was 93.33% in the observation group, which was 80% in the control group, and the difference was statistically significant（P 〈0.05）; patient satisfaction with nursing care of the observation group and control group were 87.27%, 72.73% respectively, which was significantly higher in the observation group than in the control group（P 〈0.05）.【Conclusion】The application effect of ICNSS in ICU nursing resource allocation is significantly superior to APACHE score, which is worth promotion and application in clinic.