术中获得性压力性损伤护理决策支持系统的构建与应用  

Construction and application of nursing decision support system for Intraoperative Acquired Pressure Injury

作　　者：陈荣珠 叶和青 杜李兵 李成太 CHEN Rongzhu;YE Heqing;DU Libing;LI Chengtai(Operating Room,The First Affiliated Hospital,University of Science and Technology of China,Hefei,230001,China)

机构地区：[1]中国科学技术大学附属第一医院手术室,合肥市230001

出　　处：《中国护理管理》2025年第3期426-430,共5页Chinese Nursing Management

基　　金：2022年度安徽省重点研究与开发计划项目(2022e07020013)。

摘　　要：目的 :构建术中获得性压力性损伤(Intraoperative Acquired Pressure Injury,IAPI)护理决策支持系统并分析其应用效果,以期帮助护士做出更佳的护理决策,减少IAPI发生。方法 :基于指南、专家共识、团体标准推荐意见构建IAPI风险评估及预防知识库,并根据知识库构建IAPI护理决策支持系统。系统于2023年10月在安徽省某三级甲等医院手术室应用,采用便利抽样法,选取2023年1月—3月的5 423例患者为系统应用前组,2023年10月—12月的5 515例患者为系统应用后组,比较两组患者IAPI的发生率。采用随机数字表法抽取两组各200例患者进行IAPI风险评估正确率和IAPI预防措施完成率的比较,并采用便利抽样法调查104名手术室护士对系统的满意度。结果 :与系统应用前相比,系统应用后手术患者IAPI发生率由0.129%下降至0.018%(P<0.05),IAPI风险评估正确率、术前IAPI低风险及中风险患者预防措施完成率、术中IAPI预防措施完成率均升高(P<0.05),手术室护士对系统使用满意度得分为(96.73±1.96)分。结论 :IAPI护理决策支持系统可为IAPI护理提供有效决策,降低IAPI的发生率,促进IAPI护理质量的提高。Objective:To construct a nursing decision support system for Intraoperative Acquired Pressure Injury(IAPI)and evaluate its effectiveness in improving nursing decisions,reducing IAPI incidence.Methods:Based on the clinical guidelines,expert consensus,group standard recommendations,IAPI risk assessment and prevention knowledge base was established.The system was designed based on the knowledge base.The system was applied in the operating room of a tertiary grade A hospital in Anhui province in October 2023.Convenience sampling method was used to select 5423 patients from January to March 2023 as the pre application group and 5515 patients from October to December 2023 as the post application group.The incidence of IAPI was compared between the two groups.Additionally,random number table was used to randomly select 200 patients from each group to assess the accuracy of IAPI risk assessment and the completion rates of preventive measures.A survey was conducted among 104 operating room nurses to evaluate their satisfaction with the system.Results:The implementation of the system led to a significant decrease in IAPI incidence from 0.129%to 0.018%(P<0.05).The accuracy of IAPI risk assessments,and the completion rates of IAPI preventive measures showed significant improvement(P<0.05).Nurse satisfaction with the system was high,with an average score of 96.73±1.96.Conclusion:The IAPI nursing decision support system effectively aids nursing decision,reduces the occurrence of IAPI,and improves the quality of IAPI nursing care.

关 键 词：术中获得性压力性损伤 临床决策支持系统 信息系统 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]