前馈控制理论在腹腔镜手术器械管理中的应用效果

Value of feedforward control theory in the management of laparoscopic surgical instruments

目的探讨前馈控制理论在腹腔镜手术器械管理中的应用效果。方法选取2019年3月至2020年2月在宜春市第二人民医院行腹腔镜手术的40例患者作为对照组,2020年3月至2021年2月行腹腔镜手术的40例患者作为观察组。对照组实施常规腹腔镜手术器械管理,观察组实施前馈控制管理模式。比较两组器械不良事件发生情况、平均器械取用耗时情况、器械损耗情况、器械管理满意度及医护满意度。结果观察组的器械不良事件总发生率为5.00%,低于对照组的20.00%,差异有统计学意义(P<0.05)。观察组的平均器械取用耗时短于对照组,差异有统计学意义(P<0.05)。观察组的器械总损耗率为2.50%,低于对照组的25.00%,差异有统计学意义(P<0.05)。观察组患者的各项器械管理满意度评分均高于对照组,差异有统计学意义(P<0.05)。观察组的医护总满意率为96.67%,高于对照组的73.33%,差异有统计学意义(P<0.05)。结论腹腔镜手术器械应用前馈控制管理能有效减少不良事件发生和器械损耗情况,缩短器械取用时间,提高器械使用效果和医护人员满意度。

Objective To analyze the value of feedforward control theory in the management of laparoscopic surgical instruments.Methods A total of 40 patients who underwent laparoscopic surgery in the Second People's Hospital of Yichun City between March 2019 and February 2020 were selected as the control group,and 40 patients who underwent laparoscopic surgery between March 2020 and February 2021 were selected as the observation group.The control group received routine management of laparoscopic surgical instruments,and the observation group received feedforward control management mode.The incidence of adverse instrument events,average time of taking instruments,loss of instruments,satisfaction with instrument management and medical care were compared between the two groups.Results The total incidence of adverse device events in the observation group was 5.00%,which was lower than 20.00%in the control group,and the difference was statistically significant(P<0.05).The average time of instrument taking in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.05).The total loss rate of the observation group was 2.50%,which was lower than that of the control group(25.00%),and the difference was statistically significant(P<0.05).The satisfaction scores of each device management in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The total satisfaction rate of doctors and nurses in the observation group was 96.67%,which was higher than 73.33%in the control group,and the difference was statistically significant(P<0.05).Conclusion Applying feedforward control theory in the management of laparoscopic surgical instruments can effectively reduce the occurrence of adverse events and loss of instruments,shorten the time of taking instruments,and improve the effectiveness of instrument use as well as medical staff's satisfaction.