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重大胃肠道手术后持续监测生命体征:患者、护士和医生的观点。

Monitoring Vital Signs With Continuous Monitoring After Major Gastrointestinal Surgical Procedures: The Patient, Nurse and Physician Perspective.

作者信息

Lockhorst Elize W, van Noordenne Milicia, Klouwens Linda, Govaert Klaas M, de Bruijn Eva, Gobardhan Paul D, Schreinemakers Jennifer M J

机构信息

Department of Surgical Oncology and Gastrointestinal Surgery, Erasmus MC University Cancer Institute, Rotterdam, the Netherlands.

Department of Surgery, Amphia Hospital, Breda, the Netherlands.

出版信息

J Eval Clin Pract. 2025 Apr;31(3):e70099. doi: 10.1111/jep.70099.

DOI:10.1111/jep.70099
PMID:40222030
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11994216/
Abstract

BACKGROUND

Patients undergoing major abdominal surgical procedures are at risk of postoperative complications, requiring early recognition. Clinical deterioration is preceded by changes in vital sings, which are measured three times a day by a nurse. Due to the intermittent measuring, this may result in a delay in the recognition of clinical deterioration. Continuous vital sign monitoring through wireless sensors offers a potential solution for earlier recognition.

AIM

To evaluate user satisfaction of a new wireless monitoring system measuring vital signs continuously, by both patients and healthcare providers.

DESIGN

A prospective, questionnaire-based study.

METHODS

From December 2021 to November 2022, user experience questionnaires were administered to patients who underwent major abdominal surgical procedures and received the patch postoperatively. Questionnaires were administered as well to nurses and physicians working on a surgical ward with the patch. Continuous measurements of heart rate, respiratory rate, and temperature were taken using the Sensium wireless patch.

RESULTS

A total of 298 respondents completed the questionnaire, 191 patients, 88 nurses, and 19 physicians. Of the patients, 69% had a positive experience with the patch, and 74% felt safer. Sixty-three percent of the nurses were positive, and 65% had the feeling that they could monitor the patients better this way. Of the physicians, 63% were positive, 32% believed clinical deterioration could be identified earlier.

CONCLUSION

The use of the Sensium wireless patch for continuous monitoring of vital signs postoperatively was found to be feasible and well-tolerated. Patients, nurses, and physicians reported a positive experience with its use.

摘要

背景

接受大型腹部外科手术的患者有术后并发症的风险,需要早期识别。临床恶化之前生命体征会发生变化,护士每天测量三次生命体征。由于测量是间歇性的,这可能导致临床恶化的识别延迟。通过无线传感器进行连续生命体征监测为早期识别提供了一种潜在的解决方案。

目的

评估患者和医护人员对一种新型连续测量生命体征的无线监测系统的用户满意度。

设计

一项基于问卷的前瞻性研究。

方法

2021年12月至2022年11月,对接受大型腹部外科手术并在术后使用该贴片的患者进行用户体验问卷调查。同时也对在外科病房使用该贴片的护士和医生进行问卷调查。使用Sensium无线贴片连续测量心率、呼吸频率和体温。

结果

共有298名受访者完成了问卷,其中191名患者、88名护士和19名医生。在患者中,69%对该贴片有积极体验,74%感觉更安全。63%的护士持积极态度,65%觉得通过这种方式能更好地监测患者。在医生中,63%持积极态度,32%认为可以更早发现临床恶化。

结论

发现使用Sensium无线贴片术后连续监测生命体征是可行的且耐受性良好。患者、护士和医生对其使用都有积极体验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0302/11994216/5ed894ff976c/JEP-31-0-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0302/11994216/cc0aef1bec15/JEP-31-0-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0302/11994216/5a6bd1bfdb39/JEP-31-0-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0302/11994216/340525b5b4aa/JEP-31-0-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0302/11994216/5ed894ff976c/JEP-31-0-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0302/11994216/cc0aef1bec15/JEP-31-0-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0302/11994216/5a6bd1bfdb39/JEP-31-0-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0302/11994216/340525b5b4aa/JEP-31-0-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0302/11994216/5ed894ff976c/JEP-31-0-g002.jpg

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本文引用的文献

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2
Performance effectiveness of vital parameter combinations for early warning of sepsis-an exhaustive study using machine learning.用于脓毒症早期预警的重要参数组合的性能有效性——一项使用机器学习的详尽研究
JAMIA Open. 2022 Oct 14;5(4):ooac080. doi: 10.1093/jamiaopen/ooac080. eCollection 2022 Dec.
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A wearable patch based remote early warning score (REWS) in major abdominal cancer surgery patients.
一种用于主要腹部癌症手术患者的基于可穿戴贴片的远程早期预警评分(REWS)。
Eur J Surg Oncol. 2023 Jan;49(1):278-284. doi: 10.1016/j.ejso.2022.08.034. Epub 2022 Sep 2.
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Short-Term Wearable Sensors for In-Hospital Medical and Surgical Patients: Mixed Methods Analysis of Patient Perspectives.用于住院内科和外科患者的短期可穿戴传感器:患者观点的混合方法分析
JMIR Perioper Med. 2021 Apr 22;4(1):e18836. doi: 10.2196/18836.
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