术前应用医护双核查表效果的研究

Study on the Effect of Preoperative Application of Doctor-nurse Double Check Table

目的评价在三级甲等医院胃肠外科手术术前应用医护双核查表对患者术前准备完成情况的影响。方法以某三级甲等医院胃肠外科病房2013年4月-9月的647例择期手术患者为研究对象,按入院时间分为观察组(315例)和对照组(332例)。在术前准备期间,对观察组医护人员进行培训后填写医护双核查表,并对问卷表中出现频率较高的问题进行质量追踪,在手术完成后比较两组患者术前准备完成情况。结果在应用医护双核查表后,观察组的术前准备完成率以及患者服务满意度明显高于对照组,手术延误现象明显低于对照组,两组比较差异有统计学意义(P<0.05)。结论医护一体术前准备双核查表应用后,可有效提高术前准备的完成率,改善手术延误现象,提高患者服务满意度,促进医护沟通,降低手术风险,保证手术患者安全。

Objective To evaluate the influence of doctor-nurse double check table applied before operation on the completion of preoperative preparation in gastrointestinal surgery department of class-three grade-one hospitals. Methods A total of 647 selective operation patients from April to September 2013 in the Department of Gastrointestinal Surgery were divided into observation group（n=315） and control group（n=332） based on admission time. After training for medical staff, the check tables were filled, and relatively high frequency issues were followed up for quality tracking. The completion of preoperative preparation was compared between the two groups after operation. Results Compared with the control group, the completion of preoperative preparation and satisfaction of patients of the observation group were significantly higher and the operation delay was significantly lower（P〈0.05）. Conclusion Preoperative application of doctor-nurse double check table can significantly improve the completion rate of preoperative preparation, the operation delay phenomenon and satisfaction of patients, promote the communication between doctors and nurses, reduce the risk of operation, and ensure the safety of surgical patients.