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KMID : 1004620220280020198
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Clinical Nursing Research
2022 Volume.28 No. 2 p.198 ~ p.209
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Shortening of Korean Patient Classification System-1 and Classification of Nursing Care Needs
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Lee Ji-Yun
Cho Sung-Hyun
Hong Kyung-Jin
Yoon Hyo-Jeong
Sim Won-Hee
Kim Moon-Sook
Kim Young-Ju
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Abstract
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Purpose: The purpose of the study was to shorten theKorean Patient Classification System-1, KPCS-1 for predicting nursing care need level and to explore whether the patients can be clustered by their acuity and dependency.
Methods: The participants were inpatients in two surgical wards and two internal medicine wards at a teritory hospital during 14 days investigations. The KPCS-1 was evaluated once a day for all inpatients and 2,082 cases of data from a total of 411 patients were analyzed.
Results: The items were reducted from 50 items to 26 items by partial least squares analysis and expert review. Through factor analysis, it was confirmed that hygiene, diet, elimination, and exercise were categorized as dependence factors. Patients were clustered with low acuity/low dependency (average score: 7.68±2.81/1.05±1.33), high acuity/low dependency (average score: 17.20±4.15/1.94±2.40), medium acuity/high dependency (average score: 13.56±5.30/9.66±2.64) through cluster analysis. The total score of the three groups for their nursing care needs was 8.73±3.36, 19.14±5.74, and 23.24±6.31 in order, and the results showed a statistically significant difference (F=1712.12, p<.001).
Conclusion: The shortening of the KPCS-1 and the new criteria for categorizing patients according to acuity and dependence will increase clinical utility and be useful for manpower assignment criteria in detail.
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KEYWORD
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Patients, Classification, Nursing, Dependency, Acuity
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