检索历史 清除

目的:了解运营管理决策分析系统在急性心肌梗死患者便秘发生率中的作用并探讨其运作机制。方法:于2019年1—12月将运营管理决策分析系统应用到南京大学医学院附属鼓楼医院心血管内科急性心肌梗死患者便秘发生率的管理中，对比系统运营前624例患者（2018年1—12月）与运营后643例患者（2019年1—12月）便秘发生率、患者满意度和护士满意度。结果:系统运营前急性心肌梗死患者的便秘发生率、患者满意度以及护士满意度分别为5.45%（34/624）、93.59%（584/624）和81.25%（23/32），系统运营后分别为3.11%（20/643）、99.53%（640/643）和100.00%（32/32），运行前后比较差异有统计学意义（ χ2值为4.243、34.122和10.473，均 P<0.05）。 结论:运营管理决策分析系统能够帮助护理管理者动态监测护理敏感指标，督促护士执行护理举措，有效改善急性心肌梗死患者便秘发生率，值得在临床推广运用。

Objective:To understand the role of operation management decision analysis system in the incidence of constipation in patients with acute myocardial infarction (AMI) and explore its operation mechanism.Methods:From January to December 2019, the operation management decision analysis system was applied to the management of constipation rate of patients with acute myocardial infarction in Gulou Hospital Affiliated to Medical College of Nanjing University. 624 patients were selected before the operation of the system (from January to December, 2018) and 643 cases after operation (from January to December, 2019). The incidence of constipation, patient satisfaction and nurse satisfaction in patients with acute myocardial infarction (AMI) were compared between before and after the operation of the system.Results:The incidence of constipation, patient satisfaction and nurse satisfaction were 5.45% (34/624), 93.59% (584/624) and 81.25% (23/32), respectively, before and after the operation of the system, which were 3.11% (20/643), 99.53% (640/643) and 100.00% (32/32), respectively. There were significant differences before and after operation ( χ2 value was 4.243, 34.122 and 10.473, all P < 0.05). Conclusions:Operational management decision analysis system can help nursing managers to dynamically monitor nursing sensitive indicators, urge nurses to carry out nursing measures, effectively improve the incidence of constipation in patients with acute myocardial infarction, it is worth popularizing in clinical application.