Development and application of clinical decision support system for dialectical nursing of traditional Chinese medicine of lumbar disc herniation
10.3760/cma.j.cn115682-20220803-03781
- VernacularTitle:腰椎间盘突出症中医辨证施护临床决策支持系统的开发与应用研究
- Author:
Xingxing XU
1
;
Baoyu WANG
;
Qingzhen WEI
;
Xiang ZHOU
Author Information
1. 浙江中医药大学附属杭州市中医院推拿科，杭州 310007
- Keywords:
Lumbar disc herniation;
Traditional Chinese medicine nursing;
Dialectical nursing;
Clinical decision support system;
Informatization
- From:
Chinese Journal of Modern Nursing
2023;29(8):1034-1039
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To develop the clinical decision support system for dialectical nursing of traditional Chinese medicine of lumbar disc herniation and to discuss the application effects in clinical practice.Methods:With clinical nursing information system as the supporting platform, four content modules, including TCM nursing evaluation module, syndrome differentiation and classification diagnosis module, plan implementation module and evaluation and feedback module, were developed. The clinical efficacy, Visual Analogue Scale (VAS) score, disease knowledge mastery degree, writing quality of nursing documents and nurse experience of hospitalized patients were compared before the system application (July to September in 2020) and after the system application (April to June 2021) .Results:After the application of clinical decision support system for dialectical nursing of traditional Chinese medicine of lumbar disc herniation, the total effective rate of patients was higher than before, VAS score was lower than before and disease knowledge mastery degree was higher than before, and the differences were statistically significant ( P<0.05) . All indexes of writing quality of nursing documents were significantly improved, and scores of nurses' system use experience were improved, compared with those before the system application, the differences were statistically significant ( P<0.05) . Conclusions:The clinical decision support system for dialectical nursing of traditional Chinese medicine of lumbar disc herniation can improve the clinical efficacy of patients, relieve pain, improve the mastery of health care knowledge, improve the homogeneity, continuity and integrity of nurses' dialectical nursing, and nurses have a good experience of the system.
