医疗信息云平台用于日间手术管理的价值  

Value of cloud medical health information platform for management of day surgery

作　　者：冯通慧 李雨珈 龚磊 费科锋[2] 黄美 刘艳 张玲 卢星[1] 徐鹏 夏燕飞[1] 王红梅[1] Feng Tonghui;Li Yujia;Gong Lei;Fei Kefeng;Huang Mei;Liu Yan;Zhang Ling;Lu Xing;Xu Peng;Xia Yanfei;Wang Hongmei(Department of Anesthesiology,Zhejiang Hospital,Hangzhou 310013,China;Department of Information System,Zhejiang Hospital,Hangzhou 310013,China)

机构地区：[1]浙江医院麻醉手术部,杭州310030 [2]浙江医院信息中心,杭州310030

出　　处：《中华麻醉学杂志》2020年第10期1251-1254,共4页Chinese Journal of Anesthesiology

基　　金：浙江省医药卫生重大科技计划重点项目(WKJ-ZJ-1708)。

摘　　要：目的评价医疗信息云平台用于日间手术管理的价值。方法择期妇科日间手术患者,年龄≥18岁、ASA分级Ⅰ或Ⅱ级,采用随机数字表法分为2组:云平台管理组(P组)和传统管理组(C组)。P组采用医疗信息云平台辅助管理,患者宣教及随访均在云平台完成;C组采用医护口头宣教、发放宣教材料及电话随访。于手术日晨,采用问卷法确定宣教效果评分;采用焦虑自评量表确定术前焦虑程度评分;测量血压及心率,计算手术日较门诊日水平的变化率。记录日间手术延迟-取消、术后24 h随访、术后并发症发生及患者主动反馈的情况;记录医护围术期宣教时间及随访时间。结果本研究共纳入226例妇科日间手术患者。与C组(n=113)比较,P组(n=113)术前宣教效果评分升高,术前焦虑程度评分、血压变化率降低,手术延迟-取消率显著降低(6.2%/0)(P<0.05);术后随访率及并发症发生率差异无统计学意义(P>0.05),而术后主动反馈率明显升高,医护围术期宣教时间及随访时间明显缩短(P<0.05)。结论医疗信息云平台不仅可改善围术期宣教和术后随访的质量,还可提高其效率,对完善日间手术管理具有显著的临床价值。Objective To evaluate the value of cloud medical health information platform for management of day surgery.Methods The patients,aged≥18 yr,of American Society of Anesthesiologists physical statusⅠorⅡ,scheduled for elective gynecological day surgery,were divided into 2 groups using a random number table method:cloud platform management group(group P)and conventional management group(group C).In group P,the cloud medical health information platform was used to assist patient management,and patient education and follow-up both were completed on the cloud platform.In group C,medical staff carried out patient management through oral health education,leaflets and telephone follow-up.On the morning of the operation day,questionnaires were given out to patients to evaluate the effect of patient education which were scored;Self-rating Anxiety Scale was used to evaluate preoperative anxiety;blood pressure and heart rate were measured,and the changing rate between the operation day and the outpatient day was calculated.The day surgery delays-cancellations,follow-up of 24 h after operation,postoperative complications and active feedback of patients were recorded.The time spent on patient education by medical staff during the perioperative period and follow-up time were recorded.Results Two hundred and twenty-six patients undergoing elective gynecological day surgery were enrolled in this study.Compared with group C(n=113),the score for the effect of patient education was significantly increased,the score for preoperative anxiety and changing rate of blood pressure were decreased,the rate of surgery delays-cancellations was decreased(6.2%/0)(P<0.05),no significant change was found in the rate of postoperative follow-up and incidence of complications,the rate of postoperative active feedback was increased,and the time spent on patient education by medical staff during the perioperative period and follow-up time were shortened in group P(n=113)(P<0.05).Conclusion The cloud medical health information platform can not only

关 键 词：门诊外科手术 病人医护管理 病人教育 随访研究 云平台 

分 类 号：R197.32[医药卫生—卫生事业管理]