电子护理记录在COVID-19大流行前和期间临终关怀的比较研究

IF 1.3 4区 医学 Q4 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS
Seul Ki Park, Sumi Sung, Yul Ha Min
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引用次数: 0

摘要

本研究旨在确定使用SNOMED CT(系统化医学临床术语命名法)标准化的电子护理记录为住院患者提供的临终关怀,并分析2019冠状病毒病大流行之前和期间临终关怀的变化。研究背景为三级医院的肿瘤学或血液肿瘤学病房。从研究医院临床数据仓库中提取2018年1月至2019年12月入院的600例新冠肺炎前患者的护理声明161 069份,以及2020年1月至2021年12月入院的454例新冠肺炎期间患者的护理声明110 333份。我们将427个独特的护理语句映射到SNOMED CT上。采用方差分析分析三组患者- - -前、- -期间无- - -和- -期间- - -患者的SNOMED CT概念数的差异。“急性疼痛”、“患者供氧”、“医生通知”、“氧合监测”和“疼痛评估”是最常见的记录。无COVID-19患者在COVID-19大流行期间与COVID-19前相比,与氧合相关的护理陈述频率显著降低。在护理评估/结果和护理干预领域,有关情感或精神护理的护理陈述似乎都没有得到充分代表。我们的研究表明,标准化护理记录可作为信息来源,用于探索COVID-19大流行之前和期间临终关怀的变化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Comparative Study of End-of-Life Care Before and During the COVID-19 Pandemic Using Electronic Nursing Records.

This study aimed to identify the end-of-life care provided to patients admitted to a ward using electronic nursing records standardized with SNOMED CT (Systematized Nomenclature of Medicine Clinical Terms) and to analyze changes in end-of-life care before and during the COVID-19 pandemic. The study setting was oncology or hematology-oncology wards in a tertiary care hospital. A total of 161 069 nursing statements for 600 patients before COVID-19, admitted from January 2018 to December 2019, and 110 333 nursing statements for 454 patients during COVID-19, admitted from January 2020 to December 2021, were extracted from the clinical data warehouse of the study hospital. We mapped 427 unique nursing statements to SNOMED CT. The differences in the number of SNOMED CT concepts among the three groups-patients before COVID-19, patients without COVID-19 during COVID-19, and patients with COVID-19 during COVID-19-were analyzed using analysis of variance. "Acute pain," "Patient on oxygen," "Notification of physician," "Oxygenation monitoring," and "Pain assessment" were recorded most frequently. The frequency of nursing statements related to oxygenation was significantly lower in patients without COVID-19 during the COVID-19 pandemic compared with patients before COVID-19. Nursing statements pertaining to emotional or spiritual care appeared to be underrepresented in both the nursing assessment/outcome and nursing intervention domains. Our study showed that the standardized nursing records can be used as a source of information to explore changes in end-of-life care before and during the COVID-19 pandemic.

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来源期刊
Cin-Computers Informatics Nursing
Cin-Computers Informatics Nursing 工程技术-护理
CiteScore
2.00
自引率
15.40%
发文量
248
审稿时长
6-12 weeks
期刊介绍: For over 30 years, CIN: Computers, Informatics, Nursing has been at the interface of the science of information and the art of nursing, publishing articles on the latest developments in nursing informatics, research, education and administrative of health information technology. CIN connects you with colleagues as they share knowledge on implementation of electronic health records systems, design decision-support systems, incorporate evidence-based healthcare in practice, explore point-of-care computing in practice and education, and conceptually integrate nursing languages and standard data sets. Continuing education contact hours are available in every issue.
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