关键词: 皮瓣移植, 护理信息系统, 质量管理, 血管危象, 皮瓣成活, 围手术期护理

Abstract:

Objective To develop the management information system of recognition and prevention of flap vascular crisis,and to explore its application effect in the prevention and nursing management of the vascular crisis in patients with flap transplantation. Methods A research group of flap vascular crisis was established to construct the management information system of flap vascular crisis identification and prevention and control. The man-machine interaction technology was used to develop 5 modules,including addition of patient and basic information,flap labeling,flap observation,early warning of crisis,and nursing documents. It was officially put into clinical application in December 2019. The incidence of timely detection rate of vascular crisis,the incidence of vascular crisis,and survival rate of flap were compared before and after the application of the system. The satisfaction of medical staff was investigated. Results After the application of the information system,the timely detection rate of vascular crisis increased from 33.33% to 92.31%（P=0.007）;the incidence of vascular crisis increased from 8.18% to 10.24%（P=0.587）;the survival rate of flap increased from 94.55% to 99.21%（P=0.083）. Conclusion The interface of management information system for the recognition and prevention of flap vascular crisis is simple and easy to operate. It can provide nurses with accurate and objective decision-making basis,improve the timely detection rate of vascular crisis,and help to further ensure patient safety.

Key words: Flap Transplantation, Nursing Information Systems, Quality Management, Vascular Crisis, Flap Survival, Perioperative Nursing