姓名标签在手术团队闭环沟通中的应用及影响  

Application and Influence of Name Tags in Closed-Loop Communication of Surgical Team

作　　者：贺礼 蔡益民[1] 周毅峰[1] 康薇 谢华 HE Li;CAI Yi-min;ZHOU Yi-feng;KANG Wei;XIE Hua(Hunan Provincial People's Hospital(the First Affiliated Hospital of Hunan Normal University),Changsha 410005,Hunan,China)

机构地区：[1]湖南省人民医院(湖南师范大学附属第一医院),长沙410005

出　　处：《中国现代手术学杂志》2022年第4期309-313,共5页Chinese Journal of Modern Operative Surgery

基　　金：湖南省自然科学基金(2019JJ80009)。

摘　　要：目的评价姓名标签在手术团队闭环沟通中的应用效果,为临床及后续科研工作提供参考依据。方法采取类实验研究方法,收集长沙市某三级甲等医院手术室非固定专科手术间内工作团队成员的沟通数据,按手术时间先后顺序分为实验组和对照组。对照组穿着常规手术衣、手术帽进行手术配合,实验组在对照组的基础上增加姓名标签。收集四周以上的数据,分别为姓名标签干预前和干预后各两周。结果最终实验组有28台手术109人次纳入研究,对照组有27台手术107人次纳入研究。与对照组相比,实验组术中沟通次数无统计学差异(P=0.050),但术中姓名使用次数[9(7,12)次vs.3(2,3)次]、闭环沟通的次数[5(4,7)次vs.2(1,2)次]、术后姓名回忆成功率[69.7%(76/109)vs.38.3%(41/107)]和团队术中沟通满意度[40(38,43)分vs.31(27,34)分],实验组均高于对照组,差异有统计学意义(均P=0.000)。实验组术中无效沟通次数、呼叫至应答完成平均时间均低于对照组,差异有统计学意义(P=0.000)。实验组团队合作认知量表和团队合作态度量表得分均明显高对照组(P=0.000)。结论在手术服或手术帽上增加姓名标签能增加手术团队的有效沟通,减少术中呼叫至应答完成时间,提升医护人员的合作效率,增加医护沟通满意度和职业认同感。Objective To evaluate the application effect of name tags in closed-loop communication of surgical teams,and to provide references for clinical and subsequent scientific research.Methods A convenient sampling method was adopted to collect communication data of working team members in an operating room in a Class 3A hospital of Changsha city.The data were divided into an experimental group and a control group according to chronological order.The control group wore conventional surgical clothes and surgical caps during surgical cooperation,and the experimental group added name tags on the surgical clothes or surgical caps.Data were collected for four weeks,with two weeks before and two weeks after the name tag intervention.Results Finally,109 person-times of 28 surgeries were included in the experimental group,and 107 person-times of 27 surgeries were included in the control group.Compared with the control group,there was no significant difference in the number of intraoperative communication in the experimental group(P=0.050).But the differences were all significant(P=0.000)in the number of intraoperative name use[9(7,12)vs.3(2,3)],the number of closed-loop communication[5(4,7)vs.2(1,2)],and the success rate of postoperative name recall[69.7%(76/109)vs.38.3%(41/107)].The satisfaction score of team intraoperative communication was higher than that of the control group[40(38,43)vs.31(27,34)],and the difference was statistically significant(P=0.000).The number of ineffective communication and the average time from call to response of the experimental group were lower than that of the control group,and the differences were statistically significant(P=0.000).There were significant differences in the scores of teamwork attitude and teamwork awareness scale between the two groups(P=0.000).Conclusion Adding name tags to surgical gowns or caps can increase the effective communication of surgical teams,reduce the time between intraoperative call and response completion,improve the cooperation efficiency of medical staff,and

关 键 词：姓名标签 手术团队 闭环沟通 团队合作 手术安全 

分 类 号：R472.3[医药卫生—护理学]