多學科合作改善護士運用移動心電工作站的研究

李艷嬌　　李蓓瓊　　羅湘

[關(guān)鍵詞] 多學科合作管理模式;移動心電工作站;心電圖操作考試合格率;心電圖重做率

[中圖分類號] R471? ? ? ? ? [文獻標識碼] B? ? ? ? ? [文章編號] 1673-9701（2021）20-0166-04

Research on multidisciplinary cooperation in improving nurses' use of mobile ECG workstation

LI Yanjiao? ?LI Beiqiong? ?LUO Xiang

Department of Oncology， the People′s Hospital of Pingxiang City in Jiangxi Province， Pingxiang? ?337000， China

[Abstract] Objective To explore the multidisciplinary cooperation in improving nurses′ ability to use mobile ECG workstations. Methods A total of 100 nurses who underwent electrocardiogram examinations in a certain department of our hospital from May to December 2018 were randomly selected as the control group， and they used conventional operation mode. In addition， 100 nurses who underwent ECG examinations in this department of our hospital from May to December 2019 were randomly selected as the observation group. They underwent a multidisciplinary cooperative management model. The satisfaction of patients， the passing rate of nurses′ ECG operation examination， the rate of ECG rework， and the average time of ECG collection of the two groups were statistically analyzed. Results The satisfaction degree in the observation group was 92.0%， which was higher than that of 71.0% in the control group ， and the difference between the two groups was statistically significant （P<0.05）. The difference in the passing rate of nurses′ ECG operation examination was 98.0% in the observation group， which was higher than that of 81.0% in the control group， with statistically significant difference（P<0.05）. The ECG rework rate in the observation group was 2.0% （2/100）， which was lower than that of 19.0%（19/100） in the control group ，and the difference between the two groups was statistically significant（P<0.05）. The average time of ECG collection in the observation group was significantly shorter than that in the control group，and the difference between the groups was statistically significant（P<0.05）. Conclusion The multidisciplinary cooperative management model can effectively improve the nurses′ ability to use the mobile ECG workstation than the conventional operation model.

[Key words] Multidisciplinary cooperative management mode; Mobile ECG workstation; Pass rate of ECG operation exam; ECG rework rate

心電圖網(wǎng)絡信息系統(tǒng)采用國際DICOM 3.0標準，應用有線和無線兩種心電傳輸模式，無線心電網(wǎng)絡信息系統(tǒng)使醫(yī)院多處的心電圖機、動態(tài)心電圖系統(tǒng)、運動負荷系統(tǒng)、監(jiān)護病房及手術(shù)全程監(jiān)測過程中的心電信息，通過網(wǎng)絡平臺傳送到醫(yī)院信息管理系統(tǒng)（HIS），實現(xiàn)了心電圖申請預約、檢查、心電圖報告集中儲存和實時調(diào)閱、查詢等功能，實現(xiàn)心電圖檢查網(wǎng)絡共享[1]。本項目團隊提出多學科合作模式，用于提高心電圖檢查的精準性水平，提高護理操作和科研水平，改善實施效果，為實施心電信息網(wǎng)絡系統(tǒng)管理的醫(yī)院人員培訓提供參考，進一步減少患者誤診率，改善患者就醫(yī)體驗，現(xiàn)報道如下。