人乳库智能信息管理系统的构建及应用研究

doi:10.3761/j.issn.0254-1769.2021.02.005

摘要/Abstract

摘要：

目的构建人乳库智能信息管理系统,建立连接人乳捐赠者、管理者、受捐者三方的管理运行信息化平台,规范并优化流程,探索适合中国国情的人乳库管理方法。方法构建人乳库智能信息管理系统,包括5个功能模块：捐赠者信息导入、需乳信息录入、捐赠人乳出入库信息管理、不良事件追踪、统计分析。比较系统应用前2019年7月—8月与系统应用后2019年10—12月工作人员效率、不良事件发生例数及母乳喂养率。结果人乳库智能信息管理系统应用前后捐赠人乳进入临时库的平均操作时间由8 min/份降至2 min/份,出库的平均操作时间由5 min/份降至1 min/份;人乳库工作人员每日计算捐赠人乳用量的耗时由每日1 h变成系统自动生成;人乳信息回溯操作时间由应用前的耗时1.5 h/人变为系统自动关联信息;捐赠人乳发放错误或捐赠人乳储存临近过期的不良事件由应用前的3例降至应用后的0例。系统应用前后母乳喂养率由65.11%上升至69.74%,差异具有统计学意义（ χ ²=12.55,P<0.001）。结论人乳库智能信息管理系统可帮助医护人员优化操作流程,保障捐赠人乳喂养安全,提高新生儿重症监护病房母乳喂养率。

关键词: 人乳库, 信息系统, 母乳喂养, 新生儿重症监护病房, 儿科护理学

Abstract:

Objective To construct an intelligent information management system of donor human milk bank,to establish a management information platform connecting of human milk donors,managers and recipients,to standardize and optimize the process,and to explore suitable human milk bank management methods suitable for China's national conditions. Methods From October 2017 to November 2019,the information management system of human milk bank was constructed including the following 5 functional modules,namely importing donor information,inputting milk information,managing donors' milk in and out,tracking adverse events,statistical analysis. The staff efficiency,the number of error events and breastfeeding rates were compared between July to August 2019 before the system application and October to December 2019 after the system application. Results Before and after the application of the management system of the donor human milk bank,the average operation time of the donor milk input for storage was reduced from 8min/portion to 2min/portion,and the average operation time of the donor milk out from the storage was reduced from 5min/portion to 1min/portion. The daily calculation of milk consumption by the staff was also changed from 1h daily to be automatically generated by the system. The backtracking time of milk source information was changed from 1.5h/person before application to automatic system correlation. The incidence of adverse events due to mis-delivery or near shelf life of donor milk decreased from 3 cases before application to 0 after application. The breastfeeding rate before and after system application increased from 65.11% to 69.74%,and the difference was statistically significant（χ ²=12.55,P<0.001）. Conclusion The intelligent information management system of human milk bank can help health care professionals to optimize the operation process,ensure the safety of donor human milk breastfeeding,and improve the breastfeeding rate in neonatal intensive care unit.

Key words: Human Milk Bank, Information System, Breastfeeding, Neonatal Intensive Care Unit, Pediatric Nursing

吴菠, 李秋芳, 伊胜月, 林蓉, 上官雪军, 张瑞, 王华. 人乳库智能信息管理系统的构建及应用研究[J]. 中华护理杂志, 2021, 56(2): 189-193.

WU Bo, LI Qiufang, YI Shengyue, LIN Rong, SHANGGUAN Xuejun, ZHANG Rui, WANG Hua. The construction and application of intelligent information management system for donor human milk bank[J]. Chinese Journal of Nursing, 2021, 56(2): 189-193.

