专利产品用于手术室专科护理的临床效果

Lin Ke, F. Qi, Wang Fang, Zhaokai Ding, Bai Jing
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引用次数: 0

摘要

背景:手术计数是手术室的一项基础的、至关重要的专科护理操作,保证手术安全,防止手术物品滞留在体内,保证手术的成功和患者的安全。目的:探讨“手术器械整理器”作为护理专利产品应用于手术室,减少手术计数缺失的效果。方法:选取某大型综合医院两间急诊手术室,比较应用《外科器械整理器》的效果和影响。结果:控制室手术计数漏报率显著高于试验室(P<0.05)。在控制室和实验室中,一次手术一次漏诊的发生率均高于一次手术两次漏诊的发生率。两次手术之间的手术计数缺失主要发生在临时移除手术物品时(14.1,控制室10.2%;实验组55例,4.0%),而术前准备中手术计数丢失最少(控制室21例,1.5%;4,实验室内0.3%)。两间手术室间遗失物品大部分由擦洗护士发现(403件,控制室29.2%;165,12.1%在实验室内)。大部分遗失物品能在10分钟内找回(312件,控制室22.6%;112项,实验室8.2%),但少数项目花费超过60分钟(控制室32项,2.3%;17,实验室内为1.3%)。结论:“手术器械整理器”能有效降低急诊手术中手术计数漏报率,提高护理质量和手术安全性。
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Clinical Effect of Patented Product for Specialized Nursing in Operating Rooms
Background: Surgical counts are a basic and crucial specialized nursing operation in operating rooms, to guarantee surgical safety, prevent surgical items from retaining in the body and ensure the success of surgery and safety of patients. Objective: To explore the effect of “Surgical Instruments Organizer” applied in operating rooms as a nursing patented product to minimize the occurrence of surgical counts missing. Methods: Research setting was arranged in a large general hospital where two of the emergency operating rooms were used to compare the effects and influences of the application with “Surgical Instruments Organizer”. Results: The rate of surgical counts missing in the control room was significantly higher than that in the experimental room (P<0.05). In both the control room and the experimental room, the incidence of one surgical counts missing in one surgery was higher than that of two surgical counts missing in one surgery. Surgical counts missing between two surgeries mostly happened when surgical items were removed temporarily (141, 10.2% in the control room; 55, 4.0% in the experimental room), while surgical counts missing happened the least in preoperative preparation (21, 1.5% in the control room; 4, 0.3% in the experimental room). Between two operating rooms, most of the time lost items were found by scrub nurses (403, 29.2% in the control room; 165, 12.1% in the experimental room). Most of lost items can be found within 10 minutes (312, 22.6% in the control room; 112, 8.2% in the experimental room), but a few items cost more than 60 minutes (32, 2.3% in the control room; 17, 1.3% in the experimental room). Conclusion: “Surgical Instruments Organizer” can effectively reduce the rate of surgical counts missing in emergency surgeries, and improve the nursing quality and surgical safety.
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