简化治疗干预评分系统的评估：中文版。

Evaluation of the simplified therapeutic intervention scoring system: Chinese version.

机构信息

Department of Critical Care Medicine, Guangzhou Institute of Respiratory Disease, First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China; Sun Yat-sen University School of Nursing, Guangzhou, China.

Sun Yat-sen University School of Nursing, Guangzhou, China.

出版信息

Intensive Crit Care Nurs. 2018 Apr;45:85-90. doi: 10.1016/j.iccn.2017.09.009. Epub 2017 Nov 20.

DOI:10.1016/j.iccn.2017.09.009

PMID:29158024

Abstract

OBJECTIVE

To prepare the Simplified Therapeutic Intervention Scoring System (TISS-28) to measure nursing workload in Intensive Care Units in Guangdong Province of China.

METHODS

A non-experimental descriptive study was conducted in the intensive care units in the Province. TISS-28, TISS-76, Acute Physiology and Chronic Health Evaluation (APACHE II) were all measured.

RESULTS

There were significant positive correlations between TISS-28 and APACHE II (n=91, r=0.432, p<0.001), TISS-76 scores (n=83, r=0.764, p<0.001). A significant difference was found between the mean TISS-28 score in the first day of the intensive care stay and the last day (30.76±6.86 vs 24.67±5.48, p<0.001). A significant intra-class correlation was found between TISS-28 scores collected by the researcher and research associates (ICC=0.959, p<0.001).

CONCLUSION

The reliability and validity of TISS-28 were shown in Chinese intensive care units. It is a practical tool for estimating the nursing workload and providing opportunities to compare the data between intensive care units in different facilities. The TISS-28 Chinese version is recommended to guide the allocation of nursing manpower in Chinese intensive care units.

摘要

目的

研制简化治疗干预评分系统（TISS-28），以测量中国广东省重症监护病房的护理工作量。

方法

在该省的重症监护病房进行了一项非实验性描述性研究。测量了 TISS-28、TISS-76 和急性生理学与慢性健康评估（APACHE II）。

结果

TISS-28 与 APACHE II（n=91，r=0.432，p<0.001）、TISS-76 评分（n=83，r=0.764，p<0.001）之间存在显著正相关。重症监护期间第一天和最后一天的 TISS-28 评分平均值之间存在显著差异（30.76±6.86 与 24.67±5.48，p<0.001）。研究人员和研究助理收集的 TISS-28 评分之间存在显著的组内相关（ICC=0.959，p<0.001）。