CAJ | 학술논문

[目的]应用病人分类系统探索专科医院优质护理服务病区护理人力资源配置，为专科医院优质护理服务病区护理人力资源配置提供科学依据。[方法]2013年9月选择我院开展优质护理服务的肝病内科、肝胆外科、肝病产科、感染病科、肿瘤科5个病区的住院病人护理需求量及各班次护理人员每日护理时数作为研究对象。采用改良的罗斯麦迪可斯量表(RMT PCS)调查，辅以工作参与法，计算出各病区病人24 h 的平均工作量指数、各病区病人疾病平均严重度，按照改良 RMT PCS量表护理人力分配比率计算出各病区所需护理人员数量。[结果]各病区由于病种不同，病人类别所占比例不同，病人严重度、每日平均工作量指数、每日所需护理时间均有不同。[结论]运用改良 RMT PCS量表对病人分类，建立专科医院的病人分类系统，为专科医院优质护理服务病区的护理人员配置提供科学依据，更加有利于护理管理，有利于为病人提供优质护理服务。
[목적]응용병인분류계통탐색전과의원우질호리복무병구호리인력자원배치，위전과의원우질호리복무병구호리인력자원배치제공과학의거。[방법]2013년9월선택아원개전우질호리복무적간병내과、간담외과、간병산과、감염병과、종류과5개병구적주원병인호리수구량급각반차호리인원매일호리시수작위연구대상。채용개량적라사맥적가사량표(RMT PCS)조사，보이공작삼여법，계산출각병구병인24 h 적평균공작량지수、각병구병인질병평균엄중도，안조개량 RMT PCS량표호리인력분배비솔계산출각병구소수호리인원수량。[결과]각병구유우병충불동，병인유별소점비례불동，병인엄중도、매일평균공작량지수、매일소수호리시간균유불동。[결론]운용개량 RMT PCS량표대병인분류，건립전과의원적병인분류계통，위전과의원우질호리복무병구적호리인원배치제공과학의거，경가유리우호리관리，유리우위병인제공우질호리복무。
Objective:To apply patient classification system to explore nursing human resources allocation in high quality nursing service ward in specialized hospital,so as to provide scientific basis for nursing human resource allocation in high quality nursing service ward in specialized hospital.Methods:The amount of patients’care needs and the daily nursing hours of nursing personnel were selected as the research obj ects in 5 wards including department of liver disease internal medicine,department of hepatobiliary surgery,department of obstetrics liver diseases,department of infection diseases,department of oncology in September of 2013 year.The improved Ross Maddie Marcus scale(RMT PCS)survey was used,supplemented by the work involved method,to calcu-late 24 h average workload index and average disease severity of patients in each ward,according to the nursing manpower allocation ratio in modified RMT PCS scale to calculate the required number of nursing personnel in each ward.Results:Because of different diseases in each ward,patients’category accounted for the different pro-portion.The patients’severity,the average daily workload index and required nursing time per day were differ-ent.Conclusion:Using modified RMT PCS scale to classify patients and to establish a patient classification sys-tem of specialized hospital,which can provide scientific basis for nursing personnel allocation in high quality care ward.It is more conductive to the nursing management,are conductive to provide high quality of nursing service for patients.