調查某醫學中心實施資訊化護理處置之運用－－以「體溫過高」為例

A Survey Study ofNurses' Utilization of Hyperthermia Intervention Guidelines in a Medical Center

本研究目的在探討護理人員運用護理資訊系統中臨床資訊決策功能於體溫過高之護理處置情形。採回溯性描述性研究法，進行立意取樣，總共選取中部某醫學中心87位發燒個案為研究對象。於護理系統資料庫中，擷取首次體溫過高的護理處置資料進行分析有關護理人員使用處置情形。研究結果顯示平均體溫為攝氏38.3度，12項護理處置中，最常被護理人員使用的分別為使用冰枕(佔23%)、監測體溫變化(佔21%)、調整室溫及被蓋以及依醫囑給藥兩項(各佔12%)。護理人員選擇體溫過高之護理處置，未再進一步增修內容的部分佔59.8%；經過增修的佔40.2%。針對12項處置項目，均未超出當時系統所設計的範圍；增修的護理處置內容匯入護理紀錄佔58.6%，增修的護理處置內容與是否匯入護理紀錄達顯著水準(p<.001)。此研究結果將作為擴展臨床決策資訊系統的參考，以期整合護理資訊、實證護理以增進病患照護品質。

The purpose of this descriptive study was to understand hyperthermia utilization in a nursing information system.A purposed sampling consisted of 87 patients fitting the criteria.Data were analyzed, using descriptive statistics and x2. The results of the study showed the average body temperature at 38.3 Centigrade degrees. The most frequent interventions used were ice bags (23%); observing vitals (21%); adjusting a cover and taking some medicine in order (12%) of 12 items. Of the 87 patients, there were 52 in the unmodified one, accounting for 59.8%; 35 had already revised, accounting for 40.2%.The results indicated a significance (p<.001)with revised intervention and connected to nursing record.The findings support the fever intervention fitted to user's demand.Furthermore, itwillmake it easier to carry out nursing informatics and evidence-based practice, thus improving the quality of patients' nursing care.