Viney C, Poxon I, Jordan C, Winter B
Nottingham University School of Nursing.
Nurs Crit Care. 1997 Mar-Apr;2(2):59, 62-3.
The development of a holistic patient dependency system for intensive care in Nottingham has enabled nursing staff to analyse their patient's needs more comprehensively and relate them to existing staffing levels. A recent publication (Chellel et al., 1995) implied that some units were using medical scoring systems to predict workload and that practitioners were dissatisfied with current scoring systems. Patient dependency scores were correlated with APACHE II scores by regression analysis on 1,743 patients from the Adult Intensive. Care Unit at the University Hospital, Nottingham. Analysis revealed that APACHE II had little ability to predict patient dependency and, therefore, is unreliable at predicting nursing workload and skill mix.
诺丁汉重症监护整体患者依赖系统的开发，使护理人员能够更全面地分析患者需求，并将其与现有人员配备水平联系起来。最近的一份出版物（Chellel等人，1995年）表明，一些科室正在使用医疗评分系统来预测工作量，且从业者对当前的评分系统不满意。通过对诺丁汉大学医院成人重症监护病房1743例患者进行回归分析，得出患者依赖评分与急性生理与慢性健康状况评分系统II（APACHE II）评分相关。分析显示，APACHE II几乎没有能力预测患者的依赖性，因此，在预测护理工作量和技能组合方面并不可靠。
