胸腔內科病房護理活動情形之探討

A Pilot Study of Nursing Activities on the Chest Medicine Ward at KMCH

潘純媚(Shung-Mei Pan) ； 金繼春(Chi-Chun Chin) ； 黃秀琴(Show-Chin Hwang) ； 柯純卿(Chun-Chin Ko)

《The Kaohsiung Journal of Medical Sciences》 9卷4期 (1993/04) Pp. 252-259

https://doi.org/10.6452/KJMS.199304.0252

摘要

本研究為建立胸腔內科病人分類之初步調查，採護理工作取樣法、及病患直接護理需要預估法，探討胸腔內科病房護理活動情形。
資料收集自民國80年8月11日至80年8月17日，連續7天，每天24小時，對護理人員護理活動及病患直、間接護理等需要，每5分鐘做一次直接瞬間觀察，再用百分比、One-way ANOVA來分析資料，藉以瞭解(1)胸腔內科病房各班工作時數及護理活動分佈情形，(2)各班護理活動的特色，(3)病人獲得護理的量以及其提供者。
結果發現三班人員工作皆超過8小時，護理活動中以間接護理佔第一位（50.73％），其次為直接護理（29.39％），個人時間（13.73％），相關活動最少（6.15％）。不同上班日各項護理時間之分配亦有差異。
直接護理活動中，飲食、排泄、清潔、變換體位及活動多由病人自理，或由家屬協助。護理人員則多執行生命徵象測量、給藥、呼吸系統照護、協助檢查及治、及衛教與溝通等。

並列摘要

The current study sought to establish a preliminary patient classification system by determining how much time nurses spend each shift on their various activities. In this way we hoped to determine the direct care needs of the patient.
From August 11 through the 17, snap-shot observation on the Chest Medicine Ward of Kaohsiung Medical College Hospital were taken every five minutes throughout the day to evaluate nursing activities and health care needs of patients. After employing such statistical techniques as percentage comparison, One-way ANOVA on the collected data, we gained a preliminary understanding of the distribution, characteristics, extent and nature of nursing activities. The results demonstrated that the average working hours of the day shift and the evening shift are 8.13 and 8.05 hours respectively. The night shift may be as long as 8.52 hours. Our studies also revealed that the most demanding nursing activity is indirect care (50.73%), direct care (29.39%), individual time (13.73%) and related activities (6.15%) follow.
In the direct care of patient, nurses devoted most of their time monitoring vital signs, administering medication, assisting in examination and treatment, caring for , and communication with patients. On hygiene, physical movements and the clean up of body discharges were mostly devoted by patients and families.

並列關鍵字

nursing activities ； patient classification system