Abstract: Objective　To explore the normative application and effect of nursing information system in the management of patients and their families entering and leaving the ward. Methods　From January 2020 to December 2021, 3 492 patients admitted to the department of medical oncology in Weihai Central Hospital were selected as the research subjects for a prospective study. Among them, 1 668 patients from January to December 2020 received routine management of patients and their families entering and leaving the ward, as a control group; 1 824 patients from January to December 2021 received management of patients and their families entering and leaving the ward based on the mobile nursing information system, as an observation group. The control group included 936 males and 732 females, aged (68.43±2.49) years; the observation group included 1 008 males and 816 females, aged (68.58±2.55) years. Before and after management of entering and leaving the ward based on the mobile nursing information system, the standard management rate of entering and leaving the ward, nursing work efficiency, daily visits, per capita time out of ward, patient satisfaction, and nurse job satisfaction were statistically analyzed. Independent sample t test was used for the measurement data and χ² test was used for the count data. Results　The standard management rate of one patient and one companion entering and leaving the ward in the observation group was 98.85% (3 606/3 648), which was higher than that in the control group [96.04% (3 204/3 336)], with a statistically significant difference (χ²=56.457, P<0.001). In the observation group, the time consuming of temperature monitoring, ultraviolet disinfection, and recording the time of patients and their families in and out of the ward were (24.25±1.17) s, (7.25±0.79) s, and (61.47±3.63) s, respectively, which were shorter than those in with control group [(50.36±10.24) s, (19.36±2.14) s, and (83.45±8.40) s], with statistically significant differences (t=108.130, 225.467, and 101.839; all P<0.001). The daily visits, per capita time out of ward in the observation group were (103.25±8.03) person/d and (30.21±3.20) min, respectively, which were lower than those in the control group [(140.24±11.26) person/d and (43.53±6.37) min], with statistically significant differences (t=159.056 and 111.809; both P<0.001). The patient satisfaction in the observation group was 98.03% (1 788/1 824), which was higher than that in the control group [94.60% (1 578/1 668)], with a statistically significant difference (χ²=29.334, P<0.001). The nurse job satisfaction in the observation group was (143.17±2.48) points, which was higher than that in the control group [(130.79±2.91) points], with a statistically significant difference (t=9.714, P<0.001). Conclusions　The management of patients and their families entering and leaving the ward based on the mobile nursing information system can improve the efficiency of nursing work, and effectively improve the standard rate of ward management, reduce the daily number of people entering and leaving the ward, and shorten the per capita time out of ward. The satisfactions of both nurses and patients are improved, and the quality of nursing service is improved.

Key words: Nursing information system, Ward management, Normative rate, Nursing work efficiency, Satisfaction

摘要： 目的　探讨护理信息系统在患者及家属出入病房管理中的规范性应用及效果。方法　进行前瞻性研究，选取2020年1月至2021年12月威海市中心医院肿瘤内科接诊3 492例患者为研究对象。其中2020年1月至12月接诊1 668例实施常规患者及家属出入病房管理，设为对照组；2021年1月至12月接诊1 824例实施基于移动护理信息系统的患者及家属出入病房管理，设为观察组。对照组男936例、女732例，年龄（68.43±2.49）岁；观察组男1 008例、女816例，年龄（68.58±2.55）岁。统计分析移动护理信息系统出入病房管理前后的出入病房管理规范率、护理工作效率、日均出入病房人次、人均出病房时间、患者满意度及护士工作满意度。计量资料进行独立样本t检验，计数资料进行χ²检验。结果　观察组一患一陪护出入病房管理规范率为98.85%（3 606/3 648），高于对照组96.04%（3 204/3 336），差异有统计学意义（χ²=56.457，P<0.001）。观察组体温监测记录耗时、紫外线消毒记录耗时、患者及家属出入病房时间记录耗时分别为（24.25±1.17）s、（7.25±0.79）s、（61.47±3.63）s，均低于对照组的（50.36±10.24）s、（19.36±2.14）s、（83.45±8.40）s，差异均有统计学意义（t=108.130、225.467、101.839，均P<0.001）。观察组日均出入病房人次、人均出病房时间分别为（103.25±8.03）人/d、（30.21±3.20）min，均低于对照组的（140.24±11.26）人/d、（43.53±6.37）min，差异均有统计学意义（t=159.056、111.809，均P<0.001）。观察组患者满意度为98.03%（1 788/1 824），高于对照组94.60%（1 578/1 668），差异有统计学意义（χ²=29.334，P<0.001）。观察组护士工作满意度为（143.17±2.48）分，高于对照组的（130.79±2.91）分，差异有统计学意义（t=9.714，P<0.001）。结论　基于移动护理信息系统进行患者及家属出入病房管理，可提高护理工作效率，同时可有效提升病房管理规范率，减少出入病房人次，缩短出病房时间。护患双方满意度均提高，护理服务质量提升。

关键词: 护理信息系统, 病房管理, 规范率, 护理工作效率, 满意度