手术包双向质控模块在人工股骨头置换术中的应用价值分析  

The application value in bi-directional quality control module of surgical package in artificial femoral head replacement

作　　者：王艳花[1] 汪雅琴[1] 张芳[1] 张颖[1] 任雯翠 李培东[1] Wang Yanhua;Wang Yaqin;Zhang Fang;Zhang Ying;Ren Wencui;Li Peidong(Department of Central Sterile Supply,Zhongda Hospital Affiliated to Southeast University,Nanfing 210009,China)

机构地区：[1]东南大学附属中大医院消毒供应中心,南京210009

出　　处：《中国实用护理杂志》2018年第32期2506-2510,共5页Chinese Journal of Practical Nursing

摘　　要：目的探讨手术包双向质控模块在人工股骨头置换术中的应用价值与临床效果。方法选取东南大学附属中大医院2015年6月至2017年6月收治的360例行人工股骨头置换术患者，将患者按照应用不同手术包模块分为观察组与对照组各180例。观察组采用手术包双向质控模块供应手术包，对照组采用手术包普通追溯模块供应手术包，比较2组手术时间、缺陷手术包的发生情况、术后并发症及患者术后满意度。结果观察组平均手术时间为（69．2±11．6）min，对照组平均手术时间为（76．8±14．5）min，2组比较差异有统计学意义（t=-5．49，P〈0．01）。观察组手术包缺陷情况合计缺陷率2．2％（4／180），对照组合计缺陷率22．2％（40／180），差异有统计学意义（r=33．60，P〈0．01）。观察组术后出血、剧烈疼痛、切口感染、切口裂开、发热分别为4、3、、1、2例，少于对照组的16、11、18、8,9例，差异有统计学意义（r=4．10-9．49，P〈0．01或0．05）。观察组患者满意度评分为（89．38±7．83）分，对照组为（79．18±5．55）分，差异有统计学意义（t=25．690，P〈001）。结论在人工股骨头置换术中应用手术包双向质控模块可缩短手术时间，减少缺陷手术包，减少术后并发症的发生，提高手术质量，提高患者满意度，值得临床推广应用。Objective To explore the application value and clinical effect of the bi-directional quality control module for Surgical Package in artificial femoral head replacement. Methods A total of 360 patients undergoing artificial femoral head replacement in our hospital from June 2015 to June 2017 were selected and divided into observation group and control group, 180 cases in each group. The observation group,used bi-directional quality control module of surgical bag, while the control group used conventional management model of surgical bag . The operation time, the incidence of surgical bag, postoperative complications and postoperative satisfaction were compared. Results The average operation time in the observation group was （69.2± 11.6）min, the average operation time in the control group was （76.8 ± 14.5）rain, P 〈0.01. The total defect rate in the observation group was 2.2% . The total defect rate in the control group was 22.2%, P 〈0.01; the observation group had less severe pain, incision split, fever, postoperative bleeding, incision infection than the control group, P 〈0.05. Patient satisfaction score was （89.38±7.83） points in the observation group, （79.18±5.55） points in the control group, P 〈0.01. Conclusions The hi-directional quality control module of surgical package can shorten the operation time, reduce the defect surgical packages, reduce the incidence of postoperative complications , improve the quality of operation, and improve patient satisfaction in the application of artificial femoral head replacement. It is worthy of clinical application.

关 键 词：手术包 双向质控模块 人工股骨头置换术 

分 类 号：R473.6[医药卫生—护理学]