智能排泄护理系统对重症患者照护影响的质性研究  

Qualitative study on the impact of intelligent excretion care systems on nursing practices for critically ill patients

作　　者：殷召敏 何满兰 李景宇 吕燕[1] Yin Zhaomin;He Manlan;Li Jingyu;LüYan(Department of Neurosurgery,Nanjing Drum Tower Hospital,The Affiliated Hospital of Nanjing University Medical School,Nanjing 210008,China)

机构地区：[1]南京大学医学院附属鼓楼医院神经外科,江苏南京210008 [2]南京中医药大学护理学院

出　　处：《护理学杂志》2024年第24期65-68,共4页Journal of Nursing Science

基　　金：南京大学中国医院改革发展研究院课题项目(NDYG2021017);国家重点研发计划课题“重症护理智能机器人系统方案设计”项目(2021YFC0122701,HLJQRS_2023A02);2024年江苏科技智库计划(青年)项目(JSKX24028)。

摘　　要：目的了解智能排泄护理系统对重症患者临床护理实践的影响,为推动康复护理智能化发展提供参考。方法2024年3-5月,采用描述性研究方法,对使用过智能排泄护理系统的12名护士进行半结构式访谈,采用内容分析法进行资料分析。结果共提炼出3个主题:智能排泄护理系统能减轻护理工作负担(减轻护理工作压力、缓解护士身心压力),护士使用智能护理排泄系统存在的问题(系统性风险、对传统照护模式的挑战),护士对于功能完善的需求(清晰直观的可视化特性、持续优化舒适质感、实现便捷与精准的融合)。结论智能排泄护理系统在减轻护理人员体力负担方面发挥着积极作用,使用中需以患者为中心,提高安全可靠性,准确量化临床监测指标,继续优化排泄护理系统,满足患者需求。Objective To explore the impact of intelligent excretion care systems on nursing practices for critically ill patients and provide insights for the advancement of intelligent rehabilitation nursing.Methods A descriptive qualitative study was conducted from March to May 2024,involving semi-structured interviews with 12 nurses who had experience with intelligent excretion care systems.Data were analyzed using content analysis method.Results Three main themes emerged:(1)reduction in nursing workload(including decreased work stress and alleviation of physical and mental strain on nurses);(2)risks associated with the system′s use(including systemic risks and challenges to traditional care models);(3)nurses′needs for system enhancement(such as a clear and intuitive interface,continuous comfort optimization,and the integration of convenience with precision).Conclusion The intelligent excretion care system positively reduces the physical burden on nurses.During its use,patient-centered adjustments are needed to achieve such aims as enhancing safety and reliability,precisionly quantifing clinical monitoring metrics,and further optimizing the system to meet patient needs.

关 键 词：重症患者 智能排泄护理系统 工作负担 舒适度 安全性 生活质量 基础护理 质性研究 

分 类 号：R471[医药卫生—护理学]