| 杨素,范颖,王芳,黄樱.物联网监护系统在重症急性胰腺炎早期液体复苏容量管理中的应用研究[J].上海护理,2025,25(4): |
| 物联网监护系统在重症急性胰腺炎早期液体复苏容量管理中的应用研究 |
| Application of An IoMT monitoring system in Patients with severe acute pancreatitis for early fluid resuscitation capacity management |
| 投稿时间：2024-07-02 修订日期：2025-04-09 |
| DOI： |
| 中文关键词: 物联网监护系统 重症急性胰腺炎 早期液体复苏 容量管理 |
| 英文关键词:IoMT monitoring system Severe acute pancreatitis Early fluid resuscitation Capacity management |
| 基金项目:2022年度上海交通大学医学院护理科研重点项目：重症急性胰腺炎早期液体复苏尿量轨迹描述及预后相关性研究（Jzhz2207) |
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| 中文摘要: |
| 目的 探讨物联网监护系统在重症急性胰腺炎早期液体复苏容量管理中的应用效果。方法 我科构建物联网监护系统并应用于容量管理。选取2021年1月至2021年12月系统应用前收治的重症急性胰腺炎患者作为对照组，以2022年6月至2023年5月系统应用后的患者作为观察组，每组随机抽取30例。比较两组24h及48h液体复苏达标率、72h并发症发生率、平均住院时间、比较前后数据统计耗时以及医护人员对该系统的满意度。结果 患者24h液体复苏达标率（60.00% vs 30.00%）、48h液体复苏达标率（93.33% vs 46.67%）、72h并发症发生率（23.33% vs 53.33%）、平均住院时间观察组（9.50±2.21）d低于对照组（11.53±4.06）d，数据统计耗时（2.87±1.28）min少于手动统计耗时（8.90±1.47）min,差异均有统计学意义（P＜0.05）,系统满意度得分（系统操作简便性评分4.32±0.56、液体管理准确性评分 4.04±0.32、预警功能评分3.92±0.38、促进团队协作评分4.25±0.46、总体满意度评分4.15±0.43），总体满意度较高。 结论 物联网监护系统用于重症急性胰腺炎早期液体复苏容量监测有利于提高患者早期液体复苏达标率，进而改善患者预后，同时降低患者住院时间，同时提高医护人员容量管理的时效性。 |
| 英文摘要: |
| Objective To explore the effect of the Internet of Medical Things monitoring system in the early fluid resuscitation capacity management of severe acute pancreatitis. Methods Our department jointly opens the IoMT monitoring system.Patients with severe acute pancreatitis before the application of the system from January 2021 to December 2021 were selected as the control group, and patients after the application of the system from June 2022 to May 2023 were selected as the observation group, with 30 cases in each group. The rate of liquid resuscitation reached the standard in 24h and 48h, the rate of complications in 72h,the average length of hospital stay, and the statistical time of nurses' manual monitoring data and system statistics in the observation group were compared, as well as the satisfaction of medical staff with the system. Result The rate of liquid resuscitation at 24h (60.00% vs 30.00%), the rate of liquid resuscitation at 48h (93.33% vs 46.67%) and the rate of complications at 72h (23.33% vs 53.33%), the average hospitalization time in observation group (9.50±2.21)d is lower than that in control group (11.53±4.06)d The time consuming time of nurses' data (2.87±1.28) min is less than that of manual statistics (8.90±1.47) min, and the differences were statistically significant (P < 0.05). There were five dimensions of system satisfaction (4.32±0.56 for ease of system operation and accuracy of fluid management) 4.04±0.32, early warning function score 3.92±0.38, team cooperation promotion score 4.25±0.46, overall satisfaction score 4.15±0.43), the overall satisfaction is high. Conclusion The use of IoMT for early fluid resuscitation volume monitoring of severe acute pancreatitis is conducive to improving the rate of early fluid resuscitation, thus improving the prognosis of patients, reducing the length of hospital stay of patients, and improving the timeliness of capacity management of medical staff. |
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