摘要
目的:研究基于医院信息系统建立的手术室外科护理管理信息平台对脑胶质瘤手术患者管理质量的影响。方法:选取医院收治的98例脑胶质瘤手术患者,按照手术室外科护理管理信息平台应用前后进行分组,将2016年12月至2017年12月平台使用前收治的50例脑胶质瘤手术患者纳入对照组,将2018年1月至2018年12月平台使用后收治的48例脑胶质瘤手术患者纳入观察组。采用自制"外科护理质量调查问卷"对手术室护理质量评分进行评价,采用欧洲癌症研究和治疗组织(EORTC)编制的癌症患者生活质量核心问卷(QLQ-C30)量表对患者术后生活质量进行评价;对比分析两组医疗风险率、医疗纠纷率、患者满意度及术后并发症发生率。结果:观察组的护理质量评分均高于对照组,两组比较差异有统计学意义(t=13.899,P<0.05);观察组的医疗风险率和医疗纠纷率均低于对照组,患者满意度高于对照组,两组比较差异有统计学意义(x^2=7.867,x^2=5.145,x^2=16.793;P<0.05);观察组的术后并发症发生率低于对照组,两组比较差异有统计学意义(x^2=4.024,P<0.05);观察组的躯体功能、角色功能、情绪功能、认知功能及社会功能评分高于对照组,两组比较差异有显著统计学意义(t=5.897,t=2.563,t=4.066,t=4.475,t=6.329;P<0.05)。结论:基于医院信息系统建立的手术室外科护理管理信息平台可提高手术室护理质量,降低医疗风险;亦可提高脑胶质瘤手术患者的管理质量,避免术后并发症的发生,促进和改善患者生活质量。
Objective: To explore and analyze the impact of nursing management information platform based on hospital information system(HIS) on the management quality of patients who underwent glioma surgery. Methods: 98 patients who underwent glioma surgery in hospital were selected. And according to pre and post application of this platform, they were divided into control group(50 patients pre application of this platform during December 2016 and December 2017) and observation group(48 patients post application of this platform during January 2018 and December 2018). The self-made "Surgical Nursing Quality Questionnaire" was used to implement evaluation for nursing quality scores of operating room, and quality of life questionnaire-cancer 30(QLQ-C30) scale of patients with cancer that was compiled by European Organization for Research on Treatment of Cancer(EORTC) was adopted to implement evaluation for life quality of patients post operation. And the medical risk rate, medical dispute rate, patient satisfaction and incurrence of postoperative complications of two groups were compared and analyzed. Results: The score of quality care of observation group was significantly higher than that of control group,(t=13.899, P<0.05). The medical risk rate and medical dispute rate of observation group were significantly lower than those of control group, while the satisfaction of patients of observation group was significantly higher than that of control group(x^2=7.867, x^2=5.145, x^2=16.793, P<0.05), respectively. The incidence of postoperative complications of observation group was significantly lower than that of control group(x^2=4.024, P<0.05). The scores of physical function, role function, emotional function, cognitive function and social function of observation group were significantly higher than those of control group(t=5.897, t=2.563, t=4.066, t=4.475, t=6.329, P<0.05), respectively. Conclusion: The information platform of surgical nursing management of operating room on the basis of HIS can improve the quality of nursin
作者
丁相瑜
杨光
刘畅
王永余
DING Xiang-yu;YANG Guang;LIU Chang(The Room of Surgery,First Affiliated Hospital of Harbin Medical University,Haerbin 150001,China)
出处
《中国医学装备》
2020年第4期127-131,共5页
China Medical Equipment
基金
国家自然科学基金(81572482)“GSCTSLs调控组蛋白H3K27和H3K4甲基化诱导胶质瘤细胞去分化增强肿瘤表型异质性”。
关键词
医院信息系统
手术室
外科护理管理信息平台
脑胶质瘤
管理质量
Hospital information system (HIS)
Operating room
Information platform of surgical nursing management
Glioma
Management quality
