基于信息系统的疼痛管理指标监测及效果分析  

Analysis of Monitoring Effect of Pain Management Indicators Based on Information System

作　　者：付丽萍[1] 陈肖敏[1] 朱薇[1] 俞燕[1] FU Li-ping;CHEN Xiao-min;ZHU Wei;YU Yan(Zhejiang Provincial People’s Hospital(People’s Hospital of Hangzhou Medical College))

机构地区：[1]浙江省人民医院(杭州医学院附属人民医院)

出　　处：《医院管理论坛》2021年第9期91-94,共4页Hospital Management Forum

基　　金：浙江省医药卫生科技计划项目,编号:2020KY014。

摘　　要：目的规范疼痛护理管理,促进疼痛护理质量的提高。方法基于专科质量敏感指标管理信息系统,进行疼痛敏感指标监测。对监测中发现的薄弱环节进行持续改进。纵向比较全院2016—2019年疼痛管理指标的变化趋势。结果2016—2019年全院新入院患者的疼痛部位、性质、强度评估记录规范率呈上升趋势;疼痛≥4分患者的疼痛性质符合率、强度评估符合率呈上升趋势;患者疼痛评估工具掌握率呈上升趋势,差异均有统计学意义(p<0.05)。结论疼痛管理指标监测涵盖疼痛评估、疼痛记录、疼痛处理及动态再评估、疼痛教育等疼痛管理的关键内容;基于信息系统进行敏感指标监测高效、准确、客观,值得临床借鉴。Objective To standardize pain management and improve the quality of pain nursing care.Methods Based on the information system of quality sensitive indicator management,the sensitive indicators of pain management were monitored.Continuous quality improvement was conducted on the weak links founded in the monitoring.The trends of pain management indicators from 2016 to 2019 were compared vertically.Results From 2016 to 2019,the standardized record rate of pain location,intensity,and nature assessment of new patients showed a rising trend(p<0.05);the agreement rate of pain nature and intensity in patients with pain score≥4 points showed a rising trend(p<0.05),and the rate of handling pain assessment tools in patients showed a rising trend(p<0.05).Conclusion The monitoring of sensitive indicators covers important parts of pain management,including pain assessment,recording,treatment and dynamic reassessment,and patient education.The sensitive indicator monitoring based on information system is efficient,accurate,objective and is worth applying in clinical practice.

关 键 词：疼痛 质量指标 护理敏感指标 信息系统 

分 类 号：R197.3[医药卫生—卫生事业管理]