ICU智能电子交班系统的构建及应用研究  

The construction and application of ICU intelligent electronic handover system

作　　者：帅琴燕[1] 刘天赐 张美[1] SHUAI Qinyan;LIU Tianci;ZHANG Mei(Department of Nursing,The First of Nursng,The First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou,310003,China;不详)

机构地区：[1]浙江大学医学院附属第一医院综合监护室,杭州市310003

出　　处：《中华急危重症护理杂志》2024年第8期706-712,共7页Chinese Journal of Emergency and Critical Care Nursing

基　　金：浙江大学医学院附属第一医院护理学科建设科研专项基金(2022ZYHL022)。

摘　　要：目的构建ICU智能电子交班系统,并评价其应用效果。方法通过文献检索、问卷调查、半结构式访谈及专家论证构建ICU智能电子交班系统。于2023年1月1日—6月30日在浙江省某三级甲等医院ICU试行,通过比较系统应用前后的护士整理交班时长、床旁交班补充率、交接班评估量表来评价其运行效果。结果ICU智能电子交班系统应用后,ICU护士整理交班时长从(39.12±1.80)min缩减到(27.26±1.29)min,差异具有统计学意义(t=5.365,P<0.001);床旁交班补充率较应用前降低,且差异具有统计学意义(χ^(2)=4.481,P=0.034);护士交接班评估量表总分显著升高(Z=-6.343,P<0.001),仅促进患者参与维度得分在应用前后比较差异无统计学意义(t=-1.793,P=0.075)。结论ICU智能电子交班系统可节省护士整理交班报告的时长,减少床旁交班补充率,有利于提高护士交班效率及质量,提升护士满意度。Objective To construct an intelligent electronic handover system for intensive care unit(ICU)and evaluate its application effects.Methods Through literature search,questionnaire survey,semi-structured interview and expert reasoning,ICU intelligent electronic handover system was constructed.The trial was carried out in the intensive care unit of a Class II Grade A hospital in Zhejiang Province from January 1,2023 to June 30,2023.The operation effect was evaluated by comparing the time of nurses'preparation for shift handover,supplement rate of bedside shift handover and the shift assessment scale before and after the application of the system.Results After the application of ICU intelligent electronic handover system,the time of nurses'preparation for shift handover was decreased from(39.12±1.80)min to(27.26±1.29)min,there was significant difference(t=5.365,P<0.001).Supplement rate of bedside shift handover was lower than that before the application,and the difference was statistically significant(χ^(2)=4.481,P=0.034).The total score of the nurses'shift assessment scale was significantly increased(Z=-6.343,P<0.001),and there was no statistically significant difference in the score of the dimension of promoting patient participation before and after application(t=-1.793,P-0.075).Conclusion The ICU intelligent electronic handover system can save the time of nurses'preparation for shift report,reduce the rate of bedside shift handover supplement,improve the efficiency and quality of nurses'handover,and improve nurses'satisfaction.

关 键 词：人工智能 电子交班 信息系统 软件设计 危重病护理 

分 类 号：R47[医药卫生—护理学]