手术室预备控制管理结合协同术前访视在四肢骨折手术患者中的应用效果  

The Application Effect of Surgical Room Preparation Control Management Combined with Collaborative Preoperative Visits in Patients with Limb Fracture Surgery

作　　者：陈芳 方静 林贞 Chen Fang;Fang Jing;Lin Zhen(Putian 95 Hospital,Putian Fujian 351100,China)

机构地区：[1]莆田九十五医院,福建莆田351100

出　　处：《医疗装备》2024年第17期60-64,共5页Medical Equipment

摘　　要：目的探讨手术室预备控制管理结合协同术前访视在四肢骨折手术患者中的应用效果。方法选取2022年8月至2023年7月于医院就诊的100例四肢骨折手术患者作为研究对象。其中,2022年8月至2023年1月的50例患者为对照组,2023年2月至7月的50例患者为观察组。对照组采用四肢骨折常规手术室管理,观察组采用手术室预备控制管理结合协同术前访视。比较两组术前2 d和术后首日的疾病不确定感[采用疾病不确定感量表(MUIS)评估]、术后首日的不适应行为[采用术后行为量表(PHBQ)评估]、手术室护理差错率及术后7 d内并发症发生率。结果术前2 d,两组MUIS评分比较,差异无统计学意义(P>0.05);术后首日,观察组MUIS评分低于对照组(P<0.05)。观察组术后首日PHBQ阳性率、手术室护理差错率及术后7 d内并发症发生率均低于对照组(P<0.05)。结论将手术室预备控制管理结合协同术前访视应用于四肢骨折手术患者中,有利于降低患者的疾病不确定感、术后不适应行为发生率及并发症发生率,减少手术室护理差错,保证患者安全。Objective To explore the application effect of surgical room preparation control management combined with collaborative preoperative visits in patients with limb fracture surgery.Methods With the selection of 100 patients who underwent surgery for limb fractures in hospitals from August 2022 to July 2023 as the research subjects,among them,50 patients from August 2022 to January 2023 were selected as the control group,and 50 patients from February to July 2023 were selected as the observation group.With the use of routine operating room management for limb fractures in the control group and the combination of operating room preparation control management and collaborative preoperative visits in the observation group,the two groups were compared in terms of disease uncertainty on the 2 days before and 1 day after surgery[evaluated using the mishel uncertainty in illness scale(MUIS)],maladaptive behavior on the first day after surgery[evaluated using the post hospital behavior questionaire(PHBQ)],operating room nursing error rate,and incidence of complications within 7 days after surgery.Results Two days before surgery,there was no statistically significant difference in MUIS scores between the two groups(P>0.05);On the first day after surgery,the MUIS score in the observation group was lower than that in the control group(P<0.05).The positive rate of PHBQ on the first day after surgery,the error rate of operating room nursing,and the incidence of complications within 7 days after surgery in the observation group were all lower than those in the control group(P<0.05).Conclusion The application of operating room preparation control and management combined with preoperative visit in patients with limb fracture surgery is conducive to reducing the disease uncertainty of patients,the incidence of postoperative maladaptive behavior and the incidence of complications,and can reduce the nursing errors in operating room and ensure the safety of patients.

关 键 词：预备控制管理 协同术前访视 四肢骨折手术 手术室管理 疾病不确定感 不适应行为 差错率 

分 类 号：R248.2[医药卫生—中医临床基础]