Level of dependence among patients in a surgical unit

Level of dependence among patients in a surgical unit
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DOI:
10.1590/0034-7167.2015680509i
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发表时间:
2015-10-01
影响因子:
1.3
通讯作者:
Moura, Gisela Maria Schebella Souto de
Moura, Gisela Maria Schebella Souto de
中科院分区:
其他
文献类型:
--
作者:
Magalhães, Ana Maria Müller de;Riboldi, Caren de Oliveira;Moura, Gisela Maria Schebella Souto de

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目的:应用Perroca病人分类量表,了解外科住院病人护理工作的复杂性。方法:一项描述性横断面研究,2012年10月至12月期间对187例患者进行了546次回顾。使用SPSS 18.0和Kappa检验对数据进行分析,以衡量评价者之间的一致性。结果如下:在半重症监护(46.5%)和中级护理(44.0%)类别中的患者占优势,在总样本中普遍使用无辅助洗浴(58.4%),在半重症监护患者中普遍使用床上洗浴(69.3%)。两对评分员之间的一致性水平被认为是良好的。结论:系统地应用该工具是有用的,作为病人依赖程度的补充措施,并可能有助于改善工作流程,反映管理决策方面的护理工作量
Objective: to identify the complexity of the nursing care of inpatient surgical unit patients, using the Perroca patients classification scale. Method: a descriptive, cross-sectional study with 546 reviews of 187 patients between October and December of 2012. Data were analyzed using SPSS 18.0 and the Kappa test, to measure interrater agreement. Results: a predominance of patients in the categories of semi-intensive (46.5%) and intermediate care (44.0%) was found, with a prevalence of unassisted bath (58.4%) in the total sample, and bed bath (69.3%) in the semi-intensive care patients. The level of agreement between two pairs of raters was considered good. Conclusion: the systematic application of the instrument was useful as a complementary measure of the level of patient dependence, and may contribute to the improvement of the working process, reflecting on management decision-making with regard to nursing workload