ISSN 2097-6046(网络)
ISSN 2096-7446(印刷)
CN 10-1655/R
主管:中国科学技术协会
主办:中华护理学会
综述

急危重症患者生成型健康数据智能监测与风险预警的研究进展

  • 周奕 ,
  • 张小红 ,
  • 段应龙 ,
  • 张文秀 ,
  • 沈志莹 ,
  • 董小倩 ,
  • 谢建飞
展开
  • 1.中南大学湘雅三医院护理部 长沙市 410013
    2.中南大学湘雅三医院妇科 长沙市 410013
    3.中南大学湘雅三医院重症医学科 长沙市 410013
    4.中南大学湘雅三医院骨科 长沙市 410013
    5.中南大学湘雅三医院血液内科 长沙市 410013
    6.中南大学湘雅护理学院 长沙市 410013
周奕:女,硕士,护师,E-mail:yi.zhou@csu.edu.cn
*谢建飞,E-mail:xiejianfei@csu.edu.cn

收稿日期: 2025-03-16

  网络出版日期: 2026-01-06

基金资助

湖南省自然科学基金-杰出青年基金项目(2022JJ10098)

Research progress on intelligent monitoring and risk warning of patient-generated health data in critically ill patients

  • ZHOU Yi ,
  • ZHANG Xiaohong ,
  • DUAN Yinglong ,
  • ZHANG Wenxiu ,
  • SHEN Zhiying ,
  • DONG Xiao-qian ,
  • XIE Jianfei
Expand
  • 1. Nursing Departmentthe Third Xiangya Hospital,Central South UniversityChangsha 410013, China
    2. Department of Gynecologythe Third Xiangya Hospital,Central South UniversityChangsha 410013, China
    3. Department of Emergency and Critical Care Medicinethe Third Xiangya Hospital,Central South UniversityChangsha 410013, China
    4. Department of Orthopaedicsthe Third Xiangya Hospital,Central South UniversityChangsha 410013, China
    5. Department of Hematologythe Third Xiangya Hospital,Central South UniversityChangsha 410013, China
    6. Xiangya School of NursingCentral South UniversityChangsha 410013, China

Received date: 2025-03-16

  Online published: 2026-01-06

Supported by

Hunan Natural Science Foundation-Distinguished Young Scholars(2022JJ10098)

摘要

患者生成型健康数据(patient-generated health data,PGHD)在急危重症早期识别与风险预警中扮演核心角色,但传统监测技术存在采集指标单一、精度不稳定等局限性,难以应对急危重症患者复杂、动态、多维度的监测需求。护理新材料凭借高灵敏度、可穿戴性与智能响应特性,为PGHD的连续获取与实时分析提供新途径。该文综述了护理新材料在围手术期急症监测、慢性疾病急性加重识别及肿瘤急症预警中的应用进展,重点分析其在监测精度、灵敏度及与数字技术协同的机制,评估其在临床适应性、多源数据价值转化、患者数据主权保障等方面的现实挑战,探讨护理新材料由被动响应向智能预警转型的新思路,为急危重症护理监测的精准化、智能化研究提供参考。

本文引用格式

周奕 , 张小红 , 段应龙 , 张文秀 , 沈志莹 , 董小倩 , 谢建飞 . 急危重症患者生成型健康数据智能监测与风险预警的研究进展[J]. 中华急危重症护理杂志, 2026 , 7(1) : 111 -115 . DOI: 10.3761/j.issn.2096-7446.2026.01.018

Abstract

Patient-generated health data(PGHD) play a central role in the early detection and risk warning of critically ill patients. Traditional monitoring technologies,however,are limited by narrow indicator scope and unstable measurement accuracy,making them insufficient to meet the complex,dynamic,and multidimensional needs of critical care monitoring. Nursing-related innovative materials,owing to their high sensitivity,wearability,and smart responsiveness,offer a novel approach for continuous data acquisition and real-time analysis of PGHD. This review summarizes recent advances in the application of such materials for perioperative critical monitoring,acute exacerbation detection in chronic disease,and early warning in oncologic emergencies. We focus on their contributions to monitoring precision and sensitivity,and the mechanisms by which they synergize with digital technologies. We also assess real-world challenges regarding clinical adaptability,translation of multisource data into actionable value,and protection of patients’ data sovereignty. Finally,we explore a new paradigm for transforming nursing-related innovative materials from passive response toward intelligent early warning,providing a reference for future research on the precision and intelligence of critical care nursing monitoring.

