亚专科小组管理模式在喉癌患者手术室护理中的应用研究

Effects of subspecialty group management mode in Operating Room nursing for patients with laryngeal cancer

目的分析亚专科小组管理模式在喉癌患者手术室护理中的应用效果。方法采用便利抽样法,选取河南省人民医院2020年1—12月收治行喉切除术治疗并行常规手术护理管理的70例喉癌患者为对照组,2021年1—12月收治行喉切除术治疗并行亚专科小组管理模式手术护理的70例喉癌患者为研究组。选取本院手术室护士84名,其中专科组长14名为研究对象。比较两组患者的术前等待时间、手术时间、手术工作达标率、护理满意度,并比较亚专科小组护理管理模式实施前后手术室护士的胜任力、核心能力评分。结果研究组患者的术前等待时间及手术时间均短于对照组,术前器械准备、药品准备、体位安置、静脉穿刺、导管留置、器械清洗达标率高于对照组,护理满意度高于对照组,以上差异均有统计学意义(P<0.05)。亚专科小组护理管理模式实施后1年,专科组长的护理核心能力评分及手术室所有护士的岗位胜任能力评分均高于实施前,差异均有统计学意义(P<0.05)。结论建立亚专科小组管理模式可提升手术室护理人员的核心能力及胜任力,缩短患者术前等待时间及手术时间,提高手术工作达标率及护理满意度。

Objective To explore the effects of the subspecialty group management mode in Operating Room nursing for patients with laryngeal cancer.Methods Totally 70 patients with laryngeal cancer admitted to Henan Provincial People's Hospital from January to December 2020 who underwent laryngectomy concurrently with routine surgical nursing were selected as the control group,and 70 laryngeal cancer patients admitted from January to December 2021 who underwent laryngectomy and the subspecialty group management concurrently as the research group by convenience sampling.84 nurses from the Operating Room of the hospital,including 14 specialist team leaders,were selected for the study.The preoperative waiting time,operation time,operation compliance rate,and nursing satisfaction were compared between the two groups.The nursing competence scores of Operating Room nurses were evaluated and compared before and after the introduction of the subspecialty group nursing management mode.Results Patients in the research group reported a shorter preoperative waiting time and operation time,higher compliance rates in preoperative device preparation,drug preparation,body position placement,venipuncture,catheter indwelling,device cleaning,and higher nursing satisfaction than patients in the control group,with statistically significant differences(P<0.05).One year after the implementation of the subspecialty group nursing management mode,the nursing core competence scores of the specialist team leader and the post competency scores of all nurses in the Operating Room were higher than those before the implementation,and the differences were statistically significant(P<0.05).Conclusions The subspecialty group management mode can significantly improve the nursing competence of Operating Room nurses,shorten the preoperative waiting time and operation time,and improve the compliance rate of surgical work and nursing satisfaction.