CAJ | 학술논문

目的对神经外科重症监护病房(NCU)的护理工作量进行调查,根据工作量计算护士人数,并预见性地合理安排每班护士人数,提高护理效果.方法运用护理活动评估量表(NAS)对住院患者每天的护理工作量和病区总的护理工作量进行评价研究,分析影响护理工作量的相关因素.结果 NCU患者当天需要的护理工作量得分为30.23～ 87.6分,平均54.39分.护理工作量与患者入住NCU的时间、不同转归情况及是否手术有关.结论 NCU护理人员处于缺编状态,护士已达到超负荷工作状态.NCU护士人力应以所收治患者实际需要的护理工作量进行动态合理分配.采用护理活动评分系统进行人力资源管理可提高NCU护理质量.
목적 대신경외과중증감호병방(NCU)적호리공작량진행조사,근거공작량계산호사인수,병예견성지합리안배매반호사인수,제고호리효과.방법 운용호리활동평고량표(NAS)대주원환자매천적호리공작량화병구총적호리공작량진행평개연구,분석영향호리공작량적상관인소.결과 NCU환자당천수요적호리공작량득분위30.23～ 87.6분,평균54.39분.호리공작량여환자입주NCU적시간、불동전귀정황급시부수술유관.결론 NCU호리인원처우결편상태,호사이체도초부하공작상태.NCU호사인력응이소수치환자실제수요적호리공작량진행동태합리분배.채용호리활동평분계통진행인력자원관리가제고NCU호리질량.
Objective To evaluate the nursing workload of NCU with nursing activities score (NAS) objectively and accurately and to count the number of nurses on the basis of nursing workload so as to make arrangements for the number of nurses foreseeingly and enhance nursing effect.Methods To evaluate the nursing workload of everyday nursing workload and total nursing workload of NCU using NAS,then analyze some factors which influenced the nursing workload.Results The average NAS score of each patient in NCU was 54.39 per day,with the lowest score 30.23 and the highest score 87.6.The influencing factors of the nursing workload included the time entering ICU,different sequelae and surgical operation.Conclusions Nurses of our NCU is bearing overloaded work,so nurse human resource should be justly distributed according to the nursing workload.Employing nursing marking system can enhance the nursing quality.