文档介绍：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 =,P< 0 . 0 0 1 )、自理能力( r=,P<)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(P< 0 . 0 1 ),
轻度功能障碍对特级护理无影响(P=)。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、
①
Results: Patient's condition(r=, P<) and self-care ability (r=, P<) 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 classi