手术沙滩椅体位摆置标准作业程序的建立及应用

Establishment and Application of Standard Operating Procedures for Surgical Beach Chair Position

目的研究手术沙滩椅体位(beach chair position,BCP)摆置标准作业程序(standard operation procedure,SOP)的建立及应用。方法采用方便抽样的方法,选取2020年10—12月厦门大学附属第一医院收治的16例肩关节镜手术患者为对照组,以对等原则选取2021年1—3月收治的16例患者为观察组。对照组按常规手术体位摆置;观察组按BCP摆置SOP实施摆置。比较2组摆置时间、团队协作熟悉度及医生满意度,并就对手术BCP摆置SOP进行评价。结果观察组手术体位摆置时间为(471.81±52.41)s,短于对照组的(719.13±66.94)s(P<0.05);观察组手术医生的满意度高于对照组,手术团队协作熟悉度评分高于对照组,差异有统计学意义(P<0.05)。2组麻醉医生满意度比较,差异无统计学意义(P>0.05)。团队成员对手术BCP摆置SOP评价认可度均较高。结论手术BCP摆置SOP的建立及应用使手术体位护理规范化、标准化、同质化,有效提高手术室护理质量和工作效率。

Objective To study the establishment and application of standard operating procedures(SOP)for surgical beach chair position(BCP).Methods A convenient sampling method was used to select 16 patients with shoulder arthroscopic surgery admitted to the First Affiliated Hospital of Xiamen University from October to December 2020 as the control group,and 16 patients admitted from January to March 2021 as the observation group based on the principle of equivalence.The control group was placed in the usual surgical position.The observation group placed SOP for surgical BCP.The positioning time,team cooperation familiarity and doctor satisfaction of the two groups were compared,and the SOP for surgical BCP were evaluated.Results The positioning time of the observation group was(471.81±52.41)s,which was shorter than that of the control group(719.13±66.94)s(P<0.05).The satisfaction of surgeons in observation group was higher than that in control group,and the cooperation familiarity score of surgical team was higher than that in control group,the difference was statistically significant(P<0.05).There was no significant difference in satisfaction between the two groups(P>0.05).The team members had a high degree of acceptance for the SOP evaluation of BCP.Conclusion The establishment and application of SOP for surgical BCP make the surgical position nursing standardized,standardized and homogenized,and effectively improve the nursing quality and work efficiency in the operating room.