病患嚴重度分類及護理時數之探討

A Study of Patient Severity Classification and Nursing Hours

柯純卿(Chun-Chin Ko) ； 郭純敏(Chun-Min Kuo) ； 柯明慧(Min-Wheuy Ko)

《The Kaohsiung Journal of Medical Sciences》 9卷1期 (1993/01) Pp. 47-53

https://doi.org/10.6452/KJMS.199301.0047

摘要

本研究目的是應用病人分類系統，調查本院內科病房病患的嚴重度分佈，及解各級嚴重度病患所需的護理時數，並探討護理人員的工作分配情形及此病人分類系統的可行性。
本研究採用原型病患重度分類指引及因素型病擊護理需要量表，分別以觀察及護理人員自我記錄法，同時對內科系六個次專科的住院病人進行測試。共得621人次的資料進行統計。護理人員工作取樣調查則於胸腔內科採每10分鐘瞬間觀察記錄，共10天88人次得資料。研究結果發現：內科病房病患的嚴重度分佈多落於BⅡ、BⅢ、CⅢ、CⅣ四個級別，而病患所需的護理時數為1.21~10.38小時。其中AⅢ、BⅣ、CⅡ因樣本數過少故其護理時數在統計上無差異外，其餘各級別時數間的差異具顯著性，故足以籍此護理時數常模作為人力配置決策的參考。

並列摘要

The purpose of this study utilizing the patient classification system was to investigate the distribution of categories of patient severity in medical departments in relation to the nursing hours required for each patient according to the severity was recorded by the observer; a factor-type nursing requirement table was designed by the nursing personnel. There were 621 samples collected from sub-specialized medical departments. Snapshot observations were taken to survey the allocation of nursing care time. The total of 88 samples of nursing personnel data were analyzed. The results showed that most categories of patient severity were distributed among BⅡ、BⅢ、CⅢ、CⅣ while the average nursing hours required daily fluctuated between 1.21~10.38 hours. Because of the few samples in AⅢ、BⅣ、CⅡ, the average nursing hours among three categories were no significance in statistics, and other categories were significant. The researcher may use the nursing hour model as an approach to determine ideal nursing manpower.

並列關鍵字

patient severity of illness ； patient classification ； nursing hour