分级护理无感巡视系统的研发及应用研究

doi:10.3761/j.issn.0254-1769.2026.19.001

中华护理杂志 ›› 2026, Vol. 61 ›› Issue (19): 2597-2603.DOI: 10.3761/j.issn.0254-1769.2026.19.001

• 护理质量与安全管理专题 • 下一篇

分级护理无感巡视系统的研发及应用研究

陈霞¹(), 李雨欣², 张新月¹, 吴钰³, 邹振亚⁴, 刘霞⁵^,^*()

¹ 山东第一医科大学附属省立医院奥体院区神经内科二病区济南市 250101
² 山东第一医科大学附属省立医院奥体院区新生儿科济南市 250101
³ 山东第一医科大学附属省立医院奥体院区产房济南市 250101
⁴ 山东第一医科大学附属省立医院奥体院区麻醉与围手术期医学科一部济南市 250101
⁵ 山东第一医科大学附属省立医院护理部济南市 250021

收稿日期:2026-01-27 出版日期:2026-10-10 发布日期:2026-09-28
*通讯作者: 刘霞，E-mail：liuxia2388@163.com
作者简介:陈霞：女，硕士，主管护师，科护士长，E-mail：15168889931@163.com
第一联系人：作者贡献声明
陈霞：系统设计、需求分析、论文撰写及修改；李雨欣：问卷设计、数据收集与分析、论文撰写；张新月：文献检索、问卷调查；吴钰：系统开发及优化、问卷设计及调查；邹振亚：系统开发及优化、问卷调查、论文修改；刘霞：研究指导、项目推进、论文修改

Development and application of an unobtrusive nursing rounding system

CHEN Xia¹(), LI Yuxin², ZHANG Xinyue¹, WU Yu³, ZOU Zhenya⁴, LIU Xia⁵^,^*()

¹ Ward 2， Department of Neurology，Olympic Sports Center Campus，Shandong Provincial Hospital Affiliated to Shandong First Medical University， Jinan 250101， China
² Department of Neonatology， Olympic Sports Center Campus，Shandong Provincial Hospital Affiliated to Shandong First Medical University， Jinan 250101， China
³ Delivery Room， Olympic Sports Center Campus，Shandong Provincial Hospital Affiliated to Shandong First Medical University， Jinan 250101， China
⁴ Division 1， Department of Anesthesiology and Perioperative Medicine，Olympic Sports Center Campus，Shandong Provincial Hospital Affiliated to Shandong First Medical University， Jinan 250101， China
⁵ Department of Nursing， Shandong Provincial Hospital Affiliated to Shandong First Medical University， Jinan 250021， China

Received:2026-01-27 Online:2026-10-10 Published:2026-09-28
* Corresponding author: LIU Xia，E-mail：liuxia2388@163.com

摘要/Abstract

摘要：

目的研发分级护理无感巡视系统，并评价其应用效果，旨在推进分级护理巡视的信息化管理。方法基于近场交互技术和分级护理巡视管理需求构建系统，包括身份识别、巡视判定、巡视提醒及统计分析、运行监测与异常处置等功能。2025年12月—2026年1月，便利选取山东省济南市某三级甲等医院神经内科二病区收治的210例患者作为试验组，应用分级护理无感巡视系统进行巡视；选取神经内科一病区收治的210例患者作为对照组，使用移动护理终端进行巡视。比较两组分级护理巡视间隔时长达标率、达标护理巡视的平均间隔时长、患者体验，同时分析试验组护士在患者床旁的平均停留时长、护士对该系统的接受度。结果试验组分级护理巡视间隔时长总达标率高于对照组，试验组一级护理、二级护理达标巡视的平均间隔时长均短于对照组，试验组住院患者分级护理巡视体验问卷及其各维度的条目得分均高于对照组，差异具有统计学意义（P<0.05）。试验组护士在患者床旁的平均停留时长为19.66（17.10，25.14）s，分级护理无感巡视接受度问卷的条目得分为（4.49±0.50）分。结论应用分级护理无感巡视系统有助于提高巡视间隔时长达标率、缩短达标护理巡视的平均间隔时长，改善巡视时患者的体验，护士对该系统的接受度较高。

关键词: 分级护理, 护理巡视, 信息系统, 护理管理研究

Abstract:

Objective To develop an unobtrusive rounding system for graded nursing care and evaluate its effectiveness in supporting digital management of nursing rounds. Methods A system featuring identity recognition，round detection，reminders，statistical analysis，operational monitoring and anomaly handling was developed based on near-field interaction technology and graded nursing care requirements. From December 2025 to January 2026，210 patients from Neurology Ward 2 of a tertiary hospital in Jinan were assigned to an intervention group and received system-assisted rounds，while 210 patients from Neurology Ward 1 served as a control group and received rounds recorded using mobile nursing terminals. The groups were compared for compliance rate with required rounding intervals，mean intervals of compliant rounds，and patient experience. Bedside stay duration and nurse acceptance were also assessed in the intervention group. Results The overall compliance rate was higher in the intervention group than it in the control group. Mean intervals of compliant rounds for both level I and level Ⅱ nursing care were shorter，and the overall and dimension scores of the patient experience questionnaire were higher in the intervention group（P<0.05）. The bedside stay duration was 19.66（17.10，25.14） s，and the mean item score for nurse acceptance was（4.49±0.50）. Conclusion The application of the unobtrusive rounding system for graded nursing care may improve the compliance rate with required rounding intervals，shorten the mean intervals of compliant rounds，enhance patients’ experiences of nursing rounds，and nurses showed a high level of acceptance of the system.

Key words: Graded Nursing, Nursing Rounds, Information Systems, Nursing Administration Research

陈霞, 李雨欣, 张新月, 吴钰, 邹振亚, 刘霞. 分级护理无感巡视系统的研发及应用研究[J]. 中华护理杂志, 2026, 61(19): 2597-2603.

CHEN Xia, LI Yuxin, ZHANG Xinyue, WU Yu, ZOU Zhenya, LIU Xia. Development and application of an unobtrusive nursing rounding system[J]. Chinese Journal of Nursing, 2026, 61(19): 2597-2603.

图/表 3

表1 两组一般资料比较

Table 1 Comparison of general data between the 2 groups

表2 两组分级护理巡视间隔时长达标率比较[%，M（P25，P75）]

Table 2 Comparison of compliance rates with required nursing-round intervals by nursing care level between the 2 groups[%，M（P25，P75）]

表3 两组住院患者分级护理巡视体验问卷的条目得分比较（分，$\bar{x}\pm s$）

Table 3 Comparison of mean item scores on the Inpatient Experience Questionnaire for Graded Nursing Rounds between the 2 groups（scores，$\bar{x}\pm s$）

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分级护理无感巡视系统的研发及应用研究

Development and application of an unobtrusive nursing rounding system

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