ICU patient body constraint decision-making method

A technology of patient body and decision-making method, applied in health index calculation, medical informatics, informatics, etc., to achieve the effect of improving work efficiency

Active Publication Date: 2022-01-28
JIANGSU PROVINCE HOSPITAL THE FIRST AFFILIATED HOSPITAL WITH NANJING MEDICAL UNIV
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

Currently, in order to avoid the above situation, physical restrai

Method used

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  • ICU patient body constraint decision-making method

Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0085] For example: Nursing record sheet, which records that the patient is 70 years old, has clear consciousness, active activities, RASS score of 1, delirium negative, invasive mechanical ventilation, and other information.

[0086] The obtained values ​​of patient age X1, consciousness X2, activity ability X3, RASS score X4, delirium X5 and invasive mechanical ventilation X6 are: the values ​​are: 70 years old, clear, active, -3~2, negative, yes.

[0087] According to the above values, the scores of patient age X1, consciousness X2, activity ability X3, RASS score X4, delirium X5 and invasive mechanical ventilation X6 are: 61, 15, 0, 100, 5, 20, respectively.

[0088] Total physical restraint risk score: 201.

[0089] Compute, the body constraint probability P:

[0090] a =-5.419+70*0.046+0+0+2.112+0+0.902

[0091] =0.815

[0092] P= 1 / (1+e -a )

[0093] =1 / (1+e -0.815 )

[0094] =0.6931739 score is 69.32%

[0095] As a result, P=69.32% is greater than 36%, bound. ...

Embodiment 2

[0100] For example, in the intensive care information management system, it is recorded that the patient is 47 years old, unconscious, passively active, RASS score is not evaluated, delirium cannot be evaluated, and invasive mechanical ventilation is performed, etc.

[0101] The obtained patient age X1, consciousness X2, activity X3, RASS score X4, delirium X5 and invasive mechanical ventilation X6 are: the values ​​are: 47 years old, coma, passive, unassessed, unassessable, yes .

[0102] According to the above values, the scores of patient age X1, consciousness X2, activity ability X3, RASS score X4, delirium X5 and invasive mechanical ventilation X6 are: 38, 0, 37, 54, 0, 20, respectively.

[0103] Total body restraint probability score: 149.

[0104] Compute the body constraint probability P:

[0105] a =-5.419+47*0.046+(-0.689)+1.71+0+(-0.233)+0.902

[0106] =-1.567

[0107] P= 1 / (1+e -a )

[0108] =1 / (1+e 1.567 )

[0109] =0.172644≈17.26%

[0110] As a result, 1...

Embodiment 3

[0115] For example, in the intensive care information management system, the patient is 70 years old, has clear consciousness, active activities, RASS score ≥ 2, delirium positive, double nasal catheter oxygen inhalation, and other information.

[0116] The obtained values ​​of patient age X1, consciousness X2, activity ability X3, RASS score X4, delirium X5, and invasive mechanical ventilation X6 are: 70 years old, clear, active, ≥2, positive, and no.

[0117] According to the above values, the scores of patient age X1, consciousness X2, activity ability X3, RASS score X4, delirium X5 and invasive mechanical ventilation X6 are: 61, 15, 0, 0, 85, 0, respectively.

[0118] Total body restraint probability score: 161.

[0119] Compute the body constraint probability P:

[0120] a =-5.419+70*0.046+0+0+(-2.456)+3.615+0

[0121] =-1.04

[0122] P= 1 / (1+e -a )

[0123] =1 / (1+e 1.04 )

[0124] =0.261149≈26.11%

[0125] As a result, 24% < 26.11% < 36%, constrained substitution...

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Abstract

The invention discloses an ICU patient body constraint decision-making method which comprises the following steps: S1, automatically acquiring values of age X1, consciousness X2, activity ability X3, RASS score X4, delirium X5 and invasive mechanical ventilation X6 of a patient according to a nursing record list; S2, according to a scoring rule of each variable, sequentially inputting each variable value obtained in the S1, automatically obtaining scores of age X1, awareness X2, activity ability X3, RASS score X4, delirium X5 and invasive mechanical ventilation X6 of the patient, calculating a total score of a body constraint decision, and establishing an ICU patient body constraint decision evaluation table; S3, calculating a body constraint probability P according to a formula P = 1/(1+ e-a); S4, carrying out constraint judgment: when P is less than 24%, performing no constraint; when P is greater than or equal to 24% and less than or equal to 36%, ending the constraining; when P is greater than 36%, carrying out constraining; and S5, forming an ICU patient body constraint decision table in the system. The method has the advantages that patient body constraint decision informatization is achieved, a certain guiding effect is provided for green nurses, a manual mode is replaced, and the working efficiency is improved.

Description

technical field [0001] The invention relates to a decision-making method for ICU patients' physical constraints. Background technique [0002] The Intensive Care Unit (ICU) is a comprehensive diagnosis and treatment system that mainly treats patients with various critical illnesses and multi-system failure. ICU patients are seriously ill, often accompanied by confusion, restlessness, and their state often hinders routine treatment, and even self-harm behaviors occur. At present, in order to avoid the occurrence of the above situation, physical restraint is required for ICU patients; however, not all patients need it. Contents of the invention [0003] The present invention proposes a method that can quickly determine whether physical restraint is required for ICU patients, and the specific technical scheme is as follows: [0004] A kind of ICU patient's physical restraint decision-making method, comprises the steps: [0005] S1. According to the nursing record sheet, au...

Claims

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Application Information

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IPC IPC(8): G16H50/30
CPCG16H50/30
Inventor 柳莹田雅丽王芸曹容榕高春平顾素莲任思芳蒋楠茜叶鹏王爱鹏
Owner JIANGSU PROVINCE HOSPITAL THE FIRST AFFILIATED HOSPITAL WITH NANJING MEDICAL UNIV
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