静脉血栓栓塞症患者护理随访系统的设计与应用  

Design and application of a nursing follow-up system for patients with venous thromboembolism

作　　者：柳小琳 潘红英[1] 徐亦虹 吴觅之 朱红芳[3] 徐凌丽[2] 徐虹霞[2] 程丽丽[1] Liu Xiaolin;Pan Hongying;Xu Yihong;Wu Mizhi;Zhu Hongfang;Xu Lingli;Xu Hongxia;Cheng Lili(Nursing Department,Sir Run Run Shaw Hospital Affiliated to Zhejiang University School of Medicine,Hangzhou 310016,China)

机构地区：[1]浙江大学医学院附属邵逸夫医院护理部,浙江杭州310016 [2]浙江大学医学院附属邵逸夫医院普外科,浙江杭州310016 [3]浙江大学医学院附属邵逸夫医院骨科,浙江杭州310016

出　　处：《护理学杂志》2021年第9期83-86,共4页Journal of Nursing Science

基　　金：2019年浙江省医药卫生科技计划项目(2019ZD006)。

摘　　要：目的设计针对静脉血栓栓塞症出院患者的护理随访系统,观察并评价其应用效果。方法组建研究团队,基于护理程序设计结构化随访表单,构建静脉血栓栓塞症出院患者健康教育知识库,以医院信息系统为支撑平台构建结构化护理随访系统,于2018年1月正式投入使用,统计运行期间各质量评价指标及随访结果。结果截至2020年6月,随访静脉血栓栓塞症患者3 417例(4 783例次),静脉血栓栓塞症出院患者电话随访通话成功率为96.78%。2018~2020年30 d内因静脉血栓栓塞症或静脉血栓栓塞症相关原因再入院率由3.60%降至2.88%;患者服药依从性、用药信息了解度及对护理服务满意度逐年提高。结论基于护理程序设计的结构化护理随访系统可有效提升随访工作质量及效率,为高质量、规范化、同质化随访服务提供保障。Objective To design a nursing follow-up system for discharged patients with venous thromboembolism(VTE), and to observe and evaluate its application effects.Methods We set up a research team, designed a structured follow-up checklist based on nursing process, built a health education knowledge base for discharged patients with VTE, and developed a structured nursing follow-up system based on the hospital information system.The system was officially put into use from January 2018, and the changes of various quality evaluation indicators and follow-up results during operation were observed.Results Up to June 2020, a total of 3 417 VTE patients(4 783 case times) were followed up using the system.The successful telephone follow-up rate of the discharged VTE patients was 96.78%. From 2018 to 2020, the 30-day readmission rate because of VTE decreased from 3.60% to 2.88%, and the medication compliance, medication information understanding and nursing service satisfaction among the patients increased year by year.Conclusion The structured nursing follow-up system designed based on nursing process can effectively improve follow-up quality and efficiency, and it can provide guarantee for high-quality, standardized and homogeneous follow-up se-rvices.

关 键 词：静脉血栓栓塞症 护理随访系统 信息系统 再入院 护理服务 满意度 

分 类 号：R473.2[医药卫生—护理学]