摘要
目的了解神经重症监护病房(NICU)护士对闭眼瞳孔监测系统的设计需求,为闭眼瞳孔监测系统的完善与升级提供参考。方法本研究为描述性质性研究。采用目的抽样法,于2024年12月-2025年2月选取南京大学医学院附属鼓楼医院15名NICU护士进行半结构式访谈。采用内容分析法进行资料分析,提炼关键主题。结果NICU护士对闭眼瞳孔监测系统的设计需求可归纳为6个主题和18个亚主题,分别为物理特性需求(装置稳定性强、体积小巧轻便);舒适度与安全性需求(佩戴舒适性与安全性、避免光源热损伤、便捷消毒与感染防控、辅助眼脸闭合);功能性需求(自动化监测与数据采集、智能报警与提醒机制);操作性需求(随取随用、穿戴方便、操作简单);数据监测需求(数据存储与完整性、数据可视化与及时性、数据分析预测、系统集成与数据管理);延伸性功能需求(意识状态监测、眼底病变检查、视力和视野筛查)。结论NICU护士对闭眼瞳孔监测系统的设计需求是多维度、多层次的。系统研发者应根据护士的真实需求不断优化系统设计。
Objective To explore the design requirements of nurses in the Neurointensive Care Unit(NICU)for the closed-eye pupil monitoring system,providing reference for the refinement and upgrade of the system.Methods This study was descriptive and qualitative.From December 2024 to February 2025,15 NICU nurses from Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University Medical School,were selected using purposive sampling for semi-structured interviews.Content analysis method was used to analyze data and extract key themes.Results NICU nurses'design requirements for closed-eye pupil monitoring system were categorized into six themes and 18 sub-themes,namely physical characteristics requirements(strong device stability,compact and lightweight design),comfort and safety requirements(wear comfort and safety,prevention of light source thermal injury,convenient disinfection and infection control,assisting eyelid closure),functional requirements(automated monitoring and data collection,intelligent alarm and alert mechanisms),operational requirements(ready-to-use,easy to wear,simple operation),data monitoring requirements(data storage and integrity,data visualization and timeliness,data analysis and prediction,system integration and data management),and extended functional requirements(consciousness state monitoring,fundus lesion examination,vision and visual field screening).Conclusions NICU nurses'design requirements for the closed-eye pupil monitoring system are multidimensional and multi-level.System developers should continuously optimize system design based on the actual needs of nurses.
作者
商芷颖
陈璐
徐博
柏晓燕
李景宇
梁双
张令玮
Shang Zhiying;Chen Lu;Xu Bo;Bai Xiaoyan;Li Jingyu;Liang Shuang;Zhang Lingwei(School of Nursing,Nanjing Medical University,Nanjing 211166,China;Nursing Department,Drum Tower Clinical Medical College,Nanjing Medical University,Nanjing 210008,China;Department of Neurosurgery Drum Tower Clinical Medical College,Nanjing Medical University,Nanjing 210008,China;School of Nursing,Nanjing University of Chinese Medicine,Nanjing 210023,China;School of Nursing,Dalian Medical University,Dalian 116044,China)
出处
《中华现代护理杂志》
2025年第30期4081-4086,共6页
Chinese Journal of Modern Nursing
基金
老年长期照护教育部重点实验室(海军军医大学)开放研究基金(LNYB-2023-13)
南京鼓楼医院科技成果转化专项资金项目(2023-GNYZ-YB-07)
南京市卫生科技发展专项资金项目(ZKX24025)
南京大学中国医院改革发展研究院课题项目和江苏省宁爱医学发展医疗救助基金会资助项目(NDYGN2024017)。
关键词
护士
神经重症监护病房
闭眼瞳孔监测
需求分析
质性研究
Nurses
Neurointensive Care Unit
Closed-eye pupil monitoring
R
equirement analysis
Qualitative research
