摘要目的 研发全数字化重症患者监护系统,并将其应用于临床,实现医院ICU护理的标准化、自动化、智能化,提高医疗服务质量和工作效率,减轻护士工作量,减少护理差错,提高护理满意度.方法 利用计算机技术、现代网络通讯技术及数据库技术自行研发一套全数字化重症患者监护系统软件并应用于临床.比较应用前后护士记录监护信息所需时间、医嘱下达至执行时间比间、护理记录书写时间、患者信息数据统计的正确率和风险提示的频率及患者满意度.结果 全数字化重症患者监护系统应用后记录监护信息所需时间、医嘱下达至执行时间比间及护理记录书写时间较应用前明显缩短,差异有统计学意义(t值分别为26.354、9.632、17.252;P<0.01).全数字化系统应用后,患者信息数据统计的正确率和风险提示的频率分别为100%和98.5%,应用前分别为94.0%和76.1%,差异有统计学意义(χ2值分别为4.123、15.158;P<0.05).结论 全数字化重症患者监护系统的应用可实现自动化采集护理信息,可自动生成护理记录单,可实现信息化管理护理工作,可保护患者隐私;提高了医疗质量、工作效率,改善了护理文书的书写质量,并能为患者提供更优质的服务,提高了护理满意度.

abstractsObjective To realize the standardization, automation and intellectualization of hospital ICU nursing, improve the quality of medical service and work efficiency, reduce the workload of nurses and nursing errors, and improve nursing satisfaction, the development of digital system for monitoring patients via applied. Methods Using computer technology, modern network communication technology and database technology to develop a set of comprehensive digital patient monitoring system software by ourselves and it would be applied in clinical application. There were compared the data before and after the application in the frequency and patient satisfaction, nurse records information required time, medical orders issued to the execution time ratio, nursing record writing time, patient information statistical data accuracy and risk warning. Results Application of digital intensive patient monitoring system made recording and monitoring information required time, orders issued to the execution time ratio and nursing records short comparted before, and the differences were statistically significant (t=26.354, 9.632, 17.252;P< 0.01). Application of full digital system, patient information statistical data accuracy and risk warning frequency were 100% and 98.5%, before the application of respectively 94% and 76.1%, and the differences were statistically significant (χ2=4.123, 15.158; P<0.05). Conclusions The application of full digital critical patient monitoring system, automatic acquisition of nursing information, automatic generation of nursing records, the realization of information management and nursing work can protect the privacy of patients,improve the quality of medical care, work efficiency and the quality of nursing documents writing, and provide better service for patients and improve the nursing satisfaction.