摘要
目的探究基于九宫格思维模型的手术室护理管理在胸腔镜手术中的应用效果。方法选取2021年1月—2023年1月医院收治的接受胸腔镜手术的患者104例为研究对象,按照组间基线资料可比的原则分为对照组和观察组,各52例。对照组采取常规模式管理,观察组在对照组基础上给予九宫格思维模型的护理管理。比较两组患者的手术效率、护理质量、患者和手术医师对手术室护理工作的满意度。结果观察组患者手术准备时间、手术操作时间、连台手术周转时间均短于对照组,差异有统计学意义(P<0.05)。观察组患者手术配合、无菌操作、文书记录、危急病处理、心理护理、专科知识、健康教育等护理质量评分均高于对照组,差异有统计学意义(P<0.05)。观察组患者对心理疏导、入室宣教、护理水平、体位干预、服务态度等手术室护理工作的满意度高于对照组,差异有统计学意义(P<0.05)。观察组手术医师对手术器械与物品准备、手术配合、应急能力、特殊器械的保管及使用、术中器械传递、护理工作态度、无菌操作、护理技能、责任意识、仪器操作水平等手术室护理工作的满意度高于对照组,差异有统计学意义(P<0.05)。结论基于九宫格思维模型的手术室护理管理在胸腔镜手术中应用效果明显,有助于提高手术效率、护理质量及患者、手术医师对手术室护理工作的满意度。
Objective To explore the application effect of operating room nursing management based on the nine-grid thinking model in thoracoscopic surgery.Methods 104 patients who underwent thoracoscopic surgery in the hospital from January 2021 to January 2023 were selected as the study objects,they were divided into the control group and the observation group according to the principle of comparable baseline data between the groups,each with 52 cases.The control group was managed by the conventional model,and the observation group was given the nursing management based on the nine-grid thinking model in the control group.The control group was managed in the conventional mode,and the observation group was given the nursing management of the ninegrid thinking model based on the observation group.The two groups were compared in terms of surgical efficiency,quality of care,and satisfaction of patients and surgeons with the nursing work in the operating room.Results Operation preparation time,operation time,and turnaround time of consecutive surgeries in the observation group were shorter than those in the control group,and the difference was statistically significant(P<0.05).The quality of care scores of patients in the observation group were higher than those of the control group in terms of operation cooperation,aseptic operation,paperwork records,critical illness management,psychological care,speciality knowledge,health education and so on in the quality of care scores of the observation group were higher than those of the control group,and the difference was statistically significant(P<0.05).The patients in the observation group's were interested in psychological counselling,admission mission,level of care,postural intervention,service attitude and other operating room nursing care satisfaction is higher than that of the control group,and the difference is statistically significant(P<0.05).The surgeons in the observation group were satisfied with the preparation of surgical instruments and items,surgical cooperation,emergency response ability,storage and use of special instruments,intraoperative instrument delivery,nursing attitude,aseptic operation,nursing skills,sense of responsibility,instrument operation level and other operating theatre nursing satisfaction is higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion The effect of operating theatre nursing management based on the nine-grid thinking model in thoracoscopic surgery was helps to improve the efficiency of surgery,the quality of care and the satisfaction of patients and surgeons with the nursing work in the operating room.
作者
夏燕
许淑华
孔媛媛
张燕秋
景亚兵
XIA Yan;XU Shuhua;KONG Yuanyuan;ZHANG Yanqiu;JING Yabing(Dongtai Hospital of Traditional Chinese Medicine,Dongtai 224200,China)
出处
《护理实践与研究》
2024年第2期287-292,共6页
Nursing Practice and Research
基金
盐城市科技局立项项目(编号:盐医科鉴[2017]第046号)。
关键词
胸腔镜手术
手术室护理管理
九宫格思维模型
护理质量
Thoracoscopic operation
Operating room nursing management
Nine-grid thinking model
Quality of nursing
