细节管理对腔镜手术护理配合质量的影响

The impact of details management on nursing cooperation quality in endoscopic operation

目的:探讨腹腔镜手术中细节管理对护理配合质量的影响。方法:自2013年8月以来,在腹腔镜手术中采用了细节管理,通过深化细节管理理念、强化护理人员细节管理意识以及将其应用于腹腔手术配合的全过程,观察腹腔镜手术配合质量情况,并与细节管理前相比较。结果:自实施细节管理后的手术配合不良事件发生率(1.07%)较之于实施前(12.69%)显著降低,手术医生满意度(96.53%)明显高于实施细节管理前(76.3%),P<0.05。结论:腹腔镜手术中采用细节管理后,可有效降低器械准备不适用率与漏缺率,进而有效提高护理配合质量,应用效果满意,值得临床推广应用。

Objective:To investigate the nursing cooperation quality in laparoscopic operation by application of details management.Methods:Since August 2013,we used the details management in the laparoscopic operation,through deepening of the details management idea,strengthening consciousness of ursing staff on details management,and applicated this management in the whole process of laparoscopic operation,then we observed the quality change on nursing cooperation in laparoscopic operation, and compared with before.Results:After implementing the detail management the incidence of adverse events(1.07% ) was significantly reduced than before(12.69% ),and the patients satisfaction for doctor(96.53% ) also significantly higher than that before implementing the detail management(76.3% ),P＜0.05.Conclusion:After taken the detail management in laparoscopic operation,the inadequacy rate and missing rate of equipment preparation had effectively reduced.In addation,it also effectively improved the nursing quality,and acquireed satisfactory results,so it is worthy of clinical application.