DoCare重症监护信息系统中护理知识库的构建与应用

Construction and application of intensive care knowledge base in DoCare information system

目的：在DoCare重症监护信息系统中构建有特色的多媒体护理知识库系统，为重症监护室（ ICU）护理人员提供准确、快捷、有效获取护理知识和技术的最佳渠道，满足临床重症护理实践的需求。方法根据查找文献结合进一步调查了解ICU护士对重症护理知识库的具体需求，再联合相关公司共同开发重症护理知识库。结果重症护理知识库涵盖的主要内容有ICU护理管理制度、ICU护士工作职责、ICU工作流程、ICU常见操作规程、ICU常见操作并发症预防及处理、ICU常见疾病救护流程、ICU常用药物知识、ICU常用检验项目意义及护理、ICU院感防控知识、ICU常用护理评估工具及使用方法、ICU常见心律失常辨析、ICU疾病健康教育、各种护理核查表、重大突发事件应急预案、ICU护理发展新知和相关指南等，表现形式主要为文字内容及操作视频等，知识库具备搜索和定位查找等功能。结论重症监护护理知识库的建立是ICU护士获取新知识和技能的有效途径，有利于ICU护士快速准确作出临床决策，提升重症患者的安全，也有利于ICU新护士的快速成长。

Objective To construct multimedia intensive care knowledge base in DoCare information system, and provide an accurate, rapid and effective method to obtain nursing knowledge and technology for nurses to meet the needs of critical care practice. Methods The specific needs of ICU nurses in the intensive care knowledge base were investigated, and the intensive care knowledge base was constructed combined with other company. Results The main contents of intensive care knowledge base were ICU nursing management system, responsibilities of ICU nurses, ICU workflows, ICU common operating procedures, prevention and treatment of ICU common operating complications, the rescue process of ICU common diseases, knowledge of commonly used drugs in ICU, significance and nursing of common test items in ICU, prevention and control knowledge of hospital-acquired infection in ICU, commonly used nursing assessment tools in ICU and methods of use, differentiation and analysis of common arrhythmia, health education of ICU diseases, various nursing checklists, emergency plans, and ICU new knowledge and related guidelines. The text contents and operation videos were the main forms of the intensive care knowledge base, and the functions were searching, location searching and others. Conclusions The intensive care knowledge base is an effective way for ICU nurses to obtain new knowledge and skills, and make clinical decision quickly and accurately.