CAJ | 학술논문

目的：探讨护理记录评分系统(NCR-11)与APACHE Ⅲ评分的相关性,评价NCR-11在重症患者病情评估中的价值。方法前瞻性收集2013年3月1日—9月30日97例ICU患者的临床资料。患者入住ICU后次日作为第1天开始统计NCR-11评分,连续评估5 d。同时对患者进行APACHE Ⅲ评分,并将患者分为APACHE Ⅲ评分<60分组和APACHE Ⅲ评分≥60分组。计算两组患者NCR-11评分与APACHE Ⅲ评分的相关系数,同时比较两组患者 NCR-11评分的差异。结果 APACHE Ⅲ评分<60分组患者连续5 d的NCR-11评分为(52.63±10.66)分,与APACHE Ⅲ评分呈正相关,差异具有统计学意义(r=0.619,P<0.01)。 APACHE Ⅲ评分≥60分组患者连续5 d的NCR-11评分为(56.88±9.34)分,与APACHE Ⅲ评分相关系数r=0.283,P<0.01。 APACHE Ⅲ评分≥60分组患者连续5 d的NCR-11评分大于APACHEⅢ评分<60分组,差异有统计学意义(F=4.873,P<0.01),两组患者第1~5天NCR-11评分变化趋势差异无统计学意义(F=0.096,P>0.05)。结论 NCR-11与APACHE Ⅲ评分有一定的相关性,能间接反映重症患者的疾病严重程度,在重症医学科患者病情评估中有一定的应用价值。
목적：탐토호리기록평분계통(NCR-11)여APACHE Ⅲ평분적상관성,평개NCR-11재중증환자병정평고중적개치。방법전첨성수집2013년3월1일—9월30일97례ICU환자적림상자료。환자입주ICU후차일작위제1천개시통계NCR-11평분,련속평고5 d。동시대환자진행APACHE Ⅲ평분,병장환자분위APACHE Ⅲ평분<60분조화APACHE Ⅲ평분≥60분조。계산량조환자NCR-11평분여APACHE Ⅲ평분적상관계수,동시비교량조환자 NCR-11평분적차이。결과 APACHE Ⅲ평분<60분조환자련속5 d적NCR-11평분위(52.63±10.66)분,여APACHE Ⅲ평분정정상관,차이구유통계학의의(r=0.619,P<0.01)。 APACHE Ⅲ평분≥60분조환자련속5 d적NCR-11평분위(56.88±9.34)분,여APACHE Ⅲ평분상관계수r=0.283,P<0.01。 APACHE Ⅲ평분≥60분조환자련속5 d적NCR-11평분대우APACHEⅢ평분<60분조,차이유통계학의의(F=4.873,P<0.01),량조환자제1~5천NCR-11평분변화추세차이무통계학의의(F=0.096,P>0.05)。결론 NCR-11여APACHE Ⅲ평분유일정적상관성,능간접반영중증환자적질병엄중정도,재중증의학과환자병정평고중유일정적응용개치。
Objective To explore the correlation between nursing document marking system (NCR-11) and APACHE Ⅲ score, and evaluate the value of NCR-11 for the assessment of critical care patients. Methods From March 1st to September 30th, 2013, 97 inpatients in ICU were chosen as sampling prospectively and were collected their clinical medical information. NCR-11 was calculated from next day to the sixth day of hospitalization and all patients were divided into two groups according to APACHE Ⅲ score: <60 score ( A group ) , ≥60 score ( B group ) , then statistically analyzed the correlation between NCR-11 and APACHE Ⅲ score and compared the difference between A and B group. Results The A group obtained the score of NCR-11 (52. 63 ± 10. 66), which had positive correlation with APACHE Ⅲ score (r=0. 619,P<0. 01), while B group acquired (56. 88 ± 9. 34) and correlation coefficent with APACHE Ⅲ score was r =0. 283,P<0. 01. The score of NCR-11 in B group was higher than that of A group (F=4. 873,P<0. 01), but the change of A and B group had no statistical significance from 5 days assessment (F=0. 096,P>0. 05). Conclusions NCR-11 and APACHE Ⅲ score has a certain correlation and could reflect the severity of the disease indirectly. It has some value in evaluating the severity of critical care patients.