長期接受規則血液透析病患，數十年累積的治療記錄資料常造成單位在病歷管理的困擾。本研究以某醫學中心血液透析室為例，護理人員為改善既有資訊室作業系統，利用「使用者自建」模式，以Excel VBA巨集進階技術建置護理資訊系統，藉由單位護理同仁自組開發團隊；並在系統開發後進行系統評估。研究方法為實際記錄護理人員直接間接工作內容，訪談同仁對資訊化的需求，待系統建置完成後，利用科技接受模型理論設計的「血液透析護理系統雛型評估問卷」進行資料收集、統計，受測者共計51位。結果顯示：認知易用性對認知有用性有較強烈的顯著影響，而認知易用性會直接且間接的影響認知有用性，且對使用態度與使用行為意向均有顯著影響，為本護理資訊系統推行初期藉以預測使用者行為的最關鍵因素。研究成果：資訊化解決了同仁在照護病患時傳統文書作業上的不便與缺失，改善血液透析照護品質，並加強了相關醫學資料在收集時的便利性與完整性，提升工作效率。

The busy nurses often spent a lot of time in dealing with handwriting document recording and medical information error resorting. In particular, the long term of hemodialysis patients and their accumulated medical records have been caused the data management problem and nursing quality sliding. For the hemodialysis unit in study, for example, nurses improved the DOS, by using "Excel Visual Basic Application (VBA)" and "End-User-Computering" (EUC) model, to meet the nursing system requirements. Development of information through the guidance of experts, the composition of the nursing team learned and developed an end-user-computing information system to manage the long-term hemodialysis patients when the traditional instruments on the operating loss and inconvenience for the nurses to create more time in intensive care in collecting information at convenience and integrity of detailed records of units in the development of care management information system course. The nurses made use of an income nursing information to integrate, analyze, and study, making use of the clinical caring work, and promoting to serve hemodialysis patients and caring quality.