摘要
目的设计膀胱截石位手术单,以满足手术精准配合需求、节约医院成本支出和缩短铺巾时间。方法设计并制作出膀胱截石位手术单,并与传统手术单进行比较。选择2020年5—12月在中国科学技术大学附属第一医院妇科需要摆膀胱截石位的手术患者100例为研究对象,以随机数字表法分为对照组和观察组各50例,比较2组手术单在铺巾耗时、耗材成本支出、术中敷料移位次数及加铺时间、器械掉落次数。结果对比2组铺巾时间,对照组铺巾总时间8683 s,术中加铺时间423 s,共耗时9106 s,每例铺巾时间169.00(163.00,178.00)s;观察组铺巾总时间5339 s,术中无加铺,每例铺巾时间108.50(98.75,115.25)s;观察组所用的铺巾时间短于对照组(P<0.001)。对比2组的术中加铺及器械掉落,对照组术中加铺11例,观察组术中加铺0例,观察组明显少于对照组,差异有统计学意义(P<0.001);对照组术中器械掉落5例,观察组术中器械掉落2例,观察组术中器械掉落次数较对照组少,但差异无统计学意义(P>0.05)。结论膀胱截石位手术单一体化设计,整体平整美观,可操作性强,省时省力,成本低,节约医疗成本;专用器袋便于术中器械洁污分区管理,减少器械掉落,避免手术部位感染;Time out设计督促三方核查严格执行,保证患者安全,值得临床推广使用。
Objective The surgical drapes for bladder lithotomy position are designed to meet the needs of precise operation support,save cost and reduce draping time.Methods A surgical drape for bladder lithotomy position was designed,created and compared with traditional surgical drapes.A total of 100 cases of patients requiring bladder lithotomy in the Department of Gynaecology,The First Affiliated Hospital of USTC from May 2020 to December 2020 were selected as the research objects.Fifty cases were randomly chosen as the control group and another 50 cases as the observation group.The two groups of surgical kits were compared in terms of time spent on the draping,cost of consumables used,number of shifts of the dressing during operation and time of added draping and number of tool drops in the two groups.Results The total laying time of the observation group was 5339 s(no added draping required),shorter than that of the control group,which was 8683 s(total of 9106 s with additional 423 s for the added draping due to intraoperative overlays).The difference was statistically significant(P<0.001).The number of intraoperative overlays in the observation group was 0,significantly less than that in the control group,which was 11,and the difference was statistically significant(P<0.001).The number of tool drops in the observation group was only 2,less than 5 in the control group,with no statistical difference(P>0.05).Conclusion The proposed surgical drape design for bladder lithotomy position exhibits an integrated configuration with separate areas for clean and dirty tools during surgical operation.It is flat and beautiful in appearance,easy to operate,hassle free and cost saving.The special bagging design makes it possible to separate clean and dirty areas,thus reducing the chances of tool dropping and avoiding infection on surgery.In addition,the unique"time out"design enhances strict inspections from all three parties involved,which contributes to ensuring patient safety.Therefore,the proposed design is worthy of promotion and application.
作者
朱荣荣
陈荣珠
彭程
王桂红
王文姬
蒋琴琴
ZHU Rong-rong;CHEN Rong-zhu;PENG Cheng;WANG Gui-hong;WANG Wen-ji;JIANG Qin-qin(Operating Room,the First Affiliated Hospital of USTC,Hefei,Anhui 230001,China)
出处
《中华全科医学》
2022年第7期1240-1243,共4页
Chinese Journal of General Practice
基金
安徽省科学技术厅重点研究与开发计划项目(202004j07020016)。
关键词
膀胱截石位
手术单
节约成本
术中优势
Bladder lithotomy position
Surgical drape
Cost saving
Intraoperative advantage
