物联网技术在术后镇痛管理中的应用

Application of Internet of Things Technology in the Postoperative Analgesia Management

目的:研究移动物联网技术在术后镇痛监测管理中应用的可行性。方法:选取2014年5-11月剖宫产术后需要镇痛患者100例作为研究对象。采用随机数字表法将其分为两组,每组50例,对照组采用传统电子镇痛泵管理,观察组采用物联网移动管理。记录比较两组镇痛效果评分、报警事件处理时间及患者满意度情况。结果:两组不同时间NRS得分及术后镇痛并发症比较,差异均无统计学意义(P>0.05);观察组报警事件处理时间短于对照组,满意度评分及满意率均高于对照组,比较差异均有统计学意义(P<0.05)。结论:镇痛泵相关事件的处理及医护人员管理服务是影响术后镇痛总体满意度的重要原因,以物联网技术为基础的术后镇痛管理模式,能提高医护工作效率,使患者更满意,医师更轻松,符合新的医疗服务模式转变及时代发展的要求,值得临床推广应用。

Objective：To study the feasibility of mobile internet of things in postoperative analgesia management.Method：100 patients who needed analgesia after cesarean section from May 2014 to November 2014 were selected as the research objects.They were divided into two groups,each group had 50 patients.The control group was given analgesia management through traditional electronic analgesic pump,while the observation group was given analgesiamanagement through the mobile internet of things.The scores of analgesia,the processing time of alarm events and patients＇ satisfaction were recorded and compared between the two groups.Result：The differences in NRS scores and complications of postoperative analgesia of the two groups were not statistically significant（P〉0.05）.The processing time of alarm events of the observation group was shorter than that of the control group.The satisfaction score and satisfaction rate of the observation group were higher than those of the control group.The differences above were all statistically significant（P〈0.05）.Conclusion：The management of related events of analgesic pump and medical workers＇ management and service are the important reasons which influence the total satisfaction of postoperative analgesia.The mobile internet of things used in postoperative analgesia management can improve medical workers＇ work efficiency,enhance patients＇ satisfaction and make the doctor easier.It conforms to the requirements of the transformation of medical service mode and the development of era.It is worthy of clinical extension and application.