医养结合老年科患者自理能力与分级护理护理时间的-中国护理管理.PDFVIP

论 著 Research Paper 医养结合老年科患者自理能力与分级护理、 护理时间的相关性研究 高小芬 于卫华 [ 摘 要 ] 目的：定量了解医养结合老年科患者每日所需的护理时间，探讨其与分级护理、患者日常生活自理能力（ADL） 之间的关系，为科学完善老年分级护理标准提供参考。方法：采用现场记录法对安徽省某大型综合医院医养结合老年科进行 了连续 7天、以满足 232 名老年患者全部护理需要为目的的护理操作内容和时间的调查和分析。结果：不同护理级别、相同 ADL 分级的老年患者每日所需直接护理时间无统计学差异（P0.05）；同一护理级别、不同 ADL 分级的老年患者每日所需要 的直接护理时间及总护理时间差异有统计学意义（P0.05）。结论：ADL评分能直接反映老年患者对直接护理的需求，能有 效提示老年患者生活自理能力和相应的实际护理需求。建议在老年科由医生确定老年患者分级护理的 I、II、III 级，再由临床 经验丰富的护士应用ADL 量表进行A、B、C 分级，即将老年患者划分为IA、IB、IC、IIA、IIB、IIC、IIIA、IIIB、IIIC 9 项护理等级。 [ 关键词 ] 医养结合；老年患者；日常生活自理能力；护理分级标准 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2014.03.009 The relationship between ability of daily living, nursing time and nursing grading among elderly patients using treatment-care combination mode / GAO Xiaofen, YU Weihua // Nursing Department, The Third Affiliated Hospital, Anhui Medical University, Hefei, 230061 China /// Chinese Nursing Management- 2014,14(3): 249-253 [ ] Abstract Objectives: To quantitatively understand the nursing time needs among the elderly patients every day, to explore the relationship between nursing time, nursing grading, and the ability of daily living (ADL), and to provide reference for the scientific classification standard of the elderly patients care. Methods: Field recording method was used in a large comprehensive hospital in Anhui province for 7 consecutive days. Totally 232 elderly patients with all care needs were investigated and analyzed for nursing time and content. Results: The direct nursing time of elderly patients with different level of nursing grading and same ADL grade had no statistical di