医护协同管理用于妇科癌根治手术麻醉的效果评价

Evaluation on the Efficacy of Doctor-Nurse Collaborative Management on the Anesthesia of Gynecological Cancer Radical Surgery

目的探讨医护协同管理在七氟醚复合瑞芬太尼静-吸复合麻醉下妇科癌根治手术患者的应用效果。方法选取2011年1月至2014年1月收治的200例患者,随机分为观察组和对照组,各100例。观察组采用医护协同管理模式进行护理管理,对照组采用传统护理模式进行护理管理,比较两组患者手术时间、平均动脉压(MAP)、心率(HR)、血氧饱和度(SpO2)、苏醒时间、拔气管时间以及医、护、患满意度和医疗服务质量。结果观察组患者MAP波动、HR波动、苏醒时间、手术时间、拔气管时间均显著小于对照组(P<0.05),医、护、患满意度均明显高于对照组(P<0.05),病房医疗服务质量评分优于对照组(P<0.05)。结论医护协同管理模式可提升护士的"临床判断力",实现人力资源的合理配置,促进麻醉科与护理部之间紧密交流与合作,有力改善了医护患三者的关系,提高了临床护理质量。

Objective To explore the application effect of the doctor-nurse cooperative management in the patients with gynecologic cancer radical surgery under the vain-inhalation compound anesthesia of sevoflurane and remifentanyl.Methods 200 cases of pationt from January 2011 to January 2014 were selected as the research subjects and randomly divided into the observation group and the control group,100 cases in each group.The observation group adopted the doctor-nurse cooperative management mode for conducting the nursing management,while the control group adopted the conventional nursing mode.The operation time,MAP,HR,SpO2,awakening time,extubation time,satisfaction degrees of doctors,nurses and patients and medical service quality were compared between the two groups.Results The fluctuations of MAP and HR,awakening time,operation time,extubation time in the observation group were signifi-cantly less than those in the control group（P〈0.05）;the satisfaction degrees of doctors,nurses and patients in the observation group were significantly higher than those in the control group（P〈0.05）;the ward medical service evaluation scores in the observation group were superior to those in the control group（P〈0.05）.Conclusion The doctor-nurse cooperative management mode greatly elevates the nurses ＂clinical judgment＂,strengthens the reasonable allocation of human resources,promotes the close exchanges and cooperation between the anaesthesia department with the nursing department,effectively improves the relationship among doctors,nurses and patients and increases the quality of clinical care.