首页|基于临床需求的中医护理决策支持系统的构建与应用

基于临床需求的中医护理决策支持系统的构建与应用

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目的:构建基于临床需求的中医护理决策支持系统并评价,为中医护士在进行中医护理实践时提供科学客观的决策工具.方法:通过问卷调查收集中医护士护理服务能力提升需求,召开专家论证会讨论确定中医护理决策支持系统功能清单.开发中医护理决策支持系统并投入使用.便利选取 2023 年10月—12月九江市某三级甲等中医医院的 60 名护士为研究对象,随机分为对照组(n=30)和观察组(n=30),对照组护士使用传统中医护理模式,观察组护士实施中医护理决策支持系统辅助下的中医护理模式,比较两组护士临床决策能力、决策质量、决策效率并调查观察组护士对系统的使用体验.结果:中医护理决策支持系统包括中医操作禁忌、中医穴位定位、中药服用食忌、中医护理计划、中医健康教育5 项功能.观察组护士临床决策能力、决策质量、5 项功能决策效率均高于对照组(P<0.05),观察组护士对系统的使用体验整体评分较高.结论:基于临床需求的中医护理决策支持系统构建过程科学,可以应用于临床并辅助中医护士决策,护士对系统有良好体验.
Construction and application of Traditional Chinese Medicine Nursing Decision Support System based on clinical needs
Objective:To construct and evaluate a Traditional Chinese Medicine Nursing Decision Support System(TCMNDSS)based on clinical needs,aiming to provide scientific and objective decision support tools for nursing staff in their practice of Traditional Chinese Medicine(TCM)nursing.Methods:A questionnaire survey was conducted to collect clinical needs of TCM nurses,and an expert discussion meeting was held to determine the TCMNDSS function list.TCMNDSS was developed and put into use.A total of 60 nurses from a tertiary grade A TCM hospital in Jiujiang city from October to December 2023 were recruited as the research participants and randomly divided into a control group(n=30)and an intervention group(n=30).The nurses in the control group used the traditional TCM nursing model,and the intervention group implemented the TCM nursing model assisted by TCMNDSS.The clinical decision-making ability,decision-making quality,decision-making efficiency of the two groups of nurses were compared.The experience of the nurses in the intervention group on TCMNDSS were investigated.Results:TCMNDSS included the following functions:TCM operation taboos,TCM acupoint positioning,TCM food taboos,TCM nursing plan,and TCM health education.The clinical decision-making ability,and decision-making quality of the intervention group were higher than those of the control group(P<0.05).The decision-making efficiency of the five functions of the intervention group was higher than that of the control group(P<0.05).The intervention group scored high on the experience of using TCMNDSS.Conclusion:The construction process of TCMNDSS based on clinical needs is scientific,which can be applied in clinical practice and assist TCM nurses in making decisions,and nurses have a good experience with TCMNDSS.

decision support systemTraditional Chinese Medicine nursingclinical needs

李娜、邹红霞、冯欢、张莉、夏凤梅、黎余余

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九江市中医医院护理部,332900 江西省九江市

决策支持系统 中医护理 临床需求

江西省卫生健康委科技计划

SKJP220218379

2024

中国护理管理
卫生部医院管理研究所

中国护理管理

CSTPCD北大核心
影响因子:2.545
ISSN:1672-1756
年,卷(期):2024.24(9)