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手术室日间护理查房对手术不良事件的控制观察

目的 观察手术室日间护理查房后对手术不良事件的控制效果。 方法 选择实行日间护理查房前后的择期手术患者各750例，以2012年6月－2013年12月（实施日间护理查房前）作为对照组，以2014年8月－2015年11月（实施日间护理查房后）作为观察组，统计记录两组手术中不良事件的发生情况，对比分析手术室日间护理查房的效果。 结果 观察组不良事件的发生率为0.27%，对照组不良事件发生率为1.20%，两组不良事件发生率比较差异有统计学意义（P＜0.05）。 结论 手术室日间护理查房后对控制手术不良事件有明显效果，提高了手术的安全度，值得临床推广。

Study of the Relationship between Operating Room Working Environment and Facial Skin Damage in Nurses

ObjectiveTo understand the status of the nurse facial skin damage because of regular exposure to a variety of environmental damage factors, in order to cause enough attention and find the solution. MethodsBetween January 2013 and June 2014, we used a self-made questionnaire to survey 122 operating room nurses from grade three first-rate hospitals by random sampling on the facial skin damage status. Then, we analyzed the risk factors of operating room nurses facial skin damage and put forward such countermeasures as improving working environment, increasing service facilities, reducing pollution and biological, chemical, psychological factors, and selecting and using surgical masks properly and promoting facial skin protective measures. ResultsThe survey showed that 93.3% of all the investigated operating room nurses had facial skin problems which mainly was rough dry skin (99.2%); 76.7% of the nurses thought that it was related to the nature of work, and 72.5% of them considered that metal fatigue was the main influence factor. ConclusionWe should strengthen the nurses’ own protection consciousness, enact all kinds of protective measures, strictly implement the system of protection and take effective protective measures as to reduce the operating room nurses facial skin damage.

Lean healthcare management in optimizing foreign hospital operating room service process

Objective To analyze the application of lean healthcare management in optimizing services in foreign operating rooms, and provide a theoretical reference for further optimizing service processes in domestic operating rooms with lean healthcare management. Methods PubMed and Web of Science databases were searched literature about lean healthcare management in optimizing foreign hospital operating room service process. The search period was from the establishment of databases to November 2024. The number of publications, publishing institutions, authors, citation frequencies, keywords, the use of lean management tools and the improvement status were analyzed.Results A total of 71 literatures were included. Among them, 17 literatures were published from 2008 to 2014, and the number of related literatures increased significantly since 2015, with 54 literatures published by 2024; 9 literatures were published by universities and 62 literatures were published by hospitals. In terms of the distribution of countries and regions where the literatures were published, there were 34 literatures from the United States, 12 from the United Kingdom, 5 from Italy, 4 from Switzerland, and 3 from Canada. The keywords basically presented the combination ofthemes related to operating room management and lean healthcare management improvement fields, such as lean six sigma, quality improvement, and operating room efficiency. The five lean tools with the highest frequency of occurrence in the 71 included literatures were value stream mapping, fishbone diagram, A3 report, PDCA cycle management, and 5S. Conclusions There is an imbalance in the development of lean healthcare management research, with the number of publications in developed countries being far higher than that in developing countries. Lean healthcare management is conducive to improving surgical safety, work efficiency, and patient-doctor satisfaction. Lean healthcare management should further adapt to the actual situation, unify the lean management indicators in operating rooms, conduct cross-departmental cooperation, maximize the effectiveness of lean improvement tools, and achieve modern medical management.

大型医院手术室规范化培训学员理论培训模式

目的　探讨手术室规范化培训学员理论培训多元化方法与模式。 方法　通过采用系统的、多元化的培训方式，对2008年11月－2012年2月在手术室进行规范化培训的138名学员予以手术护理理论为基础的专业培训和引导。 结果　114人（82.61%）顺利完成本阶段培训，因工作需要中途转入其他科室培训20人（14.49%），离职3人（2.17%），因不适应手术室工作转入病房1人（0.72%）。通过培训，学员均取得护士执业资格，在专业素质和综合素质全面提高的基础上达到了大型医院专业护士的业务水平，能够胜任手术室专业护士岗位的护理工作。 结论　大型综合医院手术室护士规范化培训一定要在普通理论培训的基础上进行专科特色理论培训，方能使学员培训完后即可在新的岗位上胜任其角色。

