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
数智化护理创新与应用专题

危重新生儿数智化协同转运模式的构建及应用研究

  • 王欣 ,
  • 杨晶晶 ,
  • 郭万旭 ,
  • 高玉先 ,
  • 张云峰
展开
  • 吉林大学白求恩第二医院新生儿科 长春市 310000
王欣:女,硕士,主管护师,护士长,E-mail:wangxin15@jlu.edu.cn
*张云峰,E-mail:zhangyunf@jlu.edu.cn

收稿日期: 2025-05-11

  网络出版日期: 2026-03-02

基金资助

吉林省科技发展计划项目(3D5222708429)

Construction and application of intelligent collaborative transport mode for critically ill newborns

  • WANG Xin ,
  • YANG Jingjing ,
  • GUO Wanxu ,
  • GAO Yuxian ,
  • ZHANG Yunfeng
Expand
  • Neonatology Departmentthe Second Norman Bethune Hospital of Jilin UniversityChangchun 310000, China

Received date: 2025-05-11

  Online published: 2026-03-02

Supported by

Jilin Province Science and Technology Development Plan Project(3D5222708429)

摘要

目的 构建基于信息化集成平台的数智化协同转运模式,分析该模式应用效果并针对现存问题提出相应对策,重塑危重新生儿协同转运救治流程。方法 以物联网-信息集成-云协同三层理论框架为核心,通过前移院前急救端口、实现远程转运精准联动、优化自动化办公、提供互联网就医信息支持四方面构建基于信息化集成平台的数智化协同转运模式。对比2019年2月—2022年2月的传统转运模式,分析2022年3月—2025年3月吉林省某三级甲等医院新生儿科应用数智化协同转运模式转运危重新生儿效果。结果 应用该模式转运危重新生儿353例,其中最小体重为600 g,最小胎龄为23周,院前急救响应时间由19 min缩短至10 min。与传统转运模式相比,并发症总发生率降低20.01%,医护人员满意度提升至86.07%。结论 该模式可整合采集并高效安全传输数据,促进多学科协同合作,显著提升协同救治与信息互联互通能力,提高医护人员工作效率与质量。

本文引用格式

王欣 , 杨晶晶 , 郭万旭 , 高玉先 , 张云峰 . 危重新生儿数智化协同转运模式的构建及应用研究[J]. 中华急危重症护理杂志, 2026 , 7(3) : 279 -285 . DOI: 10.3761/j.issn.2096-7446.2026.03.004

Abstract

Objective To establish a digital and intelligent collaborative transport mode based on the information-based integration platform,to analyze the application effect of this mode and put forward the corresponding countermeasures for existing problems to reshape the collaborative transport and treatment process of critically ill newborns.Methods With the three-tier theoretical framework of the Internet of Things,information integration and cloud collaboration as the core,the collaborative transfer model based on an integrated information platform was constructed through extending the pre-hospital emergency interface,achieving precise remote transfer linkage,optimizing automated office work,and providing internet-based medical information support. Compared with the traditional transport mode from February 2019 to February 2022,we analyzed the effect of intelligent collaborative transport model for critically ill newborns in the neonatal department of a tertiary hospital in Jilin Province from March 2022 to March 2025.Results The integrated information platform was used to cumulatively transfer 353 critically ill neonates,with the lowest birth weight being 600g and the smallest gestational age being 23 weeks. The emergency response time in the hospital was shortened from 19 minutes to 10 minutes,and the total incidence of complications was reduced by 20.01% compared with traditional transport. The satisfaction of medical staff increased to 86.07%.Conclusion This model integrates and efficiently and safely transmits data,promotes multidisciplinary collaboration,significantly enhances collaborative treatment and information interconnectivity,and improves the efficiency and quality of medical staff’s work.

