一级护理

Delphi法在筛选一级护理质量评价指标中的应用

Study on applying of Delphi method for screening evaluation indexes of first class nursing quality

急诊ICU一级护理服务项目单项成本研究

Monomial cost accounting and analysis for emergency ICU Grade One Nursing Service items

基于Delphi法和AHP的一级护理质量评价指标权重确定

Establishment of weights of quality evaluation indicators for first class nursing based on Delphi method and AHP

1年后与未进行分层管理的同期护理质量相比，一级护理无统计学意义（P＞0－05），基础护理等4项有极显著性差异和显著性差异（P＜0－01或P＜0－05）。

One year later , it was found that the nursing quality of the leveled management was obviously improved ( P < 0.01 or P < 0.05 ) except nursing of grade 1 ( P > 0.05 ) .

目的：探讨急诊ICU一级护理病人10项基础护理单项成本核算，为合理调整医疗护理收费项目提供可靠依据，推进医院护理成本核算的科学化管理。

Objective : To do monomial cost accounting for ten basic nursing items of emergency ICU Grade One Nursing . To provide evidence for adjusting nursing fees properly to promote the scientific management of nursing cost accounting .

一级护理质量的研究进展

Research progress on the first class nursing quality

对一级护理的适用对象、护理内容、护理质量评价方法等进行了综述。

It summarized applied object , nursing content , evaluating methods of nursing quality of the first class nursing care .

结果：对住院精神病患者发生意外事件影响最大的相关因素是护理级别：特、一级护理173例（66.97%）；

RESULTS : The major related factor was nursing levels : 173 ( 66.97 % ) had special grade or grade 1 ;

逐步回归分析结果表明：年龄、年度、一级护理、住院天数等13项因素影响军队病毒性肝炎患者人均日住院费用。

Stepwise regression analysis indicated that 13 factors such as age , the year of hospitalization , intensive care all affected the daily costs of hepatitis cases .

结果病人满意度，基础护理、特别护理和一级护理合格率，护理四种表格合格率，急救物品完好率均较前提高。

Results The satisfying degree of the patients gets better . The qualified rate of basic nursing , special nursing and four kinds of nursing forms gets better than before .

方法：根据168项重症病人常用的护理内容评价表，对一级护理以上206名病人治疗干预内容进行了调查。

According to the assessing list of 168 nursing contents which are used by seriously ill patients , we studied the nursing intervention contents of 206 patients of first-grade nursing and above .

多因素分析表朋：影响住院费用的主要因素有：特护天数、住院天数、一级护理、抢救次数、年龄等。

Stepwise regression analysis showed that the duration of special nursing , the duration of hospitalization , first-degree nursing , times of rescue times of age and so on were the main factors .

结果：一级护理10项基础护理项目总成本为127.93元，其中人力成本53.55元，占总成本的41.85%；

Results : The total theoretical cost of the ten basic nursing items was CNY 127.93 , including labor cost CNY 53.55 ( 41.85 % ) and material cost CNY 38.66 ( 30.21 % ) .

方法：根据1998年《深圳市医疗收费标准》中的一级护理服务标准，应用项目阶梯成本分摊法对10项基础护理服务进行测算，对比现行的一级护理收费标准。

Methods : According to the requirements of Grade One Nursing in Standards of Shenzhen Medical Charge ( published in 1998 ), accounting the theoretical costs of the ten basic nursing services by Item Ladder Cost Apportionment formula , comparing the theoretical cost with the current charge .

结果：住院日、是否手术、病情严重程度（一级以上护理天数）是影响住院费用的重要因素。

Results : The hospitalized days , operation or not , severity of disease were important affecting factors .