Analysis and Countermeasures of Work Satisfaction in Operating Room

【摘要】 目的 调查手术室工作多层面满意度，分析影响其满意度的因素，提出干预措施。 方法 采用自行设计调查表对手术医生、手术患者或家属、病区护士、手术室护生进行手术室工作满意度调查分析。 结果 2009年4季度各层面满意度gt;95%，比1季度满意度提高了9.51%，与1季度相比有统计学意义（Plt;0.05）。且护理人员素质、手术室管理、人文服务等都有不同程度的提高。 结论 对手术室满意度进行多层面定期调查和不定期抽查，全方位地分析不同层面影响满意度的因素，采取有效的干预措施，达到持续质量改进。【Abstract】 Objective To investigate the multidimensional satisfaction in the operating room’s work and to analyse various factors and intervention measures. Methods The multidimensional satisfaction in the operating room’s work of surgeon, surgical patients, family members, ward nurses, and practical nurses were investigated and anlyzed by self-designed questionnaire. Results In 2009, various satisfaction rate of the fourth quarter is 95%, compare with the the first quarter, the satisfaction rate of the fourth quarter increased 9.51%, the difference was statistically significant(Plt;0.05). The paramedic’s quality, management of operating room, quality of nurse, human services have got different increase. Conclusion To conduct the multidimensional periodic surveys and occasional spot checks about satisfaction rate of the operating room, and to analyze roundly the different levels factors of affecting the satisfaction rate can take effective interventions to achieve continuous improvement of the nurse quality.

The Relationship between Nosocomial Infection and Nursing Management in Operating Room for General Surgery Patients

目的　探讨普通外科手术患者发生院内感染与手术室护理管理的相关性，为有效控制院内感染提供理论依据。 方法　收集普通外科2008年4月－2009年6月接受手术治疗的150例患者为对照组，2009年7月－2011年9月接受手术治疗的150例患者作为干预组，分析可能影响院内感染的手术室护理因素。 结果　出院后随访6个月，对照组感染率为20.67%，高于干预组的8.00%（P＜0.05）；普通外科手术医院感染与手术时间、术前抗生素应用、有无参观人员等手术室因素密切相关。 结论　在手术室护理工作中，要采取一系列手术室护理干预措施，以提高护理管理质量，降低普通外科手术的院内感染发生。

地震早期手术室院内急救物资的应急管理

目的探讨地震突发期间手术室物资管理方法。 方法对2013年4月20日芦山地震发生期间，四川大学华西医院手术室在面对大量伤员救治中如何就各类急救物资进行调配与管理的方法进行回顾总结。 结果在院内急救物资充分保障下，手术室成功完成59例手术，无死亡发生，无伤员因手术室物资准备不足导致的手术延迟。 结论医疗物资保障是手术救援的前提，而合理、高效的管理方法是保证物资供给的重要手段。

简易压脉带的制作与使用

Effects of Occupational Negative Event to Mental Health in Operating Room Nurse

摘要:目的:探讨手术室护士的精神卫生状态及工作中负性事件对精神卫生状态的影响,为提高手术室护士的身心健康提供参考。方法:采用精神卫生自评量表(SCL90)评估60名手术室护士及60名正常人的精神卫生状态,采用生活事件评定量表(LES)中13项工作相关因子对手术室60名护士进行评估,分析手术室护士与正常人群的精神卫生状态的差异,并分析工作负性事件与手术室护士精神卫生状态的相关关系。结果:正常人群SCL90平均分值为94.6分,手术室护士为126.54分,手术室护士高于正常人群,手术室护士工作负性事件平均得分为12.74分,与SCL90得分呈现正相关关系。结论: 手术室护士心理健康状况较正常人群差,工作负性事件对手术室护士存在较大的心理影响,应采取必要的措施给予心理干预。 Abstract: Objective: To investigate the mental health status and the effect of occupational negative event to mental health,and provid reference for improveing physical and mental health of operating room nurse.Methods:The mental health status of 60 operating room nurse and 60 well adult were evaluated with Symptom Checklist 90 (SCL90),the score of occupational negative event in operating room nurse were evaluated with Life Event Scale(LES),the difference of mental health status between operating room nurse and well aduit were analyzed,then correlation between occupational negative event and mental health status of operating room nurse were analyzed.Results:The score of SCL90 was 94.6 in well adult,126.54 in operating room nurse,the score was higher in operating room nurse, the score occupational negative event in operating room nurse was 12.74,which was a positive correlation with the score of SCL90. Conclusions:The mental health status in operating room nurse was lower to well adoult, occupational negative event had large effect in mental health status,the measure of mental intervention must be take.

手术室护士对无瘤技术认知调查

【摘要】　目的　调查手术室护士对无瘤技术的认知情况，以提高其业务水平。　方法　2010年6月采用调查问卷形式对120名手术室注册护士进行调查，问卷内容包括年龄、性别、学历、手术室工作年限、是否参加过无瘤技术培训及培训类型、护士对无瘤技术的认知现状等。　结果　护士对“术中器械的处理”、“术中标本的处理及冲洗体腔的意义”知识和技能掌握相对较好，达到60.0%以上；对“无瘤技术的概念”、“肿瘤细胞在术中种植播散的途径”等知识和技能掌握较差，不足40.0%。　结论　手术室护士对于无瘤技术相关知识缺乏，应加强学习与培训，使其能更好地配合、执行无瘤技术，延长肿瘤患者的无瘤生存期。