CAJ | 학술논문

　　目的探讨电子护理病历在妇科护理临床路径中的作用，为促进电子护理病历的广泛使用提供可靠依据。方法通过在实际工作中医嘱处理、护理提醒、打印及移动办公等三个方面，观察电子护理病历在妇科临床护理路径中的应用。结果电子护理病历在妇科临床护理路径中的应用充分体现了一种新的护理模式，不但有利于实现文书标准规范化管理，而且可以有效规范护理人员行为。结论电子护理病历在妇科临床护理路径中的应用，可以有效规范护理人员的行为，提高护理质量，促进护理人员与患者之间建立良好的护患关系。
　　목적탐토전자호리병력재부과호리림상로경중적작용，위촉진전자호리병력적엄범사용제공가고의거。방법통과재실제공작중의촉처리、호리제성、타인급이동판공등삼개방면，관찰전자호리병력재부과림상호리로경중적응용。결과전자호리병력재부과림상호리로경중적응용충분체현료일충신적호리모식，불단유리우실현문서표준규범화관리，이차가이유효규범호리인원행위。결론전자호리병력재부과림상호리로경중적응용，가이유효규범호리인원적행위，제고호리질량，촉진호리인원여환자지간건립량호적호환관계。
Objective To discuss the function of electronic nursing records in the clinical nursing of the gynecology and provide the enough evidences for the extensive use of the electronic medical records. Methods Observing the application of the electronic nursing record system in gynecological clinical nursing by three aspects including the prescription processing ,nursing remind ,printing and mobile work. Results The electronic nursing records show the advanced function which can achieve the standardization management , and can effectively regulate the behavior of the nurses and improve the level of nursing records writing. Conclusion The application of electronic nursing records can effectively regulate the behavior of the nurses, improve the nursing quality and establish the great relationship between the patients and the nurses.