基于信息化的高危孕产妇病情预警系统的建立与应用研究  

Establishment and application effect observation of information based early warning system for high-risk pregnant women

作　　者：夏杰 段霞 张佳男[4] 于婵 王可可 Xia Jie;Duan Xia;Zhang Jianan;Yu Chan;Wang Keke(Tongji University School College of Medicine,Shanghai 200092;Nursing Faculty,Shanghai Jian Qiao University,Shanghai 201306;Department of Nursing,the First Maternal and Infant Health Care Hospital Affiliated to Tongji University,Shanghai 201204;Surgical ICU,10th Oeople's Hospital Affiliated to Tongji University,Shanghai 200072;Department of Cardiology,Shanghai General Hospital,Shanghai 200080;Department of Respiratory and Neurology,10th People's Hospital Affiliated to Tongji University,Shanghai 200072)

机构地区：[1]同济大学医学院,上海200092 [2]上海建桥学院护理系,上海201306 [3]同济大学附属第一妇婴保健院护理部,上海201204 [4]同济大学附属第十人民医院,上海200072 [5]上海市第一人民医院心内科,上海200080 [6]Department of Respiratory and Neurology,10th People's Hospital Affiliated to Tongji University,Shanghai 200072

出　　处：《护士进修杂志》2021年第6期481-485,491,共6页Journal of Nurses Training

基　　金：国家自然科学基金(编号:71603183);上海市市级医院临床科技创新项目(编号:SHDC12020607)。

摘　　要：目的建立高危孕产妇病情预警系统,对高危孕产妇病情变化进行评估、预警、监测及有效干预,提高护士对高危孕产妇病情的早期预警和处置能力,保障母婴安全。方法选取2020年2—3月我院收治的120例高危孕产妇为研究对象,采用随机数字表法随机分为对照组和观察组各60例。对照组按照住院常规护理流程进行病情评估和处理,观察组在对照组基础上借助高危孕产妇病情预警系统,实施干预措施并进行病情监控,对患者病情变化进行前瞻管理。观察比较两组孕妇平均救治时间、平均住院时间、产科急性事件发生率、ICU转入率、胎儿宫内窘迫和新生儿窒息发生率。结果观察组应用信息化高危孕产妇病情预警系统后,患者平均救治时间、平均住院时间低于对照组(P<0.05),观察组产科急性事件发生率、胎儿宫内窘迫和新生儿窒息发生率均低于对照组(P<0.05),差异有统计学意义。观察组ICU转入率与对照组比较差异无统计学意义(P>0.05)。结论基于信息化的高危孕产妇病情预警系统的建立,提升了护士对高危孕产妇病情的早期预警能力,缩短了患者平均救治时间与住院时间,降低了产科急性事件发生率、胎儿宫内窘迫和新生儿窒息发生率,提高了产科护理工作质量。Objective Based on information technology,the early warning system of high-risk pregnant and lying in women was established to evaluate,early warn,monitor and effectively intervene the changes of high-risk pregnant women's condition,so as to improve the ability of early warning and treatment of high-risk pregnant women's condition,and ensure the safety of mothers and infants.Methods With the help of hospital information management platform,the early warning system of high-risk pregnant and lying in women was established.The system automatically screened and gave early-warning prompt for high-risk pregnant and lying in women who reached or exceeded the prescribed trigger value.According to the warning prompt,nursing staff implemented intervention measures and carried out disease monitoring,and carried out prospective management of patients'condition changes.Results After the application of information high-risk maternal condition early warning system in the observation group,the average treatment time and average hospitalization time were lower than those in the control group(P<0.05).The incidence of obstetric acute events,fetal distress and neonatal asphyxia in the observation group were lower than those in the control group(P<0.05).There was no significant difference in ICU transfer rate between the observation group and the control group(P>0.05).Conclusion The establishment of information-based early warning system for high-risk pregnant and lying in women has improved nurses'early warning ability for high-risk pregnant and lying in women's condition,shortened the average treatment time and hospitalization time of patients,reduced the incidence of acute obstetric events,fetal distress and neonatal asphyxia,and improved the quality of obstetric nursing.

关 键 词：高危孕产妇 信息化护理 病情预警系统 互联网+护理 

分 类 号：R47-05[医药卫生—护理学]