有声操作法在脊柱外科护理中的应用效果  

Application effect of sound operation in nursing work at spine surgery

作　　者：李翠翠[1] 胡靖[1] 郑林宏[2] 惠慧[2] 

机构地区：[1]西安交通大学附属红会医院护理部,710054 [2]西安交通大学附属红会医院脊柱外科椎间盘与畸形病区,710054

出　　处：《中华现代护理杂志》2016年第27期3958-3960,共3页Chinese Journal of Modern Nursing

摘　　要：目的：探讨在脊柱外科护理工作中运用有声操作法对护理质量的影响。方法将2015年7—10月连续收住院的脊柱外科患者531例分为对照组（264例）和观察组（267例），对照组实施常规护理，观察组在常规护理的基础上实施有声操作法，对两组护理不良事件发生情况、护理文书书写情况、患者健康教育、患者投诉和护理满意度进行统计分析。结果观察组患者发生护理不良事件1次（0.4％），低于对照组的11次（4.2％）（P〈0.05）。观察组患者出现护理文书书写不规范2次（0.7％）和护理文书漏写3次（1.1％），低于对照组的11次（4.2％）和16次（6.1％）（P〈0.05）。观察组无患者投诉（0.0％）和发生患者健康教育不到位1次（0.4％），低于对照组的4次（1.5％）和8次（3.0％）（P〈0.05）。观察组护理满意度为97.75％（261/267），对照组为92.80％（245/264），差异有统计学意义（P〈0.05）。结论有声操作法可有效减少脊柱外科护理差错的发生，提高护理工作质量。Objective To explore the effects of sound operation on nursing quality in nursing work at spine surgery.Methods Totally 531 cases of patients at spine surgery in our hospital from July 2015 to October 2015 were randomly divided into the control group （ n=264） and the intervention group （ n=267） . Patients in two groups were given routine nursing, and patients in the intervention group also were given sound operation. The incidence of nursing adverse events, the writing quality of nursing documents, the situation of health education, the rate of patient complaints and the satisfaction degree toward nursing were collected and analyzed. Results Nursing adverse events in the intervention group was 1 case （ 0. 4%） which were less than 11 cases （4.2%） in the control group （P〈0.05）. There were 2 cases （0.7%） of nonstandard nursing documents and 3 cases （1.1%） of lipography in nursing documents in the intervention group, which were less than 11 cases （4.2%） and 16 cases （6.1%） in the control group （P〈0.05）. There was no case of patient complaints in the intervention group which were less than 4 cases （1.5%） in the control group （P〈0.05）. The situation of health education in the intervention group was 1 case （0.4%） which was less than 8 cases （3.0%） in the control group （P〈0.05）. The satisfaction degree toward nursing in the intervention group was 97.75%（261/267）and was 92.80%（245/264） in the control group （ P〈0. 05）. Conclusions Sound operation in nursing work can effectively reduce nursing adverse events at spine surgery, and it also can improve the quality of nursing.

关 键 词：脊柱外科 护理质量 有声操作 护理不良事件 

分 类 号：R473.6[医药卫生—护理学]