护理分级影响因素多分类Logistic回归分析.PDFVIP

中国护理管理 特别策划·分级护理标准探讨 Special Planning 护理分级影响因素的多分类Logistic 回归分析 ◆ 李晓翠 王亚亚 么莉 尚少梅 郭燕红 金晓燕     [ 摘 要 ] 目的：探讨患者病情级别和自理能力对护理分级的影响。方法：采用方便 抽样法，按照“医院 - 病区-患者”进行三级取样，选取6 省市11家医院的120 个病区共 3171例住院患者，采用自设的“患者护理分级调查表”对其进行调查。结果：①病情级 别（r =0.550，P0.001）、自理能力（r=0.619，P0.001）与护理分级呈正相关；②多分类 Logistic回归分析显示，不同病情级别和中、重度功能障碍对护理分级均有影响（P0.01）， 轻度功能障碍对特级护理无影响 (P=0.082)。结论：在临床工作中，护理分级评定需全面考 虑患者的病情和自理能力，以更好地适应临床护理工作的需要。 [ 关键词 ] 护理分级；Barthel指数；病情；自理能力 [中图分类号] R47 Multinomial logistic regression analysis of the influencing factors of nursing classification / LI Xiao-cui, WANG Ya-ya, YAO Li, et al. // School of Nursing, Peking University, 100091 China /// Chinese Nursing Management- 2012,12(11): 11-13 采用自设“患者护理分级调查表” [Abstract] Objective: To explore the influencing factors of nursing classification, including disease condition and self-care ability. Methods: We investigated 3171 patients 收集患者资料，调查表包括三部分内容： from 120 wards of 11 hospitals in 6 provinces by hospital-ward-patient three level sampling. ①患者一般资料，包括人口社会学资料、 Results: ① Patients condition(r=0.550, P0.001) and self-care ability (r=0.619, P0.001) 病历号、医疗诊断等。②病情级别和护 were positively correlated with nursing classification: ② Multinomial logistic regression 理分级，病情级别是指患者的疾病程度， analysis showed that disease condition, moderate and severe disability were the influencing factors of nursing classification (P0.01) and mild disability has no influence to nursing 由医生根据患者的疾病程度进行评定， classification (P=0.082). Conclusions: To make decision of nursing classification, we need 分为病危、病重和普通三个级别；护理 fully consider the patients disease condition and self-care ability to fit in with clinical