Abstract: Objective To develop a simple judgment card for nursing care level classification for home-stayed stroke patients,in order to lay the foundations for nurses in the community health service centers to provide professional care services for home-stayed stroke patients. Methods Nursing classification evaluation indicator system for home-stayed stroke patients was adopted by the research group to comprehensively evaluate 210 stroke patients. The analytic hierarchy process and weighted rank sum ratio method were used to explore the classification of nursing grades in stroke patients. Results The regression equation constructed by the weighted rank sum ratio method is Y=0.807 1-0.060 8 × probit. 66 cases were classified as the first-level nursing care,31 in the second-level nursing care,32 in the third-level nursing care,and 81 in the fourth-level nursing care. Conclusion The simple judgment card for classification of nursing care level for home stayed stroke patients is science-based and convenient,and it has strong practical significance in reasonable allocation of community health human resources to meet the professional care needs of home-stayed stroke patients.

Key words: Home, Stroke, Nursing Level, Simple Judgment Card, Weighted Rank Sum Ratio, Nursing Administration Research

摘要： 目的 研制居家脑卒中患者护理等级简易判定卡,为社区卫生服务中心开展对居家脑卒中患者护理等级划分及其专业化照护服务提供依据。 方法 利用前期研制的居家脑卒中患者护理分级评估指标体系,综合评估210例居家脑卒中患者,采用层次分析法和加权秩和比法探索居家脑卒中患者护理等级划分方式。 结果 加权秩和比法构建的回归方程为Y=0.807 1-0.060 8 × probit,需要进行一、二、三、四级护理的居家脑卒中患者的例数分别为66例、31例、32例和81例,进而形成居家脑卒中患者专业医疗照护相关症状、自理能力、神经功能、社会支持与心理状态的四级型护理等级简易判定卡。 结论 居家脑卒中患者护理等级简易判定卡科学合理、操作便捷,可指导合理分配社区卫生人力资源,满足居家脑卒中患者的专业化照护需求。

关键词: 居家, 脑卒中, 护理等级, 简易判定卡, 加权秩和比, 护理管理研究