图文式护理准备清单在肝移植手术的临床应用及效果分析  

Clinical application and effect analysis of"picture-type nursing preparation checklist"in liver transplantation surgery

作　　者：杨烨[1] 王菲[2] 王兢[2] 李云生[2] 张丽娜[2] 李君[2] 邢建坤 朱志军[3] 魏林[3] 刘思琦 Yang Ye;Wang Fei;Wang Jing;Li Yunsheng;Zhang Lina;Li Jun;Xing Jiankun;Zhu Zhijun;Wei Lin;Liu Siqi(Department of Otorhinolaryngology Head and Neck Surgery,Beijing 100050,China;Central Operating Room,Beijing 100050,China;Liver Transplantation Center,Beijing Friendship Hospital,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耳鼻咽喉头颈外科,北京101100 [2]首都医科大学附属北京友谊医院中心手术室,北京101100 [3]首都医科大学附属北京友谊医院肝脏移植中心,北京101100

出　　处：《实用器官移植电子杂志》2023年第1期46-49,共4页Practical Journal of Organ Transplantation(Electronic Version)

基　　金：首都卫生发展科研专项项目(首发2020-1-2024)。

摘　　要：目的探讨手术室护士使用图文式护理准备清单在减少肝移植患者术前及术中准备时间的效果分析。方法选取2019年1月至2020年1月本院进行的原位肝移植手术60例为对照组,记录从患者入室到手术开始的术前准备时间(T1)、术中因物品准备不充分手术停顿等待时间(T2)及无肝期用药准备时间(T3)。分析肝移植手术术前、术中护理准备工作情况,制定肝移植患者术前、术中图文式护理准备清单并应用于2020年2月至2021年2月接受原位肝移植手术患者为观察组60例,分别记录T1、T2及T3,组间进行统计分析。结果对照组中T1平均为(60.4±14.2)min,占时最长的为体位用物准备不充分,防水贴膜贴取时机、位置不合适。T2平均为(3.1±0.6)min,停顿时间最长的是手术灯炳容易遗忘,手术贴膜准备错误,双极电凝准备用物不全,T3平均为(17.8±2.1)min,无肝期用药配药时机,配药顺序掌握不明确。应用肝移植手术图文式护理准备清单后,观察组T1和T2及T3较对照组显著降低(45.2±11.3)min,(1.3±0.3)min,(13.2±1.2)min。两组结果相比,具有统计学意义(P<0.05)。结论通过观察总结的肝移植患者图文式护理准备清单提高了工作效率和护理质量,医生满意率得到提升,值得在临床中推广应用。Objective To explore the effect of"picture-type nursing preparation checklist"in reducing preoperative and intraoperative preparation time for liver transplantation patients.Methods The control group was selected from 60 patients undergoing orthotopic liver transplantation in our hospital from January 2019 to January 2020,and the preoperative preparation time(T1)from the patient's entrance to the start of the operation,the waiting time due to lack of items during the operation(T2)and the preparation time for anhepatic phase(T3)were recorded.The preoperative and intraoperative nursing preparation of liver transplantation was analyzed,and the preoperative and intraoperative"picture-type nursing preparation checklist"was developed,which was used in the observation group of 60 patients undergoing orthotopic liver transplantation from February 2020 to February 2021.The T1,T2 and T3 were recorded,respectively,and statistical analysis was performed between two groups.Results The average T1 in the control group was(60.4±14.2)mins.The longest steps were inadequate preparation for the body position and the inappropriate time and position of the waterproof film.The average T2 was(3.1±0.6)mins.The longest steps were the preparation of shadowless lamp handle,the error of the waterproof film and the incomplete preparation of bipolar electrocoagulation.The average T3 was(17.8±2.1)mins,the core speed-limiting factors were insufficient preparation of drug dispensing timing and dispensing sequence.After adopting the"picture-type nursing preparation checklist",T1,T2 and T3 of the observation group were significantly lower than those of the control group,the time were(45.2±11.3)mins,(1.3±0.3)mins,(13.2±1.2)mins,P<0.05 respectively.Conclusion The"picture-type nursing preparation checklist"summarized through observation can improve the work efficiency and nursing quality,and improve the satisfaction of surgeons,which is worth promoting in clinical application.

关 键 词：肝移植手术 护理配合 图文式护理准备清单 

分 类 号：R473.6[医药卫生—护理学]