重症监护临床信息系统在ICU护理中的应用  

Application of the Intensive Care Clinical Information System in ICU Nursing

作　　者：赵颖 ZHAO Ying(Beijing Mentougou District Hospital,Beijing 102300,P.R.C)

机构地区：[1]北京市门头沟区医院,北京市102300

出　　处：《中国数字医学》2020年第10期143-144,127,共3页China Digital Medicine

基　　金：北京市门头沟区医院一般科研项目(编号:Z161100000516206)。

摘　　要：目的:分析重症监护临床信息系统在重症监护室(ICU)中的应用价值。方法:选择2017年2月至2018年11月我院ICU收治的重症患者360例作为研究对象,随机分为干预组与对照组各180例,分别给予重症监护临床信息系统护理与常规护理,对比两组护理效果。结果:干预组每24h病情记录时间、观察项维护时间、出入量维护时间及核对确认医嘱时间均低于对照组(P<0.05)。干预组每24h病情记录差错率、观察项维护差错率、出入量维护差错率及核对确认医嘱差错率均低于对照组(P<0.05)。结论:重症监护临床信息系统用于重症监护室护理,能够缩短护理记录时间,降低护理差错率,提高护理工作质量。Objective:To analyze the application value of clinical information system in intensive care unit(ICU).Methods:A total of 360 critically ill patients in ICU of our hospital from February 2017 to November 2018 were selected as the research objects and randomly divided into the observation group and the control group with 180 cases.The patients were given intensive care clinical information system nursing and routine nursing respectively.The nursing effect of the two groups was compared.Results:The time of condition record,maintenance of observation items,maintenance time of entry and exit volume and time of checking and confirming doctor’s orders in the study group were lower than those in the control group every 24 hours(P<0.05).The error rate of medical record,observation maintenance,access maintenance and check-up confirmation in the study group were lower than those in the control group every 24 hours(P<0.05).Conclusion:The application of ICUclinical information system in ICUnursing can reduce nursing record time,reduce nursing error rate and significantly improve the quality of nursing work.

关 键 词：重症监护临床信息系统 重症监护室 重症患者 护理 

分 类 号：R319[医药卫生—基础医学] R472.9