摘要目的 探讨评价妇科手术中巡回护士工作强度的方法,加强手术室护理工作的管理,促进绩效考核.方法 统计医院妇科手术报表资料,确定腹腔镜手术和开腹手术中巡回护士的各项护理操作,并根据各项操作的所用时间、精神状况和体力消耗予以评分,并以此为权重,计算出单项工作强度、累计工作强度和单位时间工作强度.结果 单项操作的强度分布符合统计学规律.尽管开腹手术比腹腔镜手术的时间长、护理操作项目多,但腹腔镜手术巡回护士的工作强度更大.结论 加权计算的工作强度评价指标和方法的代表性、灵敏性和可靠性较好,实际评价效果客观地反映了妇科手术中巡回护士的工作强度实际工作量大小.

abstractsObjective The methods used in the evaluation of itinerate nurse' nursing intensity were discussed in this paper. It will be useful for enhancing the management of nursing in surgery and facilitating the evaluation of benefits. Methods Each nursing operation of gynecology operation was chosen, which came from the report forms of gynecology operation. These operations were graded according to the lasting time, psychosis status and physical strength expend. The single item intensity, accumulative intensity and unit time intensity were calculated based on the graded operation. Results The single item intensity coincides with statistics rule. The intensity of itinerate nurse in celioscope operation is bigger than abdomen incision operation, although the lasting time is longer and the nursing items in celioscope operation are more. Conclusions The nursing intensity's evaluation guideline and methods that were calculated from the weighted operation grade is representative, sensitive and reliable. Itinerate nurses' operation intensities in the gynecology operations were objectively reflected by the practice evaluation.