角膜胶原交联术围术期护理配合标准操作规程的研制与应用  

Development and application of a standard operating procedure for perioperative nursing cooperation in corneal collagen cross-linking surgery

作　　者：李嘉懿 郑维鑫 宋靓雯[1] 周晓佳[1] 王婷[1] 蔡丽莲 葛丹丹 龙梦依 李娉[1] 王英 黄文敏[3] Li Jiayi;Zheng Weixin;Song Jingwen;Zhou Xiaojia;Wang Ting;Cai Lilian;Ge Dandan;Long Mengyi;Li Ping;Wang Ying;Huang Wenmin(Department of Laser Therapy for Myopia,Zhongshan Ophthalmic Centre,Sun Yat-sen University,Guangzhou 510060,Guangdong Province,China;Department of Glaucoma,Zhongshan Ophthalmic Centre,Sun Yat-sen University,Guangzhou 510060,Guangdong Province,China;Department of Nursing Administration,Guangdong Provincial Key Laboratory of Ophthalmology Visual Science,State Key Laboratory of Ophthalmology,Zhongshan Ophthalmic Centre,Sun Yat-sen University,Guangzhou 510060,Guangdong Province,China)

机构地区：[1]中山大学中山眼科中心近视眼激光治疗科,广东广州510060 [2]中山大学中山眼科中心青光眼科,广东广州510060 [3]中山大学中山眼科中心护理部,眼病防治全国重点实验室,广东省眼科视觉科学重点实验室,广东广州510060

出　　处：《现代临床护理》2024年第10期66-72,共7页Modern Clinical Nursing

摘　　要：目的构建角膜胶原交联术围术期护理配合标准操作规程(standard operating procedure,SOP),并探讨其在临床应用效果,以便提高临床工作质量与工作效率。方法于2022年10月成立研究小组,构建以患者为中心的角膜胶原交联术围术期护理配合SOP。采用前-后对照研究,选择2022年4月至2023年7月170例单眼快速去上皮角膜胶原交联术患者,将2022年4月至10月的85例设为对照组,按常规手术围术期护理配合方法;2022年11月至2023年7月的85例设为试验组,在对照组基础上采用角膜胶原交联术围术期护理配合SOP。比较两组患者手术时长、手术衔接时间、围手术期时长、手术医生满意度、护士工作满意度和患者满意度。结果两组手术时长、衔接时长、围手术期时长比较,差异具有统计学意义(均P<0.001),试验组时长短于对照组;两组医生满意度、护士工作满意度和患者满意度比较,差异具有统计学意义(均P<0.001),试验组高于对照组。结论角膜胶原交联术围术期护理配合SOP既提高了角膜胶原交联手术医护配合效率、临床工作质量与服务水平,同时也提高了医、患对护士工作满意度,并提升了护士对护理工作的认同感。Objective To establish a standard operating procedure(SOP)for perioperative nursing cooperation in the corneal collagen cross-linking surgery and explore the effect of clinical application in order to improve the quality and efficiency of the management in clinical practice.Methods A research team was established in October 2022 to construct a patient-orientated standard operating procedure for perioperation nursing cooperation in corneal collagen cross-linking surgery.With the before-after control method,170 patients who underwent single eye rapid epithelial-off corneal collagen cross-linking surgery between April 2022 and July 2023 were selected.Totally 85 case form April to October 2022 were assigned into a control group and 85 cases form November 2022 to July 2023 were assigned into a trial group.The control group received a routine perioperative nursing,while the trial group received the standard operating procedure(SOP)for perioperative nursing on the basis of the control group.The two groups were compared in terms of surgical duration,surgical connection duration,perioperative time,surgeon’s satisfaction,nurse’s job satisfaction and patient’s satisfaction.Results The trial group had significantly shorter surgical duration,connection duration and perioperative duration than those of the control group(all P<0.001).The trial group showed significantly higher scores in satisfactions of doctor,nurse and patient in comparison with the control group(all P<0.001).Conclusion The SOP for perioperative nursing cooperation in the corneal collagen cross-linking surgery not only improve the efficiency among the medical team,work quality and services level,but also improve the satisfaction of doctors and patients towards the nursing care and enhance nurse’s sense of identity with nursing work.

关 键 词：角膜胶原交联术 护理配合 标准操作规程 前-后对照研究 

分 类 号：R473.77[医药卫生—护理学]