摘要
目的 探讨节点控制理论在改善围术期沟通管理、提高围术期手术运行效率中的应用效果。方法 选择深圳市儿童医院2019年1月1日至2020年7月1日为本次研究的时间段,其中2019年1月1日至2019年9月1日为对照组,实施常规管理,2019年9月2日至2020年7月1日为研究组,实施基于节点控制理论的管理。另整群抽取不同管理方式下的患者500例、手术医生30名及护士30名进行研究。对比两组手术接台衔接时间、术前准备完备率及医务人员、患者满意度。结果 研究组患者手术任务发出至病房接收任务耗时、发出手术任务至转运护工接收任务耗时、转运护工接收任务至到达病区耗时、转运护工到达病区至患儿到达手术室耗时、患儿到达手术室至入手术间耗时、手术室发出手术任务至患儿入手术间耗时分别为(3.09±0.43) min、(2.07±0.46) min、(1.49±0.27) min、(4.36±0.98) min、(2.15±0.64) min、(13.30±2.73) min,明显短于对照组的(5.52±0.68) min、(2.34±0.54) min、(1.81±0.33) min、(8.94±1.46) min、(2.66±0.75) min、(20.63±3.69) min,差异均有统计学意义(P<0.05);研究组患者禁食水时间不足、病历资料不完善、术前标记缺失、患儿原因导致、术前准备遗忘、重新更换留置针分别占0.40%、1.20%、0.80%、1.60%、0.20%、0.60%,明显低于对照组的2.40%、9.20%、3.60%、10.40%、1.40%、2.60%,术前准备完备率为93.40%,明显高于对照组的70.40%,差异均有统计学意义(P<0.05);研究组患者的手术医生、护士、患者满意度分别为96.67%、93.33%、96.60%,明显高于对照组的76.67%、73.33%、82.40%,差异均有统计学意义(P<0.05)。结论 节点控制理论在围术期沟通、手术运行效率管理中可缩短手术室发出手术任务至患儿入手术间所耗费的时间,提高术前准备完备率,同时改善患者、护士、手术医生对管理的满意度,值得应用推广。
Objective To explore the application effect of node control theory in improving perioperative communication and operation efficiency management. Methods The range from January 1, 2019 to July 1, 2020 in Shenzhen Children’s Hospital was selected as the time period of this study, of which January 1, 2019 to September 1, 2019were the control group(implemented routine management), and September 2, 2019 to July 1, 2020 were the study group(implemented management based on node control theory). A total of 500 patients, 30 surgeons, and 30 nurses were selected under each management mode. The connection time, preoperative preparation rate, medical staff and patient satisfaction were compared between the two groups. Results The time-consuming of sending the operation task to the ward to receiving the task, sending the operation task to the transfer nurse to receiving the task, transfer nurse receiving the task to arriving at the ward, transfer nurse arriving at the ward to patients arriving at the operating room, patients arriving at the operating room to entering the operating room, and sending the operation task to patients entering the operating room were(3.09±0.43) min,(2.07±0.46) min,(1.49±0.27) min,(4.36±0.98) min,(2.15±0.64) min,(13.30±2.73) min in the study group, which were significantly shorter than(5.52±0.68) min,(2.34±0.54) min,(1.81±0.33) min,(8.94±1.46) min,(2.66±0.75) min,(20.63±3.69) min in the control group(P<0.05). The proportion of insufficient fasting time, imperfect case data, lack of preoperative markers, causes of the child, and surgery preparatory forgetting, and replacement of indwelling needles were 0.40%, 1.20%, 0.80%, 1.60%, 0.20%, and 0.60% in the study group, which were significantly lower than 2.40%, 9.20%, 3.60%, 10.40%, 1.40%, 2.60% in the control group;the complete rate of preoperative preparation was 93.40%, which was significantly higher than 70.40% in the control group;the differences were statistically significant(P<0.05). The satisfaction levels of surgeons, nurses, and
作者
毕磊
李素芳
赵宏波
高警
张玉
陈昊天
BI Lei;LI Su-fang;ZHAO Hong-bo;GAO Jing;ZHNG Yu;CHEN Hao-tian(Anesthesia Operation Center,Shenzhen Children's Hospital,Shenzhen 518026,Guangdong,CHINA)
出处
《海南医学》
CAS
2022年第6期761-765,共5页
Hainan Medical Journal
基金
广东省深圳市卫计委科研项目(编号:SZFZ2018053)。
关键词
沟通
手术运行效率
节点控制理论
围术期
术前准备
满意度
Communication
Operation efficiency
Node control theory
Perioperative period
Preoperative preparation
Satisfaction
