多学科协作联合4R危机管理模式在脊柱矫形患者中的应用  

作　　者：金丹 倪水军 

机构地区：[1]浙江中医药大学附属江南医院(杭州市萧山区中医院),311201

出　　处：《浙江临床医学》2023年第7期1072-1074,共3页Zhejiang Clinical Medical Journal

摘　　要：目的探讨多学科协作联合4R危机管理模式应用于脊柱矫形患者的效果。方法回顾性分析2019年1月至2022年1月本院行手术脊柱矫形患者60例,按照干预方式不同分为常规护理组(对照组)和多学科协作联合4R危机管理模式组(观察组)各30例,比较两组患者手术切口感染、护理不良事件、麻醉不良事件、术中体位摆放时间、手术者对手术准备和患者对整体护理的满意度。结果手术切口感染、护理不良事件、麻醉不良事件、术中体位摆放时间,观察组均低于对照组(P<0.05);手术者对手术准备和患者对整体护理的满意度,观察组均高于对照组(P<0.05)。结论多学科协作联合4R危机管理模式应用于脊柱矫形患者,能提高护理人员安全预防意识,减少不良事件发生率,提升医护和医患间信任度。Objective To explore the effect of multidisciplinary cooperation combined with 4R crisis management model in spinal orthopedic patients.Methods From January 2019 to January 2022,60 patients with spinal correction were analyzed retrospectively,the patients were divided into two groups according to different intervention methods:the control group(n=30)and the observation group(n=30).The incisional infection,nursing adverse events,anesthesia adverse events,postural positioning time during operation,the chief surgeon's satisfaction to the preparation of operation and the patients'satisfaction to the whole nursing were compared between the two groups.Results The time of incision infection,nursing adverse events,anesthesia adverse events and postural position during operation in the observation group were all lower than those in the control group,with statistical significance(P<0.05).The satisfaction of the chief surgeon to the operation preparation and the patients to the whole nursing in the observation group was higher than that in the control group,with statistical significance(P<0.05).Conclusion The application of multidisciplinary cooperation and 4R crisis management model in spinal orthopedic patients can improve the safety and prevention awareness of nurses,reduce the incidence of adverse events,and enhance the trust between doctors and patients.

关 键 词：多学科协作 4R危机管理 手术室护理 脊柱矫形 

分 类 号：R473.6[医药卫生—护理学]