推行整体护理以来，护理表格记录已成为临床护理工作的一项必须内容。在各种表格中，住院评估表是护士观察病情、反映病人基本状态的直接资料。刚开始，我们全院使用同一种表格，结果是大而繁杂，专科疾病特点观察不细，不能直接反映病情，有一定的局限性，而许多工作又是重复? Since the implementation of holistic nursing, records of nursing forms have become an essential part of clinical nursing work. In various forms, the hospital assessment form is a direct source for the nurse to observe the condition and reflect the basic state of the patient. At the very beginning, we used the same form in the entire hospital. The result was large and complex. Observing the features of the specialists was not very detailed. We could not directly reflect the condition. There were certain limitations, and many tasks were repeated.