CAJ | 학술논문

目的初步探索临床实用、量化的护理操作技术难度系数,进一步完善临床护理工作量化管理评价体系.方法以5所三级甲等综合性医院和1所三级甲等专科性医院90名护理专家或骨干为咨询对象,以“护理操作技术难度评价指标体系”为研究工具,对27项基础护理项目、12项专科护理项目进行难度评价.结果发放调查问卷90份,回收82份,剔除无效问卷8份,有效回收率91.1％.39项临床护理操作技术的难度系数专家咨询结果在0.67 ～1.98.综合医院与专科医院护理专家或骨干对27项基础护理操作项目评分分别为(1.21±0.22),(1.22 ±0.19)分,差异无统计学意义(t=0.495,P＞0.05)；对12项专科护理操作项目评分分别为(3.4±0.38),(2.9±0.31)分,差异有统计学意义(t=5.169,P＜0.05).结论 “临床护理操作技术难度评价指标体系”可系统、全面地评价临床护理操作项目技术难度；27项基础护理项目难度系数表在不同医院具有可推广性；本研究方法为其他医院制定专科护理操作技术难度提供参考.
목적 초보탐색림상실용、양화적호리조작기술난도계수,진일보완선림상호리공작양화관리평개체계.방법 이5소삼급갑등종합성의원화1소삼급갑등전과성의원90명호리전가혹골간위자순대상,이“호리조작기술난도평개지표체계”위연구공구,대27항기출호리항목、12항전과호리항목진행난도평개.결과 발방조사문권90빈,회수82빈,척제무효문권8빈,유효회수솔91.1％.39항림상호리조작기술적난도계수전가자순결과재0.67 ～1.98.종합의원여전과의원호리전가혹골간대27항기출호리조작항목평분분별위(1.21±0.22),(1.22 ±0.19)분,차이무통계학의의(t=0.495,P＞0.05)；대12항전과호리조작항목평분분별위(3.4±0.38),(2.9±0.31)분,차이유통계학의의(t=5.169,P＜0.05).결론 “림상호리조작기술난도평개지표체계”가계통、전면지평개림상호리조작항목기술난도；27항기출호리항목난도계수표재불동의원구유가추엄성；본연구방법위기타의원제정전과호리조작기술난도제공삼고.
Objective To explore a practical,measurable difficulty coefficient table of clinical nursing operation techniques,so as to perfect the evaluation system of clinical nursing work quantitative management.Methods Totals of 90 clinical nursing specialists from five three level of first-class comprehensive hospitals and one three level of first-class specialized subject hospital were investigates by questionaire of "the evaluation index system for assessing the difficulty of clinical nursing operation techniques" on 27 basic clinical nursing operation projects and 12 college clinical nursing operation projects.Results Eighty-two questionnaires were taken back,excluding invalid questionnaire eight copies,with 91.1％ of effective recovery rate.The difficulty coefficient of 39 clinical nursing operation techniques ranged between 0.67 and 1.98.Rating on the 27 items of basic nursing projects by nursing experts or backbone from different hospitals had no significant different scores [(1.21 ± 0.22) vs (1.22 ±0.19) ;t =0.495,P ＞0.05],while significant difference was found in 12 items of special nursing projects [(3.4±0.38) vs (2.9±0.31);t=5.169,P＜0.05].Conclusions "The evaluation index system for assessing the difficulty of clinical nursing operation techniques" can evaluate the difficulty of clinical nursing operation techniques systematically and comprehensively.The difficulty coefficient table of 27 items of basic clinical nursing operation techniques can be extended in different nature hospitals.It can be referred to explore the difficulty of college clinical nursing operation techniques.