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

摘要：

目的 开发皮瓣移植术后血管危象识别与防控管理信息系统,探讨其在皮瓣移植患者血管危象预防和护理管理中的应用效果。方法 成立研究开发小组,构建皮瓣移植术后血管危象识别与防控管理信息系统,包括患者添加及基本信息录入、皮瓣标注、皮瓣观测、危象预警、病案归档5个模块。2019年12月正式在临床应用,比较系统应用前后皮瓣移植患者早期血管危象发现率及皮瓣成活率等指标,调查医护人员的满意度。结果 应用皮瓣移植术后血管危象识别与防控管理信息系统后,患者早期血管危象发现率由33.33%上升至92.31%,差异有统计学意义（P=0.007）;血管危象发生率由8.18%上升至10.24%,皮瓣成活率由94.55%上升至99.21%,差异无统计学意义（P=0.587、P=0.083）。结论 皮瓣移植术后血管危象识别与防控管理信息系统,能为护士提供准确、客观的决策依据,提高皮瓣早期血管危象发现率,有助于进一步确保患者安全。

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