使用可重复使用设备进行远程监控,在手术科实施后 (REQUEST试验)
Ephrahim E Jerry1, Arthur R A Bouwman2,3, Edith M G van Esch4
1Department of Surgery, Catharina Hospital Eindhoven, Eindhoven, the Netherlands.
World journal of surgery
|February 11, 2026
概括
在外科病房的可穿戴监控显著减少了护士的工作量和手动生命体征检查. 这项技术是可行的,可用的,并被工作人员接受,提高了术后护理的效率.
科学领域:
- 医疗技术 医疗技术 医学技术
- 护理信息学 护理信息学
- 手术护理 手术护理
背景情况:
- 通过可穿戴设备对生命体征的持续监测为早期检测术后并发症提供了潜力.
- 有限的现实世界的证据存在于手术病房的可穿戴监控的临床实施.
- 本研究探讨了在手术环境中实施可穿戴监控的可行性,可接受性和对护理工作负载的影响.
研究的目的:
- 评估实施可穿戴监控设备对外科病房护理工作量的影响.
- 评估使用可穿戴技术的持续生命体征监测的可行性和工作人员的接受度.
- 确定可穿戴式监控是否可以提高术后护理的效率.
主要方法:
- 一个前性的,单一中心在外科病房的实施研究.
- 使用综合工作负载量表 (IWS) 评估护理工作量.
- 用系统可用性量表 (SUS) 评估可用性,用基于证据的实践态度量表 (EBPAS) 评估员工态度.
主要成果:
- 护理工作量显著减少 (IWS平均得分从5.46降至3.87,p<0.001).
- 对生命体征的手动随机检查减少了62.7%,每名患者每天节省10.1分钟 (p < 0.001).
- 提高了可用性得分 (SUS从74.2增加到86.0,p = 0.025) 在员工态度没有显著变化 (EBPAS,p = 0.43).
结论:
- 在外科病房实施远程可穿戴监控是可行的,并且得到了医务人员的认可.
- 可穿戴技术显著减少了护理工作量,并提高了术后护理的效率.
- 调查结果支持可穿戴设备的潜力,以优化护理任务和手术环境中的患者监测.
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