连续性肾脏替代治疗移动护理信息系统的设计与应用

Design and Application of A Mobile Nursing Information System for Continuous Renal Replacement Therapy

目的探讨连续性肾脏替代治疗(CRRT)移动护理信息系统的设计及其应用后的效果。方法根据CRRT管理规范、CRRT工作程序和内容,设计开发医嘱文书、护理文书、记账登记、工作量登记、机器定位和CRRT数据库6个功能模块,满足临床应用。同时,比较其应用前后医嘱执行时间、护理文书书写合格率、CRRT漏记账率、工作量统计准确率、机器定位准确率、CRRT治疗数据统计完善率和医护满意率。结果构建了CRRT移动护理信息系统,系统应用后医嘱执行时间明显缩短,护理文书书写合格率、工作量统计准确率、机器定位准确率、CRRT治疗数据统计完善率和医护满意率显著高于应用前,且CRRT漏记账率显著低于应用前,各项数据比较差异有统计学意义(P<0.05)。结论CRRT移动护理信息系统实现了信息的实时交互,建立了CRRT治疗数据库,提高了工作效率,优化了管理流程,提升了医护人员满意度。

Objective To explore the design and application effects of a mobile nursing information system for continuous renal replacement therapy(CRRT).Methods Based on the CRRT management standards,CRRT work procedures,and content,a CRRT mobile nursing information system was designed and developed with six functional modules:medical order documents,nursing documents,accounting registration,workload registration,machine positioning,and CRRT database,and the system was applied in clinical practice,the execution time of medical orders,qualified rate of nursing document writing,CRRT omission rate,accuracy rate of workload statistics,accuracy rate of machine positioning,completeness rate of CRRT treatment data statistics,and satisfaction rate of medical staff before and after the application of this information system were compared.Results After the application of the CRRT mobile nursing information system,the execution time of medical orders was significantly shortened,the qualified rate of nursing document writing,accuracy of workload statistics,accuracy of machine positioning,completeness rate of CRRT treatment data statistics,and satisfaction rate of medical staff were significantly higher than before the application,and the rate of CRRT omission was significantly lower than before the application,the differences in various data comparisons were statistically significant(P<0.05).Conclusion The CRRT mobile nursing information system has achieved real-time information exchange,established a CRRT treatment database,improved work efficiency,optimized management processes,and improved the satisfaction of medical staff.