The clinical evaluation of UNIS: an expert system for the long-term care of patients with urinary incontinence

Kerry E. Petrucci, Paul Petrucci, G. Dobbs, B. Baranoski, L. McQueen
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引用次数: 1

Abstract

The effects of UNIS (urological nursing information system), a nurse expert system prototype, on the nursing care of elderly patients with urinary incontinence in a nursing home are determined. UNIS was designed to facilitate knowledge transfer of urinary incontinence to users and to advise nurse users on how to assess and manage the incontinent patients. UNIS was installed on two nursing units for ten weeks and the amount of user support was varied. A third nursing unit served as a control unit. Patients were matched according to their cognitive function and randomly assigned to one of three treatment groups. The wet occurrences of each patient were measured during the day and evening. Nurses' knowledge of urinary incontinence was measured on four separate occasions. All subjects served as their own control. Analysis-of-variance procedures were used to analyze the data. Installing UNIS significantly reduced the number of wet occurrences of a ten-week period.<>
尿失禁患者长期护理专家系统UNIS的临床评价
确定护理专家系统原型UNIS(泌尿科护理信息系统)在养老院老年尿失禁患者护理中的效果。该系统旨在促进尿失禁知识向使用者的传递,并就如何评估和管理尿失禁患者向护士使用者提供建议。综合信息系统在两个护理单位安装了十个星期,用户支助的数量各不相同。第三个护理单位作为控制单位。根据患者的认知功能进行配对,并随机分配到三个治疗组中的一个。在白天和晚上测量每位患者的湿率。护士对尿失禁的知识在四个不同的场合进行了测量。所有受试者都作为自己的对照。采用方差分析程序对数据进行分析。安装UNIS后,在10周的时间内显著减少了遇湿次数。
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