摘要
目的探究价值流程图(value stream mapping,VSM)优化下流程改进对妇科手术患者业务流程时间、手术室运行效率的影响。方法选择2021年7月至2022年6月郑州大学第一附属医院收治的121例妇科患者手术为研究对象。采取类实验研究,以自身前后对照的方法,将2021年7月至2021年12月期间收治妇科患者手术(n=59)设置为对照组,将2022年1月至2022年6月期间收治妇科患者手术(n=62)设置为观察组。对照组护理人员对患者予以常规妇科手术业务流程,观察组在对照组的基础上予以VSM优化下的业务流程进行干预。比较两组患者手术相关业务流程时间、停台手术率、手术效率、患者对护理的满意程度[患者护理质量满意度量表(PSNCQQ)]以及干预前后护理人员交接班满意程度[护理人员交接班评估量表(NASR)]差异。结果VSM干预后,观察组手术相关业务流程时间低于对照组(P<0.05);观察组停台手术率低于对照组(P<0.05);观察组麻醉时间和连台手术患者入科时间高于对照组(P<0.05);观察组患者护理满意度评分高于对照组(P<0.05);干预后护理人员满意度评分高于干预前(P<0.05)。结论VSM优化下的流程改进有效降低妇科手术患者业务流程时间以及停台手术率,提高手术室运行效率,提高护理人员交接班满意程度以及患者围术期护理的满意度。
Objective To explore the influence of process improvement under the optimization of value stream mapping(VSM)on the business process time and operating room efficiency of gynecological surgery patients.Methods A total of 121 gynecological patients admitted to the First Affiliated Hospital of Zhengzhou University from July 2021 to June 2022 were selected as the study objects.A quasi-experimental study was carried out,and with the method of self before and after control,gynecological patients undergoing surgery from July 2021 to December 2021(n=59)were set as the control group,and gynecological patients undergoing surgery from January 2022 to June 2022(n=62)were set as the observation group.The nursing staff of the control group gave the patients the routine gynecological surgery business process,and the observation group intervened with the VSM optimization business process on the basis of the control group.The differences of operation-related business process time,operation stoppage rate,operation efficiency,patients'satisfaction with nursing(PSNCQQ)and nursing staff shift satisfaction(NASR)before and after intervention were compared between the two groups.Results After VSM intervention,the operation related business process time in the observation group was lower than that in the control group(P<0.05);the rate of stopping operation in observation group was lower than that in control group(P<0.05);the anesthesia time and admission time of patients in observation group were higher than those in control group(P<0.05);the nursing satisfaction score of observation group was higher than that of control group(P<0.05);the satisfaction score of nurses after intervention was higher than that before intervention(P<0.05).Conclusion The process improvement under VSM optimization can effectively reduce the business process time and the discontinuation rate of gynecological surgery patients,improve the operating efficiency of the operating room,and improve the satisfaction degree of nursing staff and patients'satisfaction degree of perioperative nursing.
作者
张红龙
张俭
王芳芳
王永琳
Zhang Honglong;Zhang Jian;Wang Fangfang;Wang Yonglin(Central Operation Department,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000 China)
出处
《锦州医科大学学报》
CAS
2024年第1期101-104,共4页
Journal of Jinzhou Medical University
基金
河南省医学科技攻关计划联合共建项目,项目编号:LHGJ20210315。
关键词
价值流程图
妇科手术
手术业务流程时间
手术室运行效率
VSM
gynecological surgery
surgical business process time
operating room operating efficiency