参考文献

[1] Winter JS, Davidson E. Harmonizing regulatory regimes for the governance of patient-generated health data[J]. Telecommun Po-licy, 2022, 46(5):102285.
[2] 国务院办公厅. 国务院办公厅关于发展银发经济增进老年人福祉的意见[EB/OL].(2024-01-15)[2025-03-16]. https://www.gov.cn/zhengce/content/202401/content_6926087.htm. .
  General Office of the State Council of the People’s Republic of China. Opinions on the development of the silver economy and the promotion of elderly well-being[EB/OL].(2024-01-15)[2025-03-16]. https://www.gov.cn/zhengce/content/202401/content_6926087.htm.
[3] Fu MR, Kurnat-Thoma E, Starkweather A, et al. Precision heal-th:a nursing perspective[J]. Int J Nurs Sci, 2019, 7(1):5-12.
[4] CECCONI M, HUTANU AL, BEARD J. Unlocking opportunities to transform patient care:an expert insight on limitations and opportunities in patient monitoring[J]. Intensive Care Med Exp, 2025, 13(1):24.
[5] 师昌绪. 关于构建我国“新材料产业体系”的思考[J]. 工程研究, 2013, 5(1):5-11.
  Shi CX. Reflections on the construction of China’s “new material industry system”[J]. J Eng Stud, 2013, 5(1):5-11.
[6] 赵鸿滨, 周旗钢, 李志辉, 等. 面向新兴产业和未来产业的新材料发展战略研究[J]. 中国工程科学, 2024, 26(1):23-34.
  Zhao HB, Zhou QG, Li ZH, et al. Development strategies of new materials for emerging industries and future industries[J]. Strateg Study CAE, 2024, 26(1):23-34.
[7] Yang YR, Gao W. Wearable and flexible electronics for conti-nuous molecular monitoring[J]. Chem Soc Rev, 2019, 48(6):1465-1491.
[8] Shin J, Liu ZH, Bai WB, et al. Bioresorbable optical sensor systems for monitoring of intracranial pressure and temperature[J]. Sci Adv, 2019, 5(7):eaaw1899.
[9] Coyle S, Wu YZ, Lau KT, et al. Smart nanotextiles:a review of materials and applications[J]. MRS Bull, 2007, 32(5):434-442.
[10] Mitchell MJ, Billingsley MM, Haley RM, et al. Engineering pre-cision nanoparticles for drug delivery[J]. Nat Rev Drug Discov, 2021, 20:101-124.
[11] Boutry CM, Beker L, Kaizawa Y, et al. Biodegradable and fle-xible arterial-pulse sensor for the wireless monitoring of blood flow[J]. Nat Biomed Eng, 2019, 3(1):47-57.
[12] Ansó J, Scheidegger O, Wimmer W, et al. Neuromonitoring during robotic cochlear implantation:initial clinical experience[J]. Ann Biomed Eng, 2018, 46(10):1568-1581.
[13] Yang Y, Wei X, Zhang N. A non-printed integrated-circuit tex-tile for wireless theranostics[J]. Nat Commun, 2021, 12(1):4876.
[14] Koenig A, Petitdidier N, Grateau H, et al. Contact, high-resolu-tion spatial diffuse reflectance imaging system for skin condi-tion diagnosis:a first-in-human clinical trial[J]. J Biomed Opt, 2021, 26(1):012706.
[15] Semjonova G, Vetra J, Cauce V, et al. Improving the recovery of patients with subacromial pain syndrome with the DAid smart textile shirt[J]. Sensors, 2020, 20(18):5277.
[16] Yang SX, Chen YC, Nicolini L, et al. “Cut-and-paste” manu-facture of multiparametric epidermal sensor systems[J]. Adv Mater, 2015, 27(41):6423-6430.
[17] Dagdeviren C, Su YW, Joe P, et al. Conformable amplified lead zirconate titanate sensors with enhanced piezoelectric response for cutaneous pressure monitoring[J]. Nat Commun, 2014, 5:4496.
[18] Yao HC, Yang WD, Cheng W, et al. Near-hysteresis-free soft tac-tile electronic skins for wearables and reliable machine learn-ing[J]. Proc Natl Acad Sci USA, 2020, 117(41):25352-25359.
[19] Lee H, Hong YJ, Baik S, et al. Enzyme-based glucose sensor:from invasive to wearable device[J]. Adv Healthc Mater, 2018, 7(8):e1701150.
[20] Karlsen H, Dong T, Suo ZH. A diaper pad for diaper-based urine collection and colorimetric screening of urinary biomarkers[J]. Ann Biomed Eng, 2018, 46(5):717-725.
[21] Sakai K, Sanada H, Matsui N, et al. Continuous monitoring of interface pressure distribution in intensive care patients for pressure ulcer prevention[J]. J Adv Nurs, 2009, 65(4):809-817.
[22] Qian S, Xu RY. Environmentally friendly synthesis of gelatin hydrogel nanoparticles for gastric cancer treatment,bisphenol A sensing and nursing applications:Fabrication,characteriza-tion and ANN modeling[J]. Heliyon, 2024, 10(23):e38834.
[23] 王心怡. 唾液生化标志物高灵敏检测的纳米光学传感器及疾病快速筛查研究[D]. 杭州: 浙江大学, 2023.
  Wang XY. Nano-optical sensors for highly sensitive detection of salivary biochemical markers and rapid disease screening[D]. Hangzhou: Zhejiang University, 2023.
[24] Wu CT, Chang HT, Wu CY, et al. Machine learning recom-mends affordable new Ti alloy with bone-like modulus[J]. Mater Today, 2020, 34:41-50.
[25] Lapage L, Foulon S, Poels P, et al. Is it feasible to outsource the remote monitoring of implantable cardiac defibrillators in a large tertiary hospital?[J]. Acta Cardiol, 2023, 78(6):687-698.
[26] Hardiker NR, Sermeus W, Jansen K. Challenges associated with the secondary use of nursing data[J]. Stud Health Technol In-form, 2014, 201:290-297.
[27] 刘梦媛, 田凌云, 蒋敬, 等. 护士在跨专业合作中伦理冲突的范围综述[J]. 中华护理杂志, 2024, 59(9):1138-1145.
  Liu MY, Tian LY, Jiang J, et al. Ethical conflicts in interpro-fessional collaboration among nurses:a scoping review[J]. Chin J Nurs, 2024, 59(9):1138-1145.
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