摘要
目的探讨精细化流程管理在胆囊癌手术患者中的应用效果及对手术室管理工作效率的影响。方法选取94例胆囊癌手术患者,将2018年1—12月实施手术室常规管理的45例患者纳入对照组,将2019年1月至2020年1月实施手术室精细化流程管理的49例患者作者观察组。比较两组患者术后恢复指标、心理应激反应[焦虑自评量表(SAS)、抑郁自量表(SDS)]、管理质量、管理工作效率、术后感染率和生活质量[健康调查简表(SF-36)]。结果观察组患者的首次排气时间、首次下床时间、术后住院时间、术前准备时间和接送患者时间均明显短于对照组,差异均有统计学意义(P﹤0.01)。干预后,两组患者SAS、SDS评分均明显低于本组干预前,SF-36量表各维度评分均明显高于本组干预前,且观察组患者SAS、SDS评分均明显低于对照组,SF-36量表各维度评分均明显高于对照组,差异均有统计学意义(P﹤0.01)。观察组患者管理技能、管理记录、卫生消毒、手术室物资管理、仪器管理、手术环境评分均明显高于对照组,差异均有统计学意义(P﹤0.01)。观察组患者术后感染率为4.08%,低于对照组患者的17.78%,差异有统计学意义(P﹤0.05)。结论精细化流程管理能够促进胆囊癌患者的术后恢复,减轻负性情绪,提高生活质量、管理质量及手术室管理工作效率,降低术后感染发生率。
Objective To explore the application effect of refined process management in patients with gallbladder cancer surgery and its effect on the operating room management efficiency.Method A total of 94 patients with gallbladder cancer surgery were selected.Forty-five patients who underwent routine management in the operating room from January to December 2018 were included in the control group,and 49 patients who underwent refined process management in the operating room from January 2019 to January 2020 were included in the observation group.The postoperative recovery indicators,psychological stress response[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],management quality,management efficiency,postoperative infection rate,quality of life[the MOS 36-item short form health survey(SF-36)]were compared between the two groups.Result The first exhaust time,first getting out of bed,postoperative hospital stay,preoperative preparation time,and patient pick-up time in the observation group were significantly shorter than those in the control group,and the differences were statistically significant(P<0.01).After the intervention,the SAS and SDS scores of the two groups were significantly lower than those before the intervention,and the scores of each dimension of the SF-36 scale were significantly higher than those before the intervention,the SAS and SDS scores of the observation group were significantly lower than those of the control group,the scores of each dimension of the SF-36 scale were significantly higher than those of the control group,and the differences were statistically significant(P<0.01).The scores of management skills,management records,sanitation and disinfection,operating room material management,instrument management,and operating environment scores in the observation group were significantly higher than those in the control group,and the differences were statistically significant(P<0.01).The postoperative infection rate in the observation group was 4.08%,which was lower than 17.78%in t
作者
刘兴微
张芳
吕秋霞
LIU Xingwei;ZHANG Fang;LYU Qiuxia(Department of Anesthesiology,Zhumadian First People’s Hospital,Zhumadian 463000,He’nan,China)
出处
《癌症进展》
2022年第14期1509-1512,共4页
Oncology Progress
关键词
精细化流程管理
胆囊癌
应用价值
手术管理
refined process management
gallbladder cancer
application value
surgical management
