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目的:对ICU护理工作量相关因素进行分析,并提出针对性的管理建议。方法:选取2015年4~12月在桐乡市第一人民医院进行ICU治疗患者200例,随机分组,常规组患者100例,实施常规护理干预管理;改良组患者100例给予无缝护理管理模式,同时对护理工作量应用中文版护理活动评估量表(NAS),对两组患者的护理效果及护理人员的工作量进行分析。结果:改良组患者满意度、护理人员工作满意度、护理质量评分、护理差错发生比例、ICU治疗时间等均明显优越于常规组患者(P<0.05)。两组患者均没有发生因护理干预措施不当导致重症不良反应及死亡发生。结论:导致ICU护理工作量增加的主要因素是护理工作人员缺乏、重复护理活动、家属支持、医院管理支持、患者的体位等情况等均会影响到护理人员的工作量,建议采用无缝护理管理后医生、护士、家属间对患者的情况均透明监控,因此可减少护理纠纷和护理差错发生,同时能够减少护理人员对患者的重复护理操作和减少ICU治疗时间,从而减少护理人员的工作量,增加工作满意度和护理质量。
OBJECTIVE: To analyze the relevant factors of ICU nursing workload and to put forward some management suggestions. Methods: From April to December 2015, 200 patients with ICU were treated in Tongxiang First People’s Hospital. 100 patients in routine group were randomly divided into routine nursing intervention management. 100 patients in modified group were given seamless nursing management mode, At the same time, the Chinese version of Nursing Assessment Scale (NAS) was applied to nursing workload, and the nursing effect and nurses’ workload of the two groups were analyzed. Results: The patients in the improved group were significantly better than those in the conventional group (P <0.05), satisfaction of nursing staff, job satisfaction of nursing staff, nursing quality score, incidence of nursing errors and ICU treatment time were all significantly improved. No adverse events and deaths occurred in both groups due to inappropriate nursing interventions. Conclusion: The main factors leading to the increase of ICU nursing workload are the lack of nursing staff, repetitive nursing activities, family support, hospital management support, the patient’s position and so on will affect the nursing staff workload, it is recommended to adopt seamless care management After the doctors, nurses and their families monitor the patients transparently, it can reduce nursing disputes and nursing mistakes, meanwhile it can reduce nursing staff repetitive nursing operations and reduce ICU treatment time so as to reduce the workload of nursing staff, Increase job satisfaction and quality of care.