Comparative study for the effect of intensive care nursing scoring and APACHE II scoring in care resource allocation of intensive care unit

Abstract

Objective To compare the value of intensive care nursing scoring system (ICNSS) with acute physiology and chronic health evaluation ( APACHE Ⅱ ) scoring on care resource allocation in intensive care unit(ICU). Methods A total of 108 ICU patients were divided into observation group(n = 55 ) and control group(n = 53) randomly. In the observation group, the ICNSS scale was strictly translated and modified according to chinese practical situation by nurse experts, then applied to evaluate nursing workload and allocate care resource. In the control group,care resource was allocated according to dynamic monitoring of APACHE Ⅱ scoring. The ICU monitoring time, therapy cost, incidence of complications during the hospitalization,satisfaction of the nurses and the patients or their relatives were compared between two groups. Results The ICU monitoring time(4.6 ±2.9) d, therapy cost ￥ (15 678.2 ±6 115.3) and incidence of complications (7.3%) during the hospitalization in the observation group were significantly less than those in the control group ( P ＜ 0. 05), while the satisfaction of the nurses and the patients or their relatives in the observation group was markedly better than that in the control group ( P ＜ 0. 05 ). Conclusions Care resource allocation according to ICNSS can more significantly improve nursing quality, satisfaction of nurses and patients or their relatives than care resource allocation according to APACHE Ⅱ scoring. Key words: Intensive care nursing scoring system; Acute physiology and chronic health evaluation scoring; Resource allocation