| 郭继瑞，刘炜，陈伟珠.腹腔镜下宫外孕输卵管切除术患者手术室护理质量敏感指标的构建及应用[J].实用中西医结合临床,2020,20(6):155-157,170 |
| 腹腔镜下宫外孕输卵管切除术患者手术室护理质量敏感指标的构建及应用 |
| Construction and Application of Nursing Quality Sensitive Indexes in Operating Room of Patients Undergoing Laparoscopic Salpingectomy for Ectopic Pregnancy* |
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| DOI： |
| 中文关键词: 宫外孕 手术室护理 Delphi法 护理敏感指标 |
| 英文关键词: Ectopic pregnancy Surgical nursing Delphi method Nursing sensitive index |
| 基金项目:广东省深圳市龙岗区经济与科技发展专项金医疗卫生科技计划项目（编号：LGKCYLWS2018000023） |
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| 中文摘要: |
| 目的：构建腹腔镜下宫外孕输卵管切除术患者手术室护理质量敏感指标，并初步观察其应用效果。方法：通过Delphi专家函询问卷调查，构建腹腔镜下宫外孕输卵管切除术患者手术室护理质量敏感指标体系；研究时间为2018年1月~2019年4月，其中2018年1~8月采用传统护理质量法进行管理和评价的作为对照组，2018年9月~2019年4月采用护理敏感指标体系进行管理和评价的作为观察组。比较两组护理敏感指标评价结果。结果：经两轮专家函询问后，确定腹腔镜下宫外孕输卵管切除术患者手术室敏感指标共10项，各指标变异系数均小于0.30，敏感性评分均大于4分；两轮专家权威系数均大于0.80，结果可信度较高；观察组护理专科技能合格率和围手术期危机知识培训合格率均高于对照组（P＜0.05）；两组围手术期用药错误率、手术异物残留率、手术护理风险发生率、手术延误率、器械数目不符率比较均无明显差异（P＞0.05），但观察组手术室总不良事件发生率低于对照组（P＜0.05）；观察组术后康复活动执行率、患者满意度（手术室环境、护理服务态度及综合满意度）均高于对照组（P＜0.05），但两组术后切口感染发生率和对护理专业技能满意度比较无明显差异（P＞0.05）。结论：基于Delphi法构建的腹腔镜下宫外孕输卵管切除术患者手术室护理质量敏感指标，可明显优化手术室护理质量，患者满意度较高。 |
| 英文摘要: |
| Objective: To construct the sensitive indesx of nursing quality in the operating room of patients with laparoscopic salpingectomy for ectopic pregnancy, and to observe its application effect. Methods: Delphi method was used to carry out two rounds of nursing expert questionnaire consultation and establish the nursing quality sensitive index system in the operating room of patients with laparoscopic salpingectomy for ectopic pregnancy. The research period was from January 2018 to April 2019, among which the traditional nursing quality method was used to manage and evaluate as the control group from January 2018 to August 2018, and the nursing sensitive index body was used to manage and evaluate as the observation group from September 2018 to April 2019. The results of the two groups were compared. Results: After 2 rounds of expert letter inquiry, 10 sensitive indexes in the operating room of patients with laparoscopic salpingectomy were determined, the coefficient of variation of each index was less than 0.30, and the sensitivity score was greater than 4 points; the authority coefficient of experts in the two rounds was greater than 0.80, and the reliability of the results was high; the qualification rate of specialized skills and perioperative crisis knowledge training of nurses in the observation group was higher than that in the control group. There was no significant difference between the two groups in the perioperative medication error rate, surgical foreign body residual rate, surgical nursing risk rate, surgical delay rate, and numbers of instruments inconsistent rate (P＞0.05), but the total incidence of adverse events in the operating room in the observation group was lower than that in the control group (P＜0.05). The execution rate of postoperative rehabilitation activities and patient satisfaction (operating room environment, nursing service attitude and comprehensive satisfaction) of the observation group were higher than that of the control group (P＜0.05), but the incidence of postoperative incision infection and nursing professional skills There was no significant difference in satisfaction(P＞0.05). Conclusion: Based on Delphi method, the sensitive index of nursing quality in the operating room of patients with laparoscopic salpingectomy for ectopic pregnancy can significantly optimize the nursing quality in the operating room, reduce the occurrence of total adverse events in the operating room, and improve the satisfaction of patients. |
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