CAJ | 학술논문

目的：探讨应用重症监护护理评分系统（ ICNSS）进行人力资源配置对ICU护理质量的影响。方法将2013年1—6月入院的76例患者作为对照组，2013年7—12月入院的85例患者作为研究组，对照组患者实施常规护理；研究组采用ICNSS评分系统对ICU患者的病情严重程度进行测评，并合理配置护理资源。比较两组患者的护理质量（包括基础护理、危重护理、护理文书、操作技术、消毒隔离以及并发症）、护理人员对工作的满意度、患者及其家属对护理人员的满意度。结果研究组基础护理、危重护理、护理文书与操作技术方面的评分分别为（95．6±3．2）、（96．7±1．7）、（94．6±2．3）、（96．3±1．8）分，均高于对照组，差异有统计学意义（t值分别为4．06，3．98，4．32，5．17；P＜0．05）。研究组患者及其家属满意度为92．3％，高于对照组的79．4％，差异有统计学意义（χ2＝4．64，P＜0．05）。研究组护理人员工作满意度为92．7％，高于对照组的62．3％，差异有统计学意义（χ2＝5．28，P＜0．05）。结论 ICNSS应用于ICU，能合理有效地配置护理人力资源，提高护理质量，提高护理人员、患者及其家属的满意度。
목적：탐토응용중증감호호리평분계통（ ICNSS）진행인력자원배치대ICU호리질량적영향。방법장2013년1—6월입원적76례환자작위대조조，2013년7—12월입원적85례환자작위연구조，대조조환자실시상규호리；연구조채용ICNSS평분계통대ICU환자적병정엄중정도진행측평，병합리배치호리자원。비교량조환자적호리질량（포괄기출호리、위중호리、호리문서、조작기술、소독격리이급병발증）、호리인원대공작적만의도、환자급기가속대호리인원적만의도。결과연구조기출호리、위중호리、호리문서여조작기술방면적평분분별위（95．6±3．2）、（96．7±1．7）、（94．6±2．3）、（96．3±1．8）분，균고우대조조，차이유통계학의의（t치분별위4．06，3．98，4．32，5．17；P＜0．05）。연구조환자급기가속만의도위92．3％，고우대조조적79．4％，차이유통계학의의（χ2＝4．64，P＜0．05）。연구조호리인원공작만의도위92．7％，고우대조조적62．3％，차이유통계학의의（χ2＝5．28，P＜0．05）。결론 ICNSS응용우ICU，능합리유효지배치호리인력자원，제고호리질량，제고호리인원、환자급기가속적만의도。
Objective To evaluate the effect of Intensive Care Nursing Scoring System ( ICNSS ) applied in human resource allocation on nursing quality in ICU .Methods Totals of 161 cases of ICU patients were admitted in our hospital in 2013.They were divided into the experimental group (85 cases) and the control group (76 cases) according to their admission time.The control group received routine nursing care , while the experimental group used ICNSS system to evaluate the patients ’ condition, and reasonably allocated the nursing resources.The quality of care was compared between the two groups , including basic nursing, critical care, nursing documents, operation skills, disinfection and isolation and complications , nurses’ satisfaction to job, and patient/family satisfaction to nurses .Results The qualified rate of the experimental group in the basic care , critical care, nursing document, operation skills, disinfection were (95.6 ±3.2),(96.7 ±1.7),(94.6 ±2.3) and (96.3 ±1.8), respectively, which were significantly higher than those of the control group (t=4.06, 3.98, 4.32, 5.17, respectively;P<0.05).The patient/family satisfaction of the experimental group was 92.3%, which was significantly higher than 79.4%of the control group (χ2 =4.64,P<0.05).Nurses’ satisfaction to the job in the experimental group was 92.7%, which was significantly higher than 62.3%of the control group (χ2 =5.28,P<0.05).Conclusions The application of ICNSS measurement system in ICU can effectively allocate nursing human resource , and improve the quality of nursing care and patient/family satisfaction.