中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2014年
11期
47-51
,共5页
医养结合%老年患者%护理时间%测量
醫養結閤%老年患者%護理時間%測量
의양결합%노년환자%호리시간%측량
Treat-care model%Elderly inpatient%Nursing time%Measure
目的 对安徽省某大型综合医院医养结合老年科患者每日所需的护理时间进行测量,了解患者需要的护理项目和时间.方法 采用现场记录法连续7d对符合条件的老年科患者所接受到的护理操作进行计时和记录.测算出每项护理操作的平均时间.结果 直接护理时间为146.10 min,占护理总时间的84.70％,其中基础护理(42.81％)和呼吸/排泄管理(15.86％)所占比例较大;间接护理时间为26.39 min,占护理总时间的15.30％.实际需要护士人数158名,适宜床护比达到1:0.68.结论 医养结合老年科患者所需直接护理时间较间接护理时间长.增加直接护理服务时间,减少不必要的间接护理时间,才能及时满足老年患者所需.另外,老年科目前的护理人员配置远远不能满足实际的临床需求,应尽快合理配置护理人力资源.
目的 對安徽省某大型綜閤醫院醫養結閤老年科患者每日所需的護理時間進行測量,瞭解患者需要的護理項目和時間.方法 採用現場記錄法連續7d對符閤條件的老年科患者所接受到的護理操作進行計時和記錄.測算齣每項護理操作的平均時間.結果 直接護理時間為146.10 min,佔護理總時間的84.70％,其中基礎護理(42.81％)和呼吸/排洩管理(15.86％)所佔比例較大;間接護理時間為26.39 min,佔護理總時間的15.30％.實際需要護士人數158名,適宜床護比達到1:0.68.結論 醫養結閤老年科患者所需直接護理時間較間接護理時間長.增加直接護理服務時間,減少不必要的間接護理時間,纔能及時滿足老年患者所需.另外,老年科目前的護理人員配置遠遠不能滿足實際的臨床需求,應儘快閤理配置護理人力資源.
목적 대안휘성모대형종합의원의양결합노년과환자매일소수적호리시간진행측량,료해환자수요적호리항목화시간.방법 채용현장기록법련속7d대부합조건적노년과환자소접수도적호리조작진행계시화기록.측산출매항호리조작적평균시간.결과 직접호리시간위146.10 min,점호리총시간적84.70％,기중기출호리(42.81％)화호흡/배설관리(15.86％)소점비례교대;간접호리시간위26.39 min,점호리총시간적15.30％.실제수요호사인수158명,괄의상호비체도1:0.68.결론 의양결합노년과환자소수직접호리시간교간접호리시간장.증가직접호리복무시간,감소불필요적간접호리시간,재능급시만족노년환자소수.령외,노년과목전적호리인원배치원원불능만족실제적림상수구,응진쾌합리배치호리인력자원.
Objective To measure the nursing time that the geriatric patients need daily in a large general hospital in Anhui province,thus to understand the direct and indirect nursing items and time.Methods Timing and recording nursing operations to meet the conditions of the geriatric patients for 7 consecutive days by field recording method were done.Results The average time of each nursing procedures was calculated.Direct nursing time was 146.10 min,accounting for 84.70％ of the total nursing time,including primary care (42.81％) and respiratory/drain management proportion (15.86％); Indirect nursing time was 26.39 min,accounting for 15.30％ of the total nursing time.The actual number of nurse needed was 158,the suitable bed protection ratio was 1 ∶ 0.68.Conclusions Direct nursing time of geriatric patients needed was longer than that of indirect nursing time.To increase direct nursing hours and reduce the indirect nursing time can satisfy the need of elderly patients.In addition,the current nursing staffing cannot satisfy the clinical needs of the elderly,thus,nursing resources allocation should be reasonable arranged as soon as possible.
