低血糖护理决策支持系统的设计及应用

目的设计低血糖护理决策支持系统,并探讨其在临床实践中的应用效果。方法基于知识库型网络架构建立低血糖护理决策支持系统,开发智能录入、智能提醒、辅助决策等功能。比较系统应用前(2018年1月—3月)和应用后(2018年10月—12月)住院患者的低血糖再次发生率、低血糖护理记录完整率;2019年3月发放自行设计的满意度调查问卷,调查117名护士对系统的满意度。结果低血糖护理决策支持系统应用后,低血糖再次发生率由7.05%降低到3.33%,差异具有统计学意义(χ²=8.253,P=0.004),低血糖护理记录完整率由68.17%提高到94.23%,差异具有统计学意义(χ²=137.303,P<0.001),回收的117份问卷中,各维度均分超过2.50分,护士对系统整体满意度较高。结论低血糖护理决策支持系统可以降低低血糖再次发生率,提高临床护理文书记录质量,提高护士工作效率,增加护士满意度。

Design and application of hypoglycemia nursing decision support system

Objective To construct a hypoglycemia nursing decision support system and to explore its application in clinical practice. Methods This study firstly established a nursing decision support system of hypoglycemia,and realized functions such as intelligent entry,intelligent reminding,and assistant decision making. The medical records before the application of the system（from January to March 2018） and after it（from October to December 2018） were selected to compare the incidences of hypoglycemia and the completion of nursing documents. 117 nurses were enrolled to investigate their satisfaction with the system by self-designed satisfaction questionnaires. Results After applying the hypoglycemia nursing decision support system,the recurrence rate of hypoglycemia decreased from 7.05% to 3.33%,and the difference was statistically significant（χ ²=8.253,P=0.004）. The completion rate of nurses’ documents increased from 68.17% to 94.23%,and the difference was statistically significant （χ ²=137.303, P<0.001）. 117 questionnaires were collected,and the average score for each dimension was over 2.50. The results showed that nurses were more satisfied with the overall system. Conclusion The establishment of a hypoglycemia nursing decision support system can reduce the recurrence rate of hypoglycemia,improve the quality of clinical nursing documents and the efficiency of clinical nurses,and increase the satisfaction of nurses.