摘要
目的 探讨时间管理对玻璃体切除术手术室护理质量的影响. 方法 2013年1—6月实施手术室常规管理,共做玻璃体切割术124例,为对照组;2013年7—12月实施手术室时间管理,共做玻璃体切割术189例,为干预组,统计两组手术量、手术室日均手术量及每台手术平均耗时,对手术室质量管理工作评价. 结果 实施时间管理前共做手术124例,实施后共做手术189例,较实施前手术量增加了52. 4%;日均手术量干预组多于对照组,差异有统计学意义（t= -2. 540,P〈0. 05）;干预组每台手术时间平均（124.3 ±15.6）min,对照组为（153.6 ±18.9）min,差异有统计学意义（t=8.659,P〈0.01）. 干预组交接班满意度评分为（85. 3 ± 5. 6）分,护士对医生工作的满意度为（91. 3 ± 2. 1）分,医生对护士配合的满意度为（92. 6 ± 3. 8）分,患者对手术的满意度为（93. 1 ± 4. 1）分,均高于对照组,差异有统计学意义（t值分别为-2. 653,-5. 236,-4. 968,-5. 245;P〈0. 05）. 结论 实施手术室时间管理后,提高了时间的利用率,规范了医护人员的行为,提高了护士对护理管理的满意度和医生对护士配合的满意度,同时也提高了患者对手术效果的满意度.
Objective To explore the influence of time management on quality of care of operating room forvitrectomy. Methods A total of 124 patients undergoing vitrectomy underwent routine operation management as control group from January to June 2013, while 189 patients with vitrectomy received time management operation as experimental group. We accounted the operative quantity, the average operative quantity for each operating room daily, average time of each operations, and assessment of quality management in operating room. Results Before time management, there was 124 cases of vitrectomy, but 189 cases after time management with 52. 4% increase, and the average number of operation daily was climbed in the experimental group compared the control group （t = -2. 540,P 〈0. 05）. The average time of each operations were （124. 3 ± 15. 6）min in the experimental group and （153. 6 ± 18. 9）min in the control group （t=8. 659,P〈0. 01）, and the satisfaction of hand over, nurses to doctors′ job, doctors to nurses′ job, and patients to operation were （85. 3 ± 5. 6）,（91. 3 ± 2. 1）,（92. 6 ± 3. 8） and （93. 1 ± 4. 1） in the experimental group, which were higher than these of the control group （t =2. 653, -5. 236, -4. 968, -5. 245; P 〈0. 05）. Conclusions The implementation of time management improves the time efficacy and the satisfaction of nurses to nursing management and doctors to nurses′ cooperation, regulates medical staffs′ behavior, and also promotes the satisfaction of patients to operation effect.
出处
《中华现代护理杂志》
2015年第22期2654-2657,共4页
Chinese Journal of Modern Nursing
