主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2021, Vol. 21 ›› Issue (10): 1549-1553.doi: 10.3969/j.issn.1672-1756.2021.10.023

• 信息管理 • 上一篇    下一篇

失禁相关性皮炎信息化智能预防决策支持系统的构建与实践

陆秋芳 赵翠松 应燕萍 杨丽 刘红霞 马娟 黄宇   

  1. 广西医科大学第一附属医院神经内科,530021 南宁市(陆秋芳,赵翠松,马娟,黄宇);护理部(应燕萍,杨丽);老年神经内科(刘红霞)
  • 出版日期:2021-10-15 发布日期:2021-10-15
  • 通讯作者: 赵翠松,本科,主任护师,神经内科总护士长,E-mail:1147913788@qq.com
  • 作者简介:陆秋芳,硕士,主管护师
  • 基金资助:
    广西壮族自治区卫生和计划生育委员会资助项目(Z2016350)

Development and practice of incontinence associated dermatitis information intelligent prevention decision support system

LU Qiufang, ZHAO Cuisong, YING Yanping, YANG Li, LIU Hongxia, MA Juan, HUANG Yu   

  1. Neurology Department, First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, China
  • Online:2021-10-15 Published:2021-10-15
  • Contact: E-mail:1147913788@qq.com

摘要: 目的:构建失禁相关性皮炎(Incontinence Associated Dermatitis,IAD)信息化智能预防决策支持系统,探讨其应用效果。方法:组建研发小组,利用人机交互技术开发IAD信息智能化预防决策支持系统,共包含风险评估、预防和护理措施知识库、预防和护理效果评价、护理病历数据库、智能警示系统、护理质量管理6个模块。实现智能评估预警、自动推送预防措施、快速评价护理结局、智能呈现护理质量数据报表等闭环管理功能。2020年1月全院正式启用该系统,比较系统应用前后IAD预防护理措施落实率、住院患者IAD发生率和IAD护理质量数据统计时长。结果:应用IAD信息智能化预防决策支持系统后,IAD发生率由15.7%下降至6.5%(P<0.05),预防护理措施落实率由72.9%上升至90.7%(P<0.05);实施信息智能化预防决策支持系统前,科室每月统计IAD护理质量指标数据花费时长约为3?h,实施信息化管理后实现一键提取数据,无需人工统计,统计时长为0,提高工作效率。结论:IAD信息智能化预防决策支持系统能为临床护士提供最佳决策和护理思路,降低IAD发生率,提高护理质量和管理效能。

关键词: 信息智能化;失禁相关性皮炎;决策支持系统;护理质量

Abstract: Objective: To construct an information intelligent prevention decision support system for prevent Incontinence Associated Dermatitis (IAD), and explore the application effect. Methods: A research team was established to develop IAD information intelligent prevention decision support system by using human-computer interaction techniques. The system includes six modules, namely IAD risk assessment, IAD prevention and nursing measures, IAD prevention and nursing effect evaluation, nursing record, intelligent warning system and IAD nursing quality management, in order to realize intelligent assessment, early warning, and automatic push closed-loop management functions. In January 2020, the system was officially put into clinical application. The implementation rate of IAD preventive nursing measures, the incidence rate of IAD and the statistical time-consuming of IAD nursing quality data were compared before and after the application. Results: After applying the system, the incidence of IAD decreased by 15.7% to 6.5%, and the implementation rate of IAD preventive nursing measures increased by 72.9% to 90.7%, which has statistically significant differences before application (P<0.05). One-click extraction of IAD care quality data was realized. Conclusion: IAD information intelligent prevention decision support system can reduce the incidence of IAD, provides the best decision-making for clinical nurses, and improves the quality of care and management efficiency of incontinence.

Key words: information intelligence; Incontinence Associated Dermatitis; decision support system; quality of care

中图分类号: 

  • R47