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余丽慧.手术室细节护理在手术室护理安全中的效果分析[J].中国医药科学,2019,(16):155-157        基金项目:
手术室细节护理在手术室护理安全中的效果分析
Analysis on the effect of operating room detail nursing on the nursing safety in operating room
  
DOI:
中文关键词:  细节护理;护理安全;护理质量;手术室
英文关键词:Detail nursing;Nursing safety;Nursing quality;Operating room
作者单位
余丽慧 广东省惠东县中医院手术室,广东惠东 516300 
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中文摘要:
      [摘要] 目的 探讨手术室细节护理在保证手术护理安全中的效果。 方法 选取 2017 年 5 月~ 2018 年 2 月在我院手术室行手术治疗的患者 186 例,按照随机数字表法分为观察组和对照组(各 93 例),对照组采用常规手术室护理,观察组采用手术室细节护理模式;比较两组手术护理指标(消毒麻醉、器械准备、护理人员配合度、仪器设备管理)、手术室护理质量、护理安全及护理满意度;采用焦虑自评量表(SAS)对患者术后焦虑情绪进行评分,记录两组患者术后切口感染情况。 结果 手术护理指标方面,观察组消毒麻醉、器械准备、护理人员配合度、仪器设备管理方面评分高于对照组,差异有统计学意义(P < 0.05);观察组护理安全质量评分、护理人员形象与职业素养评分及护理满意度明显高于对照组,差异有统计学意义(P < 0.05);观察组患者术后 SAS 评分及切口感染率低于对照组,差异有统计学意义(P < 0.05)。 结论 手术室细节护理能够最大限度保证手术安全顺利,提高护理满意度,改善患者焦虑情绪,预防术后切口感染,值得业内借鉴。
英文摘要:
      [Abstract] Objective To explore the effect of operating room detail nursing on the nursing safety in operating room. Methods 186 patients who underwent surgery in our hospital from May 2017 to February 2018 were selected and they were divided into the observation group and the control group according to the random number table,with 93 cases in each group.The control group was given routine operating room nursing while the observation group was given the operating room detail nursing mode.The surgical nursing indexes(disinfection anesthesia,instrument preparation,nursing staff cooperation,instrument and equipment management),operating room nursing quality,nursing safety and nursing satisfaction of two groups were compared.Postoperative anxiety of patients was scored by self-rating anxiety scale(SAS)and postoperative incision infection of patients in two groups was recorded. Results In terms of surgical nursing indexes,the scores of disinfection anesthesia, instrument preparation,nursing staff cooperation and instrument and equipment management in the observation group were higher than those in the control group.The differences were statistically significant(P < 0.05).The score of nursing safety and quality,image and professional quality score of nursing staff and nursing satisfaction in the observation group were higher than those in the control group.The difference was statistically significant(P < 0.05).The postoperative SAS score and incision infection rate in the observation group were both lower than those in the control group and the difference was statistically significant (P < 0.05). Conclusion Operating room detail nursing can ensure the safety and smoothness of the operation to the maximum extent,improve the nursing satisfaction,improve the anxiety of patients,and prevent the postoperative incision infection,which is worthy of reference in the industry.
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