Abstract:

Objective To develop a risk assessment system for pelvic fracture patient and explore its application effectiveness in improving nursing quality. Methods A research and development team was formed in February 2022. The content of the pelvic fracture patient risk assessment system was determined after literature review，expert consultation，and clinical pre-testing. An intelligent assessment system was developed，and applied to the clinical practice in October 2022. Using the convenience sampling method，412 pelvic fracture patients hospitalized in the Department of Trauma and Orthopaedics of a tertiary A hospital in Foshan from October 2022 to September 2023（after the system implementation） were taken as a test group，while 386 pelvic fracture patients hospitalized from October 2021 to August 2022（before the system implementation） were taken as a control group. Differences in the incidence of resuscitation，the mortality rates，hospitalization duration，and scores on the Nurse-Physician Collaboration Scale were compared between the 2 groups，and the satisfaction of healthcare nurses with the use of the system was assessed. Results 5 cases（1.21%） of resuscitation occurred in the test group and 36 cases（9.33%） in the control group；1 case（0.24%） of death occurred in the test group and 11 cases（2.85%） in the control group. The hospitalization duration of the test group was（16.58 ± 10.48） days， shorter than（22.46 ± 9.61） days in the control group. The Nurse-Physician Collaboration Scale Score of the test group was（94.63 ± 5.37） points，higher than（83.19 ± 6.41） points in the control group，and the differences were statistically significant（P<0.05）. The nurses’ satisfaction score for the use of the system was（1.88±0.25） points. Conclusion The development and application of pelvic fracture patient risk assessment system can help to improve the efficiency of medical and nursing cooperation，effectively reduce the incidence of resuscitation，the mortality and hospitalization duration of patients with pelvic fracture，and improve the patients’ prognosis. The system integrates automatic scoring，intelligent warning，and response measures，and nurses are highly satisfied with the use of the system.

Key words: Pelvic Fracture, Risk Warning, Information System, Nursing Care

摘要：

目的 开发骨盆骨折患者风险评估系统并探讨其在提高护理质量方面的应用效果，旨在为临床护理实践提供借鉴。方法 2022年2月组建研究小组，经文献检索、专家函询、临床预试用，确定骨盆骨折患者风险评估系统的内容，形成智能化评估系统，于2022年10月应用于临床。采用便利抽样法，将2022年10月—2023年9月系统应用后在佛山市某三级甲等医院创伤骨科住院的412例骨盆骨折患者作为试验组，将2021年10月—2022年8月系统应用前住院的386例骨盆骨折患者作为对照组。比较两组抢救发生率、病死率、住院时间、医护人员中文版医护合作量表得分的差异，并评估护士系统可用性满意度。结果 试验组发生抢救5例（1.21%）、对照组36例（9.33%），试验组死亡1例（0.24%）、对照组11例（2.85%），试验组住院时间为（16.58 ± 10.48）d，短于对照组（22.46 ± 9.61）d，试验组医护人员中文版医护合作量表得分为（94.63 ± 5.37）分，高于对照组（83.19 ± 6.41）分高，差异均具有统计学意义（P<0.05）。护士系统可用性满意度得分为（1.88 ± 0.25）分。结论 骨盆骨折患者风险评估系统的开发与应用有助于提高医护合作效率，降低骨盆骨折住院患者的抢救发生率、病死率与住院时间，改善患者的预后。该系统集自动评分、智能预警、应对措施于一体，护士对系统使用满意度较高。

关键词: 骨盆骨折, 风险预警, 信息系统, 护理