Medical University of Lublin, Poland.
Am J Crit Care. 2010 Mar;19(2):149-55. doi: 10.4037/ajcc2010559.
The Therapeutic Intervention Scoring System is widely used in both Western Europe and the United States to assess the level of patients' need for nursing care. Poland currently has 3 types of intensive care according to a territorial division of the country and the scope of medical treatment offered: poviat, voivodeship, and clinical.
To determine the need for nursing care for patients in the 3 types of intensive care units in southeastern Poland.
The investigation was conducted at 6 intensive care units in southeastern Poland in 2005 and 2006. Two units were randomly selected from each type of intensive care unit. A total of 155 patients from the units were categorized according to scores on the Therapeutic Intervention Scoring System 28.
Among the 3 types of units, patients varied significantly with respect to age, length of hospitalization, and scores on the Therapeutic Intervention Scoring System 28. Nevertheless, demand for nursing care during night and day shifts was similar in all 3 types. On the basis of the patients' scores, all 3 types of units provided appropriate staffing levels necessary to meet the demands for nursing care. Most patients required category III level of care.
Need or demand for nursing care in intensive care units in Poland varies according to the type of intensive care unit and can be determined on the basis of scores on the Therapeutic Intervention Scoring System 28.
治疗干预评分系统在西欧和美国被广泛用于评估患者对护理需求的程度。波兰目前根据国家的地域划分和提供的医疗服务范围，有 3 种类型的重症监护病房：县、省和临床。
确定波兰东南部 3 种类型重症监护病房患者的护理需求。
本研究于 2005 年至 2006 年在波兰东南部的 6 个重症监护病房进行。每个类型的重症监护病房中随机选择 2 个单位。根据治疗干预评分系统 28，将来自这些单位的 155 名患者分为 28 组。
在 3 种类型的单位中，患者在年龄、住院时间和治疗干预评分系统 28 评分方面存在显著差异。然而，夜间和日间护理需求在所有 3 种类型中相似。根据患者的评分，所有 3 种类型的单位都提供了满足护理需求所需的适当人员配备水平。大多数患者需要 III 级护理。
波兰重症监护病房的护理需求或需求因重症监护病房的类型而异，可以根据治疗干预评分系统 28 的评分来确定。
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