查詢結果分析
相關文獻
- 應用APACHE Score於加護病房護理行政業務之探討
- 因素型病人分類系統之應用
- 建置以治療性措施為基礎之加護病房病人分類系統
- 降低新生兒加護病房護理人員輸入資訊化病人分類不正確率
- 運用治療性措施計分系統建構加護病房之病人分類
- Development of a New Prognostic System and Validation of APACHEⅡ for Surgical ICU Mortality: A Multicenter Study in Taiwan
- 內科重症病人疾病嚴重度及其相關因素探討
- Prevalence of Nosocomial Respiratory Tract Infections in the Surgical Intensive Care Units of a Modical Center
- 新生兒加護病房的院內感染
- 病人分類系統與單項成本分析
頁籤選單縮合
題 名 | 應用APACHE Score於加護病房護理行政業務之探討 |
---|---|
作 者 | 邱艷芬; | 書刊名 | 慈濟醫學 |
卷 期 | 7:3 1995.09[民84.09] |
頁 次 | 頁187-193 |
分類號 | 419.39 |
關鍵詞 | 加護病房; 疾病嚴重度; 病人分類; 人力配置; ICU; Patient classification; Severity of illness; Patient assignment; Staffing; |
語 文 | 中文(Chinese) |
中文摘要 | 本研究的目的在探討以APACHE(Acute physiological and chronic health evaluation system)評量得分(APACHE Seore)叫作為病人分類的可行性,以及以 APACHE score分配護理人力,以改善加護病房護理人員之排班方式之可行性與效 果。計有區域教學醫院加護病房病患提供4245筆資料,醫學中心內外科加護病房 病人提供477筆資料作為統計分析。研究結果顯示:住入MICU的病人比住進SICU 者,其平均APACHE得分較高,且具有統計上意義,反映出MICU病人病情較SICU 病人嚴重;而自加護病房轉出的病人中,其APACHE分數顯示死亡率仍高達三成; 醫學中心的病人一般均較區域醫院者有較高之APACHE得分,病情較為嚴重,其 中病人停留IGU期間與病人轉出ICU的差異具有統計上之意義。這些結果說明了 在病情嚴重程度的反映上,APACHE分數提供相當可信的參考數據,可以作為病 人分類的基準,也可以作為護理人力配置與工作指派的依據,研究者更建議以 APACHE分數作為病人轉入,轉出加護病房的參考,以確保加護病房之醫療效 率,保障病人之安全。本研究提出兩種以APACHE分數為參考數據的加護病房病 人分類方式,與三種護理人力配置與工作指派標準,供醫療行政與加護單位主管 人員選用。(慈濟醫學 1995;7:187-193) |
英文摘要 | The purpose of this study was to investigate the applicability of APACHE scoring system for patientclassification, patient assignment and nursing staffing ofICUs. A total number of 4722 sets of data were obtained fromone medical center in Taipei area and one local teaching hospital in HuaUen for data analysis. The results showed thatMICU patients had higher APACHE scores (more severe) than SICU ones; a lot of patients were transferred out fromICUs with high risk of death as indicating by APACHE scores; the patients in the ICU of medical center had higherAPACHE scores than those in the ICUs of local teaching hospital. These results demonstrated that the APACHE scoreis a valid indicator reflecting patients' needs of medical and nursing care and is applicable for ICU patientclassification, patient assignmnet and nursing staffing. Two ways of applying APACHE score to classify ICU patientsand three methods of using APACHE score for patient assignment and nursing staffing were also proposed andevaluated. (Tzu ChiMedJ 1995; 7: 187-193) |
本系統中英文摘要資訊取自各篇刊載內容。