多学科合作改善护士运用移动心电工作站的研究

李艳娇　　李蓓琼　　罗湘

[关键词] 多学科合作管理模式;移动心电工作站;心电图操作考试合格率;心电图重做率

[中图分类号] R471          [文献标识码] B          [文章编号] 1673-9701（2021）20-0166-04

Research on multidisciplinary cooperation in improving nurses' use of mobile ECG workstation

LI Yanjiao   LI Beiqiong   LUO Xiang

Department of Oncology， the People′s Hospital of Pingxiang City in Jiangxi Province， Pingxiang   337000， China

[Abstract] Objective To explore the multidisciplinary cooperation in improving nurses′ ability to use mobile ECG workstations. Methods A total of 100 nurses who underwent electrocardiogram examinations in a certain department of our hospital from May to December 2018 were randomly selected as the control group， and they used conventional operation mode. In addition， 100 nurses who underwent ECG examinations in this department of our hospital from May to December 2019 were randomly selected as the observation group. They underwent a multidisciplinary cooperative management model. The satisfaction of patients， the passing rate of nurses′ ECG operation examination， the rate of ECG rework， and the average time of ECG collection of the two groups were statistically analyzed. Results The satisfaction degree in the observation group was 92.0%， which was higher than that of 71.0% in the control group ， and the difference between the two groups was statistically significant （P<0.05）. The difference in the passing rate of nurses′ ECG operation examination was 98.0% in the observation group， which was higher than that of 81.0% in the control group， with statistically significant difference（P<0.05）. The ECG rework rate in the observation group was 2.0% （2/100）， which was lower than that of 19.0%（19/100） in the control group ，and the difference between the two groups was statistically significant（P<0.05）. The average time of ECG collection in the observation group was significantly shorter than that in the control group，and the difference between the groups was statistically significant（P<0.05）. Conclusion The multidisciplinary cooperative management model can effectively improve the nurses′ ability to use the mobile ECG workstation than the conventional operation model.

[Key words] Multidisciplinary cooperative management mode; Mobile ECG workstation; Pass rate of ECG operation exam; ECG rework rate

心電图网络信息系统采用国际DICOM 3.0标准，应用有线和无线两种心电传输模式，无线心电网络信息系统使医院多处的心电图机、动态心电图系统、运动负荷系统、监护病房及手术全程监测过程中的心电信息，通过网络平台传送到医院信息管理系统（HIS），实现了心电图申请预约、检查、心电图报告集中储存和实时调阅、查询等功能，实现心电图检查网络共享[1]。本项目团队提出多学科合作模式，用于提高心电图检查的精准性水平，提高护理操作和科研水平，改善实施效果，为实施心电信息网络系统管理的医院人员培训提供参考，进一步减少患者误诊率，改善患者就医体验，现报道如下。