Emergency Department, Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, Hubei Province, China.
Minerva Med. 2013 Jun;104(3):325-32.
The aim of this paper was to investigate the application value of the intensive care nursing scoring system (ICNSS) in intensive care unit (ICU) nursing resources allocation.
The English version of ICNSS scale was translated into Chinese by nursing experts, and was consistently revised and improved based on China's actual conditions. A total of 105 cases were randomly divided into the observation group (N.=55) and the control group (N.=50). In the observation group, the nursing workload was estimated and the nurses were allocated using ICNSS; in the control group, the sickbeds were equally distributed to the nurses and each nurse was equally in charge of managing patients. The ICU duration, medical charge, incidence of complications, nursing quality control scoring and nurses' satisfaction to their resource allocations were compared between the two groups.
The ICU duration, medical charge and incidence of complications in the observation group were significantly lower than those in the control group (P=0.032, P=0.024, P=0.006 respectively); while quality control scoring and nurses' satisfaction to their resources allocation in the observation group were significantly higher than those in the control group (P=0.045, P=0.004 respectively).
The nursing quality and the nurses' satisfaction could be improved using ICNSS to evaluate ICU nursing workload and allocate resources.
本研究旨在探讨重症监护护理评分系统（ICNSS）在重症监护病房（ICU）护理资源配置中的应用价值。
由护理专家将 ICNSS 量表的英文版翻译成中文，并根据中国的实际情况进行反复修订和完善。共纳入 105 例患者，随机分为观察组（n=55）和对照组（n=50）。观察组采用 ICNSS 评估护理工作量并配置护士；对照组则将病床平均分配给护士，每位护士平均负责管理患者。比较两组患者的 ICU 住院时间、医疗费用、并发症发生率、护理质量控制评分和护士对资源配置的满意度。
观察组的 ICU 住院时间、医疗费用和并发症发生率明显低于对照组（P=0.032、P=0.024、P=0.006）；而观察组的护理质量控制评分和护士对资源配置的满意度明显高于对照组（P=0.045、P=0.004）。
使用 ICNSS 评估 ICU 护理工作量并配置资源，可以提高护理质量和护士的满意度。
