眼科信息跟踪系统的构建及其在小儿视网膜疾病患儿照顾者中的应用  

Construction of the self-developed information tracking system and its application in caregivers of children with pediatric retina diseases

作　　者：周玲玲[1] 戈晓华[2] 何艳 严佳蓉 ZHOU Lingling;GE Xiaohua;HE Yan;YAN Jiarong(Department of Ophthalmology,Xinhua Hospital Affiliated to Shanghai Jiaotong University,Shanghai 200092,China;Department of Nursing,Xinhua Hospital Affiliated to Shanghai Jiaotong University,Shanghai 200092,China)

机构地区：[1]上海交通大学医学院附属新华医院眼科,上海200092 [2]上海交通大学医学院附属新华医院护理部,上海200092

出　　处：《护士进修杂志》2023年第14期1290-1294,共5页Journal of Nurses Training

基　　金：上海新华医院院级护理创新项目(编号:XHHLCX202001);上海新华医院护理学科人才项目(编号:HLXKRC006)。

摘　　要：目的开发患者信息跟踪系统,重塑信息支持下的眼科入院流程,探讨其在眼科患儿照顾者中的应用效果。方法基于B/S架构运用Java语言,采用MySQL数据库构建医疗信息系统,对眼科患儿的信息进行专业化管理。采用便利抽样法选取2021年2-7月入院行眼底手术的小儿视网膜疾病患儿照顾者170例作为对照组,2021年8月-2022年1月的患儿照顾者170例作为干预组。对照组遵循传统的入院流程与信息支持,干预组实施新系统下的入院流程与信息支持。采用维克森医师信任量表(WFPTS)、照顾者准备度量表(CPS)、突发性公共卫生事件心理问卷(PQEEPH)等多维度比较使用效果。结果基于信息跟踪系统的入院流程再造,使照顾者就医信任度增加、照顾者准备度提升、不良情绪反应减少,差异有统计学意义(P<0.05)。结论科学和合理的入院流程离不开信息支持,本文开发的信息系统使患者全面受益,为进一步医疗护理数字化转型提供借鉴和依据。Objective To develop the information tracking system for reengineering the ophthalmology hospital process supported by information,and explore its application effect in the caregivers of children with ophthalmic diseases.Methods Based on B/S architecture,Java language and MySQL database were used to construct the medical information system,and the information of ophthalmic children was professionally managed.By convenience sampling method,170 caregivers of children with pediatric retina disease(PRD)admitted to hospital who underwent vitrectomy from February to July 2021 were selected as the control group,another 170 caregivers from August 2021 to January 2022 were selected as the intervention group.The control group followed the traditional admission process and information support,while the intervention group followed the admission process under the new system implementation and information support.Wake Forest Physician Trust Scale(WFPTS),Caregiver Preparedness Scale(CPS),and Psychological Questionnaires for Emergent Events of Public Health(PQEEPH)were used to evaluate and compare the effectsbetween the two groups.Results The reengineering of hospital admission process based on the information tracking system increased the medical care trust,promoted caregivers readiness,and reduced adverse emotional response,and the differences were statistically significant(P<0.05).Conclusion Scientific and reasonable hospital admission process can dependent on the information support.The self-developed information tracking system benefits patients and may provide reference and basis for further health care digital transformation.

关 键 词：入院流程 信息化建设 小儿眼科 照顾者 视网膜疾患 护理 

分 类 号：R47-05[医药卫生—护理学] R473.77[医药卫生—临床医学]