基于个人数字助理的产科系统构建及其在妊娠期高血压疾病患者中的应用

Construction of Obstetrics System Based on Personal Digital Assistant and Its Application in Patients with Hypertension in Pregnancy

目的构建基于个人数字助理(Personal Digital Assistant,PDA)的产科系统,并分析其在妊娠期高血压患者中的应用效果。方法PDA产科系统的移动终端程序采用C#语言,以MySQL为数据库,在NET.COMPACT FRAMEWOTK 3.5的环境下进行开发,以WinCE 5.0作为终端操作系统,采用WebService技术,同时在服务器上构建并部署互联网信息服务。选取我院收治的120例妊娠期高血压疾病患者为研究对象,对照组(n=60)给予常规干预,观察组(n=60)在对照组的基础上应用PDA产科系统,对比两组患者的干预效果。结果观察组与对照组相比,干预后收缩压及舒张压均较低,且差异有统计学意义(P<0.05);住院干预期间不良事件发生率较低,且差异有统计学意义(P<0.05);医护人员满意度较高、执行记录时间较短、产科管理质量评分较高,且差异有统计学意义(P<0.05);基础医疗、医疗安全、病房管理、医疗文化、医患关系评分均较高,且差异有统计学意义(P<0.05);日常反馈、单次业务学习、月计划、月公休、周排班、层级考试评分均较高,且差异有统计学意义(P<0.05)。结论通过构建基于PDA的产科系统并将其应用在妊娠期高血压疾病患者中,可有效地控制患者血压水平,降低住院干预期间不良反应发生率,母婴结局表现更好,产科管理水平及工作效率均明显提高,易被产科医护接受认可。

Objective To construct an obstetrics system based on personal digital assistant(PDA)and analyze its application effect in patients with hypertension in pregnancy.Methods The mobile terminal program of the PDA obstetrics system adopted C#language,took MySQL as the database,and was developed under the environment of NET.COMPACT FRAMEWOTK 3.5.The system adopted WebService technology,took WinCE 5.0 as the terminal operating system,built and deployed internet information services on the server.A total of 120 patients with hypertensive diseases during pregnancy were selected in our hospital.The control group(n=60)was given routine intervention,and the observation group(n=60)was given PDA obstetrics system on the basis of the control group.The intervention effect of the two groups of patients was compared.Results Compared with the control group,the systolic blood pressure and diastolic blood pressure in the observation group were lowerafter intervention,and the difference was statistically significant(P<0.05);the incidence of adverse events during hospitalization intervention in the observation group was relatively lower,and the difference was statistically significant(P<0.05);the observation group had higher satisfaction of medical staff,shorter recording time and higher score of obstetric management quality,with a statistically significant difference(P<0.05);the scores of basic medical care,medical safety,ward management,medical culture and doctor-patient relationship in the observation group were higher,and the difference was statistically significant(P<0.05);the observation group had higher scores in terms of daily feedback,single business learning,monthly plan,monthly vacation,weekly shift scheduling and grade examination,and the difference was statistically significant(P<0.05).Conclusion By constructing the obstetrics system based on PDA and applying it to pregnancy hypertension patients can effectively control the level of patients with blood pressure,reduce the incidence of adverse reactions during hospitalization intervention,make maternal and infant outcomes better.The level of obstetric management and work efficiency are significantly improved,easy to be accepted by obstetric care.