全程清单式管理对膝关节置换术患者的影响  

Effect of Total Checklist Management on Knee Arthroplasty Patients

作　　者：陈玲[1] 张建梅[1] 徐梅霞 CHEN Ling;ZHANG Jianmei;XU Meixia(Huai’an First People's Hospital,Huai’an 223300,China;不详)

机构地区：[1]淮安市第一人民医院,江苏淮安223300

出　　处：《中外医学研究》2024年第5期83-86,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:分析全程清单式管理对膝关节置换术患者的影响。方法:选取2021年6月—2022年12月淮安市第一人民医院收治的102例膝关节置换术患者。根据随机数表法将其分为对照组及观察组,各51例。对照组给予常规护理,观察组在对照组基础上给予全程清单式管理。比较两组术前(T_(0))、术中15 min(T_(1))、术中30 min(T_(2))、术毕即刻(T_(3))生命体征,术中出血量,并发症及护理满意度。结果:T_(1)、T_(2)、T_(3),观察组心率(HR)低于对照组,平均动脉压(MAP)、鼓膜体温均高于对照组,差异有统计学意义(P<0.05)。观察组术中出血量为(89.61±20.35)mL,对照组术中出血量为(92.41±22.18)mL,两组术中出血量比较,差异无统计学意义(t=0.664,P=0.508)。观察组术中低体温发生率低于对照组,差异有统计学意义(P<0.05)。观察组护理总满意率高于对照组,差异有统计学意义(P<0.05)。结论:采用全程清单式管理能够降低膝关节置换术低体温发生率,提升手术安全性。Objective:To analyse the effect of total checklist management on knee arthroplasty patients.Method:A total of 102 patients with knee arthroplasty treated in Huai’an First People's Hospital from June 2021 to December 2022 were selected.They were divided into control group and observation group according to random number table method,with 51 cases in each group.The control group was given routine nursing,and the observation group was given total checklist management on the basis of the control group.The vital signs before surgery(T_(0)),15 min during surgery(T_(1)),30 min during surgery(T_(2)),and immediately after surgery(T_(3)),intraoperative blood loss volume,complications and nursing satisfaction of the two groups were compared.Result:T_(1),T_(2) and T_(3),the heart rate(HR)of the observation group were lower than those of the control group,mean arterial pressure(MAP)and tympanic membrane temperature were higher than those of the control group,and the differences were statistically significant(P<0.05).Intraoperative blood loss volume was(89.61±20.35)mL in the observation group and(92.41±22.18)mL in the control group,there was no significant difference in intraoperative blood loss volume between the two groups(t=0.664,P=0.508).The incidence of intraoperative hypothermia in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).The total satisfaction rate of nursing in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:The use of total checklist management can reduce the incidence of hypothermia in knee arthroplasty and improve the safety of surgery.

关 键 词：全程清单式管理 膝关节置换术 术中低体温 护理 

分 类 号：R473.6[医药卫生—护理学]