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与手动评估生命体征相比,与连续无线监测相比,与手动评估相关的工作量
Emilie Sigvardt1, Katja Kjaer Grønbaek1, Mia Lind Jepsen1
1Department of Anaesthesia and Intensive Care, Copenhagen University Hospital-Bispebjerg and Frederiksberg, Copenhagen, Denmark.
Acta anaesthesiologica Scandinavica
|September 22, 2023
概括
与手动评估相比,持续的生命体征监测显著减少了临床工作人员的工作量. 这项技术为医院的患者监测提供了一种更节省时间的方法.
科学领域:
- 临床监测技术 临床监测技术
- 医疗保健系统工程 医疗保健系统工程
- 患者安全和结果.
背景情况:
- 生命体征监测在医院护理中至关重要,传统上每12小时手动进行一次.
- 持续监测为患者的治疗结果带来了潜在的好处.
- 这项研究评估了持续或手动生命体征监测对工作负载的影响.
研究的目的:
- 量化连续和手动生命体征监测之间的工作量差异.
- 为了比较临床工作人员在国家早期预警分数 (NEWS) 框架内的每个监测方法所花费的时间.
主要方法:
- 三个无线传感器连续跟踪了20名普通病房患者的血压,心率,呼吸率和氧气和.
- 设备设置和维护持续监控的时间被记录在24小时内.
- 这与人工生命体征评估和NEWS文档所花费的时间进行了比较.
主要成果:
- 需要持续监测6.0分钟/患者/天,明显低于NEWS手册评估的14分钟/患者/天 (p < .001).
- 对于孤立的患者,连续监测使用6.6分钟/患者/天,而NEWS则使用22分钟/患者/天.
- 随着持续监测,观察到平均减少9.9分钟/患者/天.
结论:
- 持续的生命体征监测大大减少了临床工作人员的时间工作量.
- 在监测时间方面,这种效率提升对传统的手动方法提供了实际优势.
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