参考文献

[1] 国务院. 中国儿童发展纲要(2021—2030年)[EB/OL]. [2022-03-08]. http://www.gov.cn/zhengce/content/2021-09/27/content_5639412.htm.
  State Council. China children’s development program(2021-2030)[EB/OL]. [2022-03-08]. http://www.gov.cn/zhengce/content/2021-09/27/content_5639412.htm.
[2] 刘真真, 张先红, 陶晓军, 等. 2111例危重新生儿转运处理及结局分析[J]. 护理研究, 2021, 35(20):3701-3704.
  Liu ZZ, Zhang XH, Tao XJ, et al. Transport treatment and outcome analysis of 2 111 critically ill newborns[J]. Chin Nurs Res, 2021, 35(20):3701-3704.
[3] 王淑, 陈敏, 于广军. 基于5G技术的危重新生儿急救转运协同平台建设[J]. 中国卫生质量管理, 2023, 30(11):69-72.
  Wang S, Chen M, Yu GJ. Construction of critical newborn emergency transport collaborative platform based on 5G technology[J]. Chin Health Qual Manag, 2023, 30(11):69-72.
[4] 季巍, 杨晓倩, 张艳, 等. 基于QFD的危重新生儿转运救治质量提升方案构建研究[J]. 中国医院, 2024, 28(6):74-77.
  Ji W, Yang XQ, Zhang Y, et al. Study on the construction of a quality improvement plan for critically ill neonate transport and treatment based on QFD[J]. Chin Hosp, 2024, 28(6):74-77.
[5] 李苗苗, 王宇, 左仲琪, 等. 智慧护理的概念界定与内容分析[J]. 护理学杂志, 2024, 39(11):9-14.
  Li MM, Wang Y, Zuo ZQ, et al. Concept and content analysis of intelligent care[J]. J Nurs Sci, 2024, 39(11):9-14.
[6] 张晓波, 冯瑞, 葛小玲, 等. 基于5G+区块链的危重新生儿转运信息平台构建策略与效果评估[J]. 中国卫生资源, 2022, 25(5):581-587.
  Zhang XB, Feng R, Ge XL, et al. Construction strategy and effect evaluation of critical neonatal transfer information platform based on 5G+ blockchain[J]. Chin Health Resour, 2022, 25(5):581-587.
[7] 冯航测, 张瑛琪, 杨舟, 等. 5G互联转运系统研发及应用实践[J]. 中国数字医学, 2023, 18(11):36-40.
  Feng HC, Zhang YQ, Yang Z, et al. R&D and application practice of 5G interconnected transfer system[J]. China Digit Med, 2023, 18(11):36-40.
[8] 吴红燕, 高静, 张晓敏, 等. 构建“五位一体”儿科急诊急救管理体系实践与思考[J]. 中国医院, 2021, 25(12):84-86.
  Wu HY, Gao J, Zhang XM, et al. Practice and thinking on constructing a ‘five-sphere integrated plan’ pediatric emergency and emergency management system[J]. Chin Hosp, 2021, 25(12):84-86.
[9] 吴天智, 陈征铮. 基于5G的危重母婴急救转运平台设计及应用[J]. 中国数字医学, 2022, 17(7):92-97.
  Wu TZ, Chen ZZ. Design and application of 5G-based emergency transfer platform for critical mothers and infants[J]. China Digit Med, 2022, 17(7):92-97.
[10] 王胜. 互联网+智慧急救一体化平台探索与实践[J]. 中国卫生信息管理杂志, 2023, 20(5):737-741,747.
  Wang S. Exploration and practice of integratied Internet+ intelligent first aid platform[J]. Chin J Health Inform Manag, 2023, 20(5):737-741,747.
[11] 南静文, 许利群, 王青松, 等. 面向县域医共体的HL7 FHIR规范设计与平台实现[J]. 中国数字医学, 2023, 18(5):104-109.
  Nan JW, Xu LQ, Wang QS, et al. HL7 FHIR standard design and platform implementation for medical consortium at county level[J]. China Digit Med, 2023, 18(5):104-109.
