前馈控制管理在预防手术室消极型结局护理中断事件中的应用  

Application of feed-forward control management in preventing nursing interruption events with negative outcomes in operating room

作　　者：楼晨燕 祝霞君 余利霞 徐舜 LOU Chenyan;ZHU Xiajun;YU Lixia;XU Shun(Operating Room,Quzhou Maternal and Child Health Hospital,Quzhou,Zhejiang 324000,China;不详)

机构地区：[1]衢州市妇幼保健院手术室,浙江衢州324000 [2]衢州市妇幼保健院护理部,浙江衢州324000 [3]衢州市妇幼保健院党政办,浙江衢州324000 [4]衢州市妇幼保健院妇科,浙江衢州324000

出　　处：《中华全科医学》2024年第7期1260-1263,共4页Chinese Journal of General Practice

基　　金：浙江省医药卫生科技计划项目(2021KY1193)。

摘　　要：目的分析前馈控制管理对手术室消极型结局护理中断事件的预防效果,为手术室管理提供新思路。方法采用便利抽样法,选取2023年1—11月在浙江省衢州市妇幼保健院进行手术的128例患者作为研究对象,将2023年1—5月进行手术的64例患者作为对照组,将2023年6月—11月进行手术的64例患者作为观察组。对照组患者应用常规护理模式,观察组在对照组基础上增加前馈控制管理。比较2组患者消极型结局护理中断事件发生率、持续时间及护理中断事件来源,比较2组患者手术室护理不良事件发生率及护理质量。结果观察组患者消极型结局护理中断事件发生率为75.9%(88/116),低于对照组的84.6%(198/234),且观察组护理中断持续时间为(2.12±0.76)min,低于对照组的(4.83±1.07)min,2组比较差异均有统计学意义(P<0.05)。观察组患者手术室护理不良事件发生率为3.1%(2/64),低于对照组[12.5%(8/64),P<0.05]。观察组患者护理质量总分为(47.81±1.62)分,高于对照组[(44.68±2.54)分,t=8.312,P<0.001]。结论前馈控制管理在预防手术室消极型结局护理中断事件中具有积极作用,不仅能降低消极型结局护理中断事件发生率、持续时间及手术室护理不良事件发生率,还能提高手术室护理质量,值得临床应用。Objective To analyze the preventive effect of feed-forward control management on negative outcome nursing interruption events in the operating room,and provide new ideas for operating room management.Methods Convenience sampling was used to select 128 patients who underwent surgery in the operating room of Quzhou Maternal and Child Health Hospital in Zhejiang Province from January to November 2023 as the study subjects.Among them,64 patients who underwent surgery from January to May 2023 were selected as the control group,and 64 patients who underwent surgery from June to November 2023 were selected as the observation group.The control group patients were treated with conventional nursing mode,while the observation group added the feed-forward control management on the basis of the control group.The incidence,duration,and sources of nursing interruption events with negative outcomes between two groups of patients were compared,and the incidence and quality of nursing adverse events in the operating room between the two groups of patients were compared.Results The incidence of negative outcome nursing interruption events in the observation group was 75.9%(88/116),lower than 84.6%(198/234)in the control group,and the duration of the observation group was(2.12±0.76)minutes,lower than(4.83±1.07)minutes in the control group,the comparison between the two groups of patients was statistically significant(P<0.05).The incidence of adverse events in the operating room nursing of patients in the observation group was 3.1%(2/64),lower than the control group[12.5%(8/64),P<0.05].The total score of nursing quality for patients in the observation group was(47.81±1.62)points,which was higher than the control group[(44.68±2.54)points,t=8.312,P<0.001].Conclusion The concept of feed-forward control management plays a positive role in preventing negative outcome nursing interruptions in the operating room.It not only reduces the incidence and duration of nursing interruptions,but also reduces the incidence of adverse nursing even

关 键 词：手术室 前馈控制管理 消极型结局 护理中断事件 护理质量 

分 类 号：R472.3[医药卫生—护理学]