大面积烧伤患者入院3天直接护理项目及时数分析

Analysis of Large Area Burn Wounds Patients’ Direct nursing Categories and Time in 72 Hours after Admission

目的 观察大面积烧伤患者入院 3天内所接受的直接护理项目及时数 ,以确定护理培训内容 ,合理配置人员。方法 分别采用PRN系统软件、护理工作量计时法统计 4 4名大面积烧伤患者入院 2 4、4 8、72小时所接受的直接护理项目及时数。结果 大面积烧伤患者在入院 72小时内所接受的直接护理时数分值很高 ,且 2 4小时内所接受的直接护理时数与 4 8小时及 72小时内接受的直接护理时数在统计学上差异具有极其显著性 (P <0 .0 0 1) ;其中治疗、诊断、呼吸类护理项目接受人次多、所占比重大。结论 大面积烧伤患者入院后 72小时内护理工作量巨大 ,且第 1天工作量显著大于第 2、第 3天 ,在配置调整人员时 ,护理管理者应予充分考虑 ;在确定烧伤病房护理培训内容时 ,应以治疗、诊断、呼吸类护理项目为主。

Objective To observe the direct nursing time and categories of the patients’ with large area burn received in 72 hours after the admission. Methods Use PRN system and Nursing Load Calculate System to calculate the direct nursing time and categories of 44 patients with large area burn received in 24,48,72 hours after the admission. Results The direct nursing time which the patients received between the first 24 hours and the second, the third 24 hours is very different in statistics, (P<0.001) and the former is obviously much higher than the two latter ;The patient’s number who received the particular direct nursing categories in treatments, diagnostic, procedures and respiration parts is much higher than the one in the other parts. Conclusions The nursing workloads of patients with large area burn in the first day are much more higher than the one in the second and the third day. In training process we should attach importance to the direct nursing categories in treatments, diagnostic, procedures and respiration parts.