摘要目的:分析第6版护理措施分类在儿童呼吸内科的临床适用性，为规范临床护理用语，促进护理措施标准化术语的临床使用提供依据。方法:本研究采用映射法，选取某三级甲等儿童专科医院呼吸内科2018年9月1日—11月30日的电子护理记录，包括自由录入的护理措施记录和与医嘱相关的护理措施记录。以概念一致性比对电子护理记录与标准化护理措施（第6版护理措施分类）的匹配程度。采用难度、耗时分析匹配所得的标准化护理措施的特质。结果:3 258条独立的电子护理记录共映射所得7个领域的84条护理措施，其中3 183条（97.70%）护理记录与护理措施完全匹配，55条（1.69%）护理记录与护理措施部分匹配，20条（0.61%）护理记录与护理措施不匹配。护理措施的平均难度为1.76，平均耗时为2.02。结论:护理措施分类可以用于描述儿童呼吸内科护理人员的日常行为活动，还可以解决护理记录在呈现上的标准化问题，适合作为标准化的护理语言用于儿童呼吸内科的护理记录。本研究结果未来配以难度、耗时的组合赋权可以用于护理人员的绩效分析。

abstractsObjective:To analyze the applicability of the 6th edition of nursing interventions classification in Pediatric Respiratory Medicine Department, so as to provide a basis for standardizing clinical nursing terms and promoting the clinical use of standardized nursing terminology.Methods:The research method of this research was mapping method. The electronic nursing records of Department of Respiratory Medicine in a ClassⅢGrade A children's specialty hospital from September 1 to November 30, 2018 were collected, including the nursing interventions recorded by free text and records of nursing interventions related to medical orders. The matching degree between electronic nursing records and standardized nursing interventions (the 6th edition of nursing interventions classification) was compared by concept consistency. Characteristics of standardized nursing interventions matched were analyzed by analyzing difficulty and time-consuming.Results:Totally, there were 84 standardized nursing interventions mapped from 3 258 independent electronic nursing statements, which involved 7 domains. Of the 3 258 statements, 3 183 (97.70%) were labelled as "perfect match", 55 (1.69%) as "partial match", and 20 (0.61%) as "not match at all". The average difficulty and time spent for the standardized nursing interventions were 1.76 and 2.02.Conclusions:Nursing interventions classification can be used to describe the daily behavior and activities of nurses in Pediatric Respiratory Medicine Department, and it can also solve the problem of standardization shown in nursing records. The results of this study can be used in the performance analysis of nursing staff with combination of difficulty and time-consuming empowerment in the future.