CAJ | 학술논문

目的：研发眼科患者围手术期信息系统，加强护理工作的信息化管理，实现医护对信息资源的共识与共享，并探讨该信息系统的临床应用效果。方法采用方便抽样的方法选择我院2013年1~3月眼科患者围手术期信息系统应用前的1740例患者为对照组，2013年4~6月眼科患者围手术期信息系统应用后的2078例患者为观察组。对照组采用常规患者术前信息采集方法，观察组应用眼科患者围手术期信息系统对患者术前信息进行采集，该系统包括录入功能、阅览功能、统计功能。比较2组的停手术率、满意度等指标。结果眼科患者围手术期信息系统提供患者不同时期的信息收集、查询、分析功能。观察组患者停手术率低于对照组[2.69%（56/2078）比3.74%（65/1740），χ2=3.91，P＜0.05]，满意度高于对照组[96.78%（2011/2078）比91.84%（1598/1740），χ2=44.60，P＜0.01]，差异有统计学意义。2013年4~9月术前平均住院时间比2012年4~9月缩短。结论眼科患者围手术期信息系统的应用促进了护理信息的科学化及信息化的管理，值得推广应用。
목적：연발안과환자위수술기신식계통，가강호리공작적신식화관리，실현의호대신식자원적공식여공향，병탐토해신식계통적림상응용효과。방법채용방편추양적방법선택아원2013년1~3월안과환자위수술기신식계통응용전적1740례환자위대조조，2013년4~6월안과환자위수술기신식계통응용후적2078례환자위관찰조。대조조채용상규환자술전신식채집방법，관찰조응용안과환자위수술기신식계통대환자술전신식진행채집，해계통포괄록입공능、열람공능、통계공능。비교2조적정수술솔、만의도등지표。결과안과환자위수술기신식계통제공환자불동시기적신식수집、사순、분석공능。관찰조환자정수술솔저우대조조[2.69%（56/2078）비3.74%（65/1740），χ2=3.91，P＜0.05]，만의도고우대조조[96.78%（2011/2078）비91.84%（1598/1740），χ2=44.60，P＜0.01]，차이유통계학의의。2013년4~9월술전평균주원시간비2012년4~9월축단。결론안과환자위수술기신식계통적응용촉진료호리신식적과학화급신식화적관리，치득추엄응용。
Objective To research patients with ophthalmologic perioperative information systems, strengthening the information management of nursing work, achieving consensus and sharing of health care information resources, and then to explore the clinical application effects of this ophthalmologic peri- opera-tive information systems. Methods The convenient sampling method was used in the study. The control group was consisted of 1 740 patients in our hospital from January to March 2013 (before the application of ophthalmologic perioperative information systems). The observation group included 2 078 patients of the same hospital (after the application of ophthalmologic perioperative information systems). The control group adopted routine pre- operative information acquisition method, the observation group applied ophthalmologic perioperative information systems, which included input function, reading function and statistical function. The incidence rate of canceled operation and satisfaction were compared between two groups. Results Ophthalmologic peri- operative information systems provided patients with information gathering, query and analysis in different periods. The rate of the canceled operation reduced in the observation group from 3.74% (65/1 740) to 2.69% (56/2 078) in the control group, χ2=3.91, P<0.05. The satisfaction degree increased from 91.84 % (1 598/1 740) in the observation group to 96.78% (2 011/2 078) in the control group, χ2=44.60, P<0.05, the difference was statistically different. The hospitalization days from April to September in 2013 shortened compared with those of the same period in 2012. Conclusions Ophthalmologic peri- operative information systems promotes the scientific and informatization of nursing information, which is worthy of wide clinic application.