精细化流程管理在减轻手术室病人紧张度中的应用效果  

The application effect of refinement process management in alleviating the tension of the operating room patients

作　　者：李海菊 李光文 

机构地区：[1]首都医科大学密云教学医院中心手术室,北京101500

出　　处：《蚌埠医学院学报》2017年第10期1411-1414,共4页Journal of Bengbu Medical College

摘　　要：目的:探讨精细化流程管理在减轻手术室病人紧张度中的应用效果。方法:以2014年1月作为时间间隔点,以精细化流程管理开展前6个月(对照组)与开展后6个月(观察组)手术室病人资料为研究对象;对照组在手术室期间实施常规化管理,观察组在手术室期间给予精细化流程管理,包括人员管理、环境管理、物品管理和流程管理等,观察2组的护理质量、手术预后、紧张度变化情况与满意度情况。结果:观察组的护理合格率和护理文书合格率均高于对照组(P<0.05),而意外事件及护理并发症发生率均低于对照组(P<0.05)。观察组手术总有效率为98.6%,高于对照组的90.0%(P<0.05)。2组术后7 d的紧张度评分均低于术前1 d(P<0.05)。出院时进行调查,观察组护理满意度为100.0%,高于对照组的88.6%(P<0.05)。结论:在手术室中应用精细化流程管理能减轻病人紧张度,有效提高护理质量与手术有效率,改善病人对护理的评价,值得临床进一步推广。Objective To investigate the application effects of refinement process management in alleviating the tension of theoperating room patients. Methods：January 2014 was set as the interval point time in the general surgery operating room,the patientsbefore 6 months of refinement process management and after 6 months of refinement process management were divided into the controlgroup and observation group,respectively. The control group was coped with the conventional management,and the observation groupwas coped with the refinement process management （ including the personnel management, environment management, materialmanagement and process management）. The care quality,prognosis,tension and satisfaction in two groups were observed. Results：Thenursing qualification rate and care instruments passing rate in observation group were significantly higher than those in control group（P〈 0. 05）,and the incidence rates of the accident and nursing complication in observation group were significantly lower than those incontrol group（P 〈 0. 05）. The surgical total effective rate in observation group（98. 6%） was higher than that in control group（90. 0%）（P 〈 0. 05）. The scores of postoperative 7 d tension in two groups were higher than those of before operation（P 〈 0. 05）. The nursingsatisfaction rate in observation group （100. 0%） was higher than that in control group （88. 6%） （ P 〈 0. 05 ）. Conclusions： Theapplication of refinement process management can relieve the tension of patients,and improve the quality of care,operation efficiencyand patient s care evaluation,which is worthy of further promotion.

关 键 词：手术室护理 精细化流程管理 紧张度 满意度 护理质量 

分 类 号：R472.3[医药卫生—护理学]