CAJ | 학술논문

目的测量ICU护理工作量,为科学配置ICU护理人力资源和合理排班提供依据.方法选择2011年7～9月入住自贡市第一人民医院ICU和第三人民医院ICU的患者,应用治疗干预评分系统28版(TISS-28)和护理活动量表(NAS)联合测量护理工作量,记录每班护士人数.结果两种量表测量的周一至周日每天总的护理工作量比较和周一至周日每天人均护理工作量比较差异无统计学意义；不同班次护士的人均护理工作量比较和甲乙2所ICU满足工作需要的护患比比较差异有统计学意义.结论 ICU护理人员的排班应均衡到每一天、每一班.ICU护理人力的配置应以实际工作量测算为基础,不仅要考虑床位使用率、病种、病情、患者的自理能力和合作能力,还要考虑护士自身技能熟练程度.
목적 측량ICU호리공작량,위과학배치ICU호리인력자원화합리배반제공의거.방법 선택2011년7～9월입주자공시제일인민의원ICU화제삼인민의원ICU적환자,응용치료간예평분계통28판(TISS-28)화호리활동량표(NAS)연합측량호리공작량,기록매반호사인수.결과 량충량표측량적주일지주일매천총적호리공작량비교화주일지주일매천인균호리공작량비교차이무통계학의의；불동반차호사적인균호리공작량비교화갑을2소ICU만족공작수요적호환비비교차이유통계학의의.결론 ICU호리인원적배반응균형도매일천、매일반.ICU호리인력적배치응이실제공작량측산위기출,불부요고필상위사용솔、병충、병정、환자적자리능력화합작능력,환요고필호사자신기능숙련정도.
Objective To measure the nursing workload in ICU,and provide the basis for the scientific distribution of human resources and reasonable scheduling in ICU.Methods ICU patients of the First and Third People's Hospital of Zigong from July to September,2011 were selected.The TISS-28 and NAS were applied to measure the nursing workload in the ICU.The number of staff nurses on each day and on each shift was recorded.Results The total nursing workload and the per capita nursing workload for each day in a week showed no significant difference,and the per capita nursing workload of different shifts and the needs of nurse-patient ratio of different patients in ICU were significantly different.Conclusions The allocation of nursing staff should be balance for each day in a week and different shifts for each day.The configuration of the nursing human resources should be based on actual nursing workload,no only considering the species of the diseases,the disease condition,self-care ability and cooperation of the patients,but also the proficiency of nurse skills.