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重症患者早期运动信息系统的设计及应用

Application and safety management of the early mobilization information system in severe patients
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摘要 目的通过重症患者早期运动信息系统的设计及应用,促进重症患者早期运动的有效实施,保证患者安全。方法设计开发重症患者早期运动信息系统,应用于2019年1月—6月入住ICU的重症患者早期运动过程中。采用历史性对照研究的方法,比较使用信息系统前后运动相关不良事件发生率、非计划中断率、异常情况得到处理的时间和护士对早期运动的满意度。结果应用早期运动信息系统后,降低了重症患者运动相关不良事件(心律失常、血压升高、管道滑脱)的发生率(P<0.05),降低了早期运动非计划中断率(P<0.05),缩短了运动过程中异常问题得到处理的时间(P<0.001),提高了护士对重症患者开展早期运动工作的满意度(P<0.001)。结论重症患者早期运动信息系统的应用,使重症患者早期运动能够更加规范、有效的实施,保证了患者的安全,提高了护士的工作满意度。 Objective The present study aims to apply early mobilization information system to promote the effective implementation of early mobilization and ensure safety in severe patients.Methods We designed and developed the early mobilization information system.Then we evaluated the effects of this information system application during the implementation of early mobilization in severe patients from January to June 2019.Results After the application of this information system,the incidence of mobilization related adverse events(arrhythmia,blood pressure elevation and catheter slippage)was decreased(P<0.05),as well as the incidence of unplanned interruption of early mobilization(P<0.05).The time of dealing with abnormal problems during mobilization was shortened(P<0.001).The job satisfaction of nurses was improved(P<0.001).Conclusion The application of early mobilization information system in severe patients could promote the effective and standardized implementation of early mobilization,and ensure the safety of patients and improve the job satisfaction of nurses.
作者 潘春芳 窦英茹 朱庆捷 郭凌翔 宋静 陈巧平 PAN Chunfang;DOU Yingru;ZHU Qingjie;GUO Lingxiang;SONG Jing;CHEN Qiaoping
出处 《中华急危重症护理杂志》 2020年第3期234-237,共4页 Chinese Journal of Emergency and Critical Care Nursing
基金 扬州市社会发展—面上项目(YZ2017094)
关键词 重症患者 早期运动 信息系统 安全管理 Severe Patients Early Ambulation Information System Safety Management
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