中国护理管理
中國護理管理
중국호리관리
CHINESE NURSING MANAGEMENT
2014年
3期
249-253
,共5页
医养结合%老年患者%日常生活自理能力%护理分级标准
醫養結閤%老年患者%日常生活自理能力%護理分級標準
의양결합%노년환자%일상생활자리능력%호리분급표준
treatment-care combination mode%elderly patients%activities of daily living%nursing grading
目的：定量了解医养结合老年科患者每日所需的护理时间，探讨其与分级护理、患者日常生活自理能力（ADL）之间的关系，为科学完善老年分级护理标准提供参考。方法：采用现场记录法对安徽省某大型综合医院医养结合老年科进行了连续7天、以满足232名老年患者全部护理需要为目的的护理操作内容和时间的调查和分析。结果：不同护理级别、相同ADL分级的老年患者每日所需直接护理时间无统计学差异（P>0.05）；同一护理级别、不同ADL分级的老年患者每日所需要的直接护理时间及总护理时间差异有统计学意义（P<0.05）。结论：ADL评分能直接反映老年患者对直接护理的需求，能有效提示老年患者生活自理能力和相应的实际护理需求。建议在老年科由医生确定老年患者分级护理的I、II、III级，再由临床经验丰富的护士应用ADL量表进行A、B、C分级，即将老年患者划分为IA、IB、IC、IIA、IIB、IIC、IIIA、IIIB、IIIC 9项护理等级。
目的：定量瞭解醫養結閤老年科患者每日所需的護理時間，探討其與分級護理、患者日常生活自理能力（ADL）之間的關繫，為科學完善老年分級護理標準提供參攷。方法：採用現場記錄法對安徽省某大型綜閤醫院醫養結閤老年科進行瞭連續7天、以滿足232名老年患者全部護理需要為目的的護理操作內容和時間的調查和分析。結果：不同護理級彆、相同ADL分級的老年患者每日所需直接護理時間無統計學差異（P>0.05）；同一護理級彆、不同ADL分級的老年患者每日所需要的直接護理時間及總護理時間差異有統計學意義（P<0.05）。結論：ADL評分能直接反映老年患者對直接護理的需求，能有效提示老年患者生活自理能力和相應的實際護理需求。建議在老年科由醫生確定老年患者分級護理的I、II、III級，再由臨床經驗豐富的護士應用ADL量錶進行A、B、C分級，即將老年患者劃分為IA、IB、IC、IIA、IIB、IIC、IIIA、IIIB、IIIC 9項護理等級。
목적：정량료해의양결합노년과환자매일소수적호리시간，탐토기여분급호리、환자일상생활자리능력（ADL）지간적관계，위과학완선노년분급호리표준제공삼고。방법：채용현장기록법대안휘성모대형종합의원의양결합노년과진행료련속7천、이만족232명노년환자전부호리수요위목적적호리조작내용화시간적조사화분석。결과：불동호리급별、상동ADL분급적노년환자매일소수직접호리시간무통계학차이（P>0.05）；동일호리급별、불동ADL분급적노년환자매일소수요적직접호리시간급총호리시간차이유통계학의의（P<0.05）。결론：ADL평분능직접반영노년환자대직접호리적수구，능유효제시노년환자생활자리능력화상응적실제호리수구。건의재노년과유의생학정노년환자분급호리적I、II、III급，재유림상경험봉부적호사응용ADL량표진행A、B、C분급，즉장노년환자화분위IA、IB、IC、IIA、IIB、IIC、IIIA、IIIB、IIIC 9항호리등급。
Objectives:To quantitatively understand the nursing time needs among the elderly patients every day, to explore the relationship between nursing time, nursing grading, and the ability of daily living (ADL), and to provide reference for the scientiifc classiifcation standard of the elderly patients' care. Methods:Field recording method was used in a large comprehensive hospital in Anhui province for 7 consecutive days. Totally 232 elderly patients with all care needs were investigated and analyzed for nursing time and content. Results:The direct nursing time of elderly patients with different level of nursing grading and same ADL grade had no statistical difference (P>0.05). The direct nursing time and total nursing time of elderly patients with same level of nursing grading and different ADL grade were different (P<0.05). The nursing time had positive relationship with the severity of ADL. Conclusion:The ADL score could promptly relfect the patients' direct care needs, self-care ability and the corresponding actual care needs. We recommend that the doctors determine elderly patients' nursing grading with I, II, III level, and nurses with clinical experiences decide A, B, C level of ADL. Then the elderly patients could be divided into 9 nursing levels ifnally which are IA, IB, IC, IIA, IIB, IIC, IIIA, IIIB, and IIIC.