[12] Qiu J, Wu XL, Xiao ZH, et al. Investigation of the status of interhospital transport of critically ill pediatric patients[J]. World J Pediatr, 2015, 11(1):67-73.
[13] 朱艳娟, 洪小杨, 赵喆, 等. 危重症患儿体外膜肺氧合支持下长途转运的护理[J]. 中华护理杂志, 2021, 56(4):581-584.
  Zhu YJ, Hong XY, Zhao Z, et al. The nursing care of domestic long-distance transport in critically ill children supported by ECMO[J]. Chin J Nurs, 2021, 56(4):581-584.
[14] 王蓓蓓, 顾莺, 胡静, 等. 危重症患儿院际转运实践方案的构建[J]. 中华护理杂志, 2023, 58(22):2693-2702.
  Wang BB, Gu Y, Hu J, et al. Construction of a practical program for interhospital transfer of critically ill children[J]. Chin J Nurs, 2023, 58(22):2693-2702.
[15] 张岚, 乐琼, 罗黎, 等. 新生儿院际转运管理的最佳证据总结[J]. 护理学报, 2021, 28(11):21-26.
  Zhang L, Le Q, Luo L, et al. Best evidence summary for management of inter-hospital transport for newborns[J]. J Nurs China, 2021, 28(11):21-26.
[16] 周红琴, 夏姗姗, 诸纪华, 等. 危重症患儿院际转运安全管理的研究进展[J]. 中华急危重症护理杂志, 2022, 3(4):372-376.
  Zhou HQ, Xia SS, Zhu JH, et al. Research progress on safety management of interhospital transfer of critically ill children[J]. Chin J Emerg Crit Care Nurs, 2022, 3(4):372-376.
[17] 王婉洪, 蔡莹莹, 王巧洪, 等. 基于ADDIE教学模型在新生儿转运护士岗位培训中的应用效果分析[J]. 现代临床护理, 2024, 23(4):85-90.
  Wang WH, Cai YY, Wang QH, et al. Effectiveness of ADDIE instruction model in on-the-job training of neonatal transfer nurses[J]. Mod Clin Nurs, 2024, 23(4):85-90.
[18] 罗菁, 于德勤, 任伯瑞, 等. 广州市院前急救信息化平台建设与应用[J]. 中国数字医学, 2024, 19(11):6-10.
  Luo J, Yu DQ, Ren BR, et al. Construction and application of information platform for pre-hospital first-aid in Guangzhou[J]. China Digit Med, 2024, 19(11):6-10.
[19] 陈沁, 张军, 杨冰香, 等. 国内外智慧护理服务模式的研究进展[J]. 护理学报, 2024, 31(17):17-21.
  Chen Q, Zhang J, Yang BX, et al. Research progress on smart nursing Service models at home and abroad[J]. J Nurs China, 2024, 31(17):17-21.
[20] 尹世玉, 王颖, 徐蓉, 等. 202所医院“互联网+护理服务” 开展现况调查[J]. 护理学杂志, 2024, 39(23):57-60,97.
  Yin SY, Wang Y, Xu R, et al. Current status of “Internet plus nursing services” in 202 hospitals[J]. J Nurs Sci, 2024, 39(23):57-60,97.
[21] Fang JW, Fu WJ, Feng R, et al. Newborn emergency transport based on the fifth-generation wireless networks and blockchain[J]. World J Pediatr, 2022, 18(7):520-524.
[22] 颜崇兵, 裘刚, 袁琳, 等. 基层医疗卫生机构常见新生儿疾病诊疗指南:新生儿转运(2025年)[J]. 中国当代儿科杂志, 2025, 27(7):759-769.
  Yan CB, Qiu G, Yuan L, et al. Guideline for the diagnosis and treatment of common neonatal diseases in primary healthcare institutions:neonatal transport(2025)[J]. Chin J Contemp Pediatr, 2025, 27(7):759-769.
文章导航

/