图/表 1

参考文献 16

[1]	Lehman IM, Broers B, Czosnykowska-ukacka M,et al. Donor human milk in neonatal intensive care unit—to whom,how much and how long[J]. Ginekol Pol, 2019,90(9):534-538.
[2]	Baer E, Marguiles L . Infant and young child feeding:an analysis of the WHO/UNICEF meeting[J]. Stud Fam Plan, 1980,11(2):72.
[3]	Gartner LM, Morton J, Lawrence RA , et al. Breastfeeding and the use of human milk[J]. Pediatrics, 2012,129(3):e827-e841.
[4]	Hampson G, Roberts SLE, Lucas A , et al. An economic analysis of human milk supplementation for very low birth weight babies in the USA[J]. BMC Pediatr, 2019,19:337.
[5]	Miller J, Tonkin E, Damarell R , et al. A systematic review and meta-analysis of human milk feeding and morbidity in very low birth weight infants[J]. Nutrients, 2018,10(6):707.
[6]	李秋芳, 王华, 柳珍月 , 等. 极低和超低出生体重儿舌下黏膜涂抹亲母初乳的免疫效果研究[J]. 中华护理杂志, 2018,53(12):1424-1428.
	Li QF, Wang H, Liu ZY , et al. The immune effects of mother colostrum daub by sublingual mucosal method in very low and extremely low birth weight infants[J]. Chin J Nurs, 2018,53(12):1424-1428.
[7]	WHO/UNICEF. International code of marketing of breast milk substitutes:principal provisions[J]. Indian J Pediatr, 1900
	48(394):563-564.
[8]	Brownell EA, Lussier MM, Herson VC , et al. Donor human milk bank data collection in north America an assessment of current status and future needs[J]. J Hum Lact, 2014,30(1):47-53.
[9]	中国医师协会儿童健康专业委员会母乳库学组. 中国大陆地区人乳库运行现状分析[J]. 中华儿科杂志, 2017,55(8):597-601.
	Breast milk bank research group of child health professional committee of Chinese Medical Doctor Association. Characteristics of the Chinese human milk banks' operation[J]. Chin J Pediatr, 2017,55(8):597-601.
[10]	李秋芳, 王华, 徐鑫芬 . 危害分析和关键控制体系在NICU母乳安全管理中的应用[J]. 中国实用护理杂志, 2018,34(29):2297-2300.
	Li QF, Wang H, Xu XF . Application of hazard analysis and critical control system in the safety management of NICU human milk[J]. Chin J Pract Nurs, 2018,34(29):2297-2300.
[11]	Israel-Ballard K . Strengthening systems to ensure all infants receive human milk:integrating human milk banking into newborn care and nutrition programming[J]. Breastfeed Med, 2018,13(8):524-526.
[12]	何英剑, 李晓婷, 李金锋 , 等. 大数据时代信息化管理平台在医院专科建设中的价值[J]. 中国医院管理, 2017,37(3):64-65.
	He YJ, Li XT, Li JF , et al. Value of informationization management platform on hospital specialty construction in the era of big data[J]. Chin Hosp Manag, 2017,37(3):64-65.
[13]	魏丽, 朱凤, 黄晨 , 等. NICU母乳喂养闭环信息化管理系统的开发及应用[J]. 中华护理杂志, 2019,54(6):891-895.
	Wei L, Zhu F, Huang C , et al. Development and application of closed-loop information management system for breastfeeding in NICU[J]. Chin J Nurs, 2019,54(6):891-895.
[14]	范辉 . 《中国妇女和儿童发展纲要(2011-2020年)》中期中国内地婚前医学检查工作现状分析[J]. 中国妇幼保健, 2018,33(11):2401-2403.
	Fan H . An analysis of the status quo of premarital medical examination in the Chinese mainland in the middle of program for the development of Chinese women and children(2011-2020)[J]. Matern Child Heal Care China, 2018,33(11):2401-2403.
[15]	李琳琳, 连冬梅, 孙静 . NICU母乳和配方乳喂养管理的现况调查[J]. 中华护理杂志, 2018,53(10):1199-1205.
	Li LL, Lian DM, Sun J . A survey on the management of breast milk and formula feeding in NICU[J]. Chin J Nurs, 2018
16	53(10):1199-1205.
[16]	王丹华 . 推进中国人乳库建设提高早产儿的生存与健康水平[J]. 中华儿科杂志, 2017,55(8):561-563.
	Wang DH . Promote the construction of human milk bank in China to improve the survival and health of premature infants[J]. Chin J Pediat, 2017,55(8):561-563.