耳科手术护理配合标准作业程序的构建与应用  

Standard operating procedures for otologic surgery

作　　者：张莹[1] 王菲[1] 龚树生[2] Zhang Ying;Wang Fei;Gong Shusheng(Central Operating Room ,Beijing Friendship Hospital of Capital Medical University ,Beijing 100050 ,China)

机构地区：[1]首都医科大学附属北京友谊医院中心手术室,北京100050 [2]首都医科大学附属北京友谊医院耳鼻喉头颈外科,北京100050

出　　处：《护理学杂志》2019年第20期16-19,共4页Journal of Nursing Science

摘　　要：目的提高耳科疾病患者手术护理质量与效率。方法按时间段将耳科手术患者400例分为两组各200例;对照组按常规进行手术护理配合;观察组构建耳科手术护理配合标准作业程序(SOP),对护士进行专项培训后用于手术护理中。比较耳蜗植入、中耳手术、听神经瘤手术及咽鼓管球囊扩张4项手术的应用效果。结果观察组前3项手术时间显著短于对照组;手术医生满意度显著高于对照组,因手术器械仪器故障致手术中断率显著低于对照组(P<0.05,P<0.01)。结论构建的耳科手术护理配合SOP使手术护理规范化、标准化、同质化,有效提高了手术室护理工作效率及护理质量。Objective To improve the quality and efficiency of intraoperative care in otologic surgery. Methods Four hundred patients underwent otologic surgery were divided into two groups of 200 chronologically, receiving either routine intraoperative care (the control group) or alternative care that followed the standard operating procedures (the intervention group). The application effects in cochlear implantation, middle ear surgery, acoustic neuroma surgery and balloon dilation eustachian tuboplasty were compared. Results The intervention group required shorter time for the former three surgeries, however, had lower incidence of equipment malfunctioninginduced interruptions in the surgery compared with the control group (P<0. 05, P<0. 01). The surgeons,satisfaction with nursing work in the intervention group was significantly higher than the control group (P<0.01 for all). Conclusion The SOP for standardization of intraoperative care in otologic surgery facilitates to provide homogeneous care, thus to improve the efficiency and quality of operating room nursing.

关 键 词：手术室 耳科疾病 标准作业程序 耳蜗植入手术 听神经瘤手术 咽鼓管球囊扩张 手术中护理 

分 类 号：R472.3[医药卫生—护理学] C931.2[医药卫生—临床医学]