Department of Medical Informatics and Management, University Hospital, University of Occupational and Environmental Health, Fukuoka, Japan.
Quality Management Center, Tokyo Medical and Dental University Hospital, Tokyo, Japan.
Nurs Health Sci. 2022 Dec;24(4):811-819. doi: 10.1111/nhs.12980. Epub 2022 Aug 21.
This retrospective, multicenter, descriptive study aimed to evaluate the conditions of inpatients in acute care hospitals using the Severity of a Patient's Condition and Extent of a Patient's Need for Medical/Nursing Care tool. The study included 4 234 253 patients admitted to acute care hospitals in Japan between April 2019 and March 2020. Electrocardiographic monitoring, provision of respiratory care, and administration of antiarrhythmic agent injections and treatment were performed in a sterile room for >20%, >10%, and <1% of patient-days, respectively. More than 40% of inpatients needed support with performing activities of daily living, such as dressing and undressing, turning over, and oral care. The proportion of patients requiring daily medical/nursing care was generally high at the beginning of hospitalization, gradually decreased, and subsequently increased. Patients in acute care hospitals in Japan were not hospitalized unnecessarily early or for inappropriately long periods, and the efficiency of medical care improved over time. The Severity of a Patient's Condition and Extent of a Patient's Need for Medical/Nursing Care tool is useful for evaluating patient conditions in acute care hospitals.
这项回顾性、多中心、描述性研究旨在使用患者病情严重程度和医疗/护理需求工具评估急性护理医院住院患者的情况。该研究纳入了 2019 年 4 月至 2020 年 3 月期间在日本急性护理医院住院的 4234253 名患者。在无菌室内进行心电图监测、提供呼吸护理、给予抗心律失常药物注射和治疗的患者天数分别超过 20%、10%和<1%。超过 40%的住院患者需要日常生活活动的支持，如穿衣、脱衣、翻身和口腔护理。住院期间，患者每日医疗/护理需求的比例通常在开始时较高，逐渐下降，随后再次增加。日本急性护理医院的患者住院时间既不会过早，也不会过长，而且医疗保健的效率随着时间的推移而提高。患者病情严重程度和医疗/护理需求工具可用于评估急性护理医院患者的病情。
