重症医学科护患比与护理质量的相关分析-中国护理管理.PDFVIP

特别策划·质量指标管理 Special Planning 重症医学科护患比与护理质量的相关分析 杨磊 李昂 吴志军 简伟研 么莉 [ 摘 要] 目的：分析重症医学科（ICU) 护患比与护理质量的相关性，及对患者 护理结局的影响。方法：回顾某医院综合ICU 2013-2015 年收治患者数据，统计每 月、每季度护患比，选取患者压疮发生率、气管插管非计划性拔管率、护理不良事 件总例数、呼吸机相关肺炎（VAP)发生率等医院感染指标数据。利用线性概率模型 进行数据分析。结果：护患比与压疮、气管插管非计划性拔管、VAP、中心导管相 关血流感染（CRBSI)的发生率及护理不良事件的总例数无相关性。护患比与留置尿 管相关尿路感染（CAUTI)发生率呈负相关，护患比每增加1个单位，尿路感染的可 能性将降低 0.7%。结论：护患比对护理质量有一定的影响，多中心研究是下一步研 究方向，护患比及护理质量相关敏感指标应进行常态化监测。 [ 关键词 ] 重症监护病房；护患比；护理质量 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2016.07.007 The relationship of nurse staffing level and quality of care / YANG Lei, LI Ang, WU Zhijun, JIAN Weiyan, YAO Li // ICU, Henan Honliv Hospital, Xinxiang, 453400 China /// Chinese Nursing Management-2016,16(7): 891-894 [Abstract] Objective: To examine the relationships between nurse staffing levelwith quality of care and patientsoutcomein intensive care unit (ICU). Methods: For this retrospective study, discharge data from 2013 to 2015 was obtained from a general ICU. Outcome measures include pressure ulcer prevalence rates, unplanned extubation, nursing adverse events, and ventilator-associatedpneumonia (VAP). The nurse staffing level was assessed by the number of patients assigned to a nurse. Linear probability model was used to assess the effects of nurse staffing on quality of care.Results: There were no statistical significancesbetweennursing staffing level and pressure ulcers, unplanned extubation, VAP, central catheter related bloodstream infection (CRBSI) and nursing adverse events. A lower number of patients per nurse was significantly associated with a lower incidence of urinary tract infection.Conclusion: This study found that nurse staffing influence quality of nu