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Nursing intensity for patients with acute myocardial infarction (DRGs 121 and 122) who were discharged

机译：出院的急性心肌梗死（DRG 121和122）患者的护理强度

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摘要

As a result of the 1983 passage and implementation of the Tax Equity and Fiscal Responsibility ACT (TEFRA, PL 97-248) 10 years ago, nurses have studied nursing's economic contribution to the health care delivery system. Nursing intensity is an integral part of hospital nursing practice; therefore, one method of establishing and documenting the nursing contribution is to study the nursing intensity for each DRG and establish care strategies for each specific patient group.;This dissertation analyzed and described nursing intensity differences between DRGs 121 and 122, hospital length of stay, and hospital size. The sample data were obtained from the 1986 Medicus Corporation costing study. The sample included 702 patients, who were discharged with DRG 121 and 122 codes, and were from 19 hospitals in 6 HCFA regions that voluntarily reported data. Nursing intensity data were collected by the Medicus Corporation using the Medicus Type V patient classification tool. Statistical techniques included Analysis of Variance, Pearson's Correlation Coefficient, Spearman Rank Correlation, biserial correlation, and multiple regression. A conceptual model was tested, which posited that nursing intensity per DRG is a function of the patient's length of stay and hospital size.;Data demonstrated a significant (p $<$.000) difference in mean nursing intensity per DRGs. A weak positive relationship (p $<$.001) was demonstrated for DRG 121 nursing intensity and length of stay. Data for DRG 122 did not support an association (p $<$.476) of nursing intensity with length of stay. Data suggested significant nursing intensity mean differences per DRG, and hospital size. However, when the only hospital in the largest bed size group was eliminated, the findings were not significant. As proposed, data support that nursing intensity for DRG 121 is associated with a longer hospital stay and further study is needed to support that bed size has an effect on nursing intensity. Multiple regression test findings further supported that length of stay may be associated with nursing intensity for DRG 121 (p $<$.001) but probably not for DRG 122 (p $<$.476). The nurse administrator could utilize this data in the formulation of strategies for resource efficiency.
机译：10年前，1983年通过并实施了《税收公平和财政责任法案》（TEFRA，PL 97-248），护士们研究了护理对医疗服务体系的经济贡献。护理强度是医院护理实践不可或缺的一部分；因此，建立和记录护理贡献的一种方法是研究每个DRG的护理强度并针对每个特定患者组制定护理策略。本论文分析并描述了DRG 121和122之间的护理强度差异，住院时间，和医院规模。样本数据来自1986 Medicus Corporation成本研究。样本包括702名患者，他们出院了DRG 121和122码，来自6个HCFA地区的19家医院，这些患者自愿报告数据。护理强度数据由Medicus Corporation使用Medicus V型患者分类工具收集。统计技术包括方差分析，Pearson相关系数，Spearman等级相关，双序列相关和多元回归。测试了一个概念模型，该模型假定每个DRG的护理强度是患者住院时间和医院规模的函数。数据表明，每个DRG的平均护理强度存在显着差异（p $ <。000）。结果表明，DRG 121的护理强度和住院时间呈弱的正相关（p <.001）。 DRG 122的数据不支持护理强度与住院时间的关联（p $ <。476）。数据表明，每个DRG的护理强度均值和医院规模均存在显着差异。但是，当淘汰了床位最大的一组中唯一的一家医院时，发现并不重要。如所提出的，数据支持DRG 121的护理强度与更长的住院时间相关联，需要进一步研究以支持床的大小对护理强度产生影响。多项回归测试结果进一步证明，DRG 121的住院时间长短可能与护理强度有关（p <.0.001），但DRG 122的护理强度可能不高（p。<。476）。护士管理员可以在制定资源效率策略时利用这些数据。

著录项

  • 作者

    Hansen, Phyllis Jean.;

  • 作者单位

    George Mason University.;

  • 授予单位 George Mason University.;
  • 学科 Nursing.;Health care management.
  • 学位 Ph.D.
  • 年度 1993
  • 页码 135 p.
  • 总页数 135
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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