基层医院网格信息化管理在外科静脉血栓栓塞症预防中的应用  

Application of Grid Informatization Management in Preventing Surgical Venous Thromboembolism in Basic Hospitals

作　　者：段少华[1] 张霞[2] 杨惠荔 庞东旭 Duan Shaohua;Zhang Xia;Yang Huili;Pang Dongxu(Department of Nursing,Baodi Clinical College of Tianjin Medical University,Tianjin 301800,China;Office of Quality Control,Baodi Clinical College of Tianjin Medical University,Tianjin 301800,China;Medical Affairs Department,Baodi Clinical College of Tianjin Medical University,Tianjin 301800,China)

机构地区：[1]天津医科大学宝坻临床学院护理部,天津301800 [2]天津医科大学宝坻临床学院质量控制办公室,天津301800 [3]天津医科大学宝坻临床学院医务处,天津301800

出　　处：《医疗装备》2022年第11期147-149,共3页Medical Equipment

基　　金：天津市卫生健康科技课题(ZC20095)。

摘　　要：目的探讨基层医院网格信息化管理在外科静脉血栓栓塞症(VTE)预防中的应用效果。方法采用便利抽样法,选取2021年1-12月医院的1548例外科住院患者为研究对象,将2021年1-6月的762例患者设为对照组,2021年7-12月的786例患者设为观察组。对照组采用传统静脉血栓预防管理方案,观察组采用网格信息化管理方案,比较两组VTE风险评估率、VTE风险评估准确率、物理预防措施落实率及院内VTE发生率。结果观察组VTE风险评估率及VTE风险评估准确率均高于对照组,差异有统计学意义(P<0.05)。观察组使用间歇充气加压装置及梯度弹力压力袜的落实率均高于对照组,差异有统计学意义(P<0.05)。观察组院内VTE发生率低于对照组,差异有统计学意义(P<0.05)。结论网格信息化管理可有效提高基层医院外科VTE风险的评估率和评估准确率,利于促进患者落实VTE物理预防措施,从而可降低外科院内VTE的发生风险。Objective The application effect of grid informatization management in preventing surgical venous thromboembolism(VTE)in basic hospitals was investigated.Methods Using the convenience sampling method,1548 sur gical inpatients from January to December 2021 in the hospital were selected as the research objects,and 762 patients from January to June 2021 were set as the control group,786 patients from July to December 2021 were set as the observation group.The control group adopted traditional venous thrombosis prevention management scheme,while the observation group used grid informatization management scheme,the incidence of VTE risk assessment rate,the accuracy rate of VTE risk assessment,the implementation rate of physical prevention measures and the incidence of hospital VTE were compared between the two groups.Results The incidence of VTE risk assessment and the accuracy rate of VTE risk assessment of the observation group were both higher than those of the control group,with statistically significant differences(P<0.05).The implementation rates of using intermittent pneumatic compression devices and gradient elastic pressure socks of the observation group were both higher than those of the control group,with statistically significant differences(P<0.05).The incidence of hospital VTE of the observation group was lower than that of the control group,with statistically significant difference(P<0.05).Conclusion Grid informatization management can effectively improve the VTE risk assessment rate and the accuracy rate of risk assessment in surgical department in basic hospitals,is beneficial to improve the implementation of VTE physical preventive measures of patients,and can reduce the risk of surgical VTE in hospitals.

关 键 词：网格信息化管理 静脉血栓栓塞症 防治 基层医院 

分 类 号：R473[医药卫生—护理学]