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。
目的:研究手术室视频实时监控系统在外科实验教学中的应用。方法:将220名学生分为实验组(用视频实时监控系统进行教学)和对照组(传统教学方式进行教学)。数据用SPSS10.0进行分析。结果:与对照组相比,实验组取得了更好的成绩,而且新的教学方式获得好评。结论:与传统教学方法相比,视频实时监控系统能让医学生更好地掌握外科基本操作技能。
Day surgery can shorten the average hospital stay and enhance the recovery of patients, and has great social and economic benefits. In order to provide reference for the establishment of standardized operating room management, West China Hospital of Sichuan University summed up the experience of past years to develop this management specification for day surgery operating room. The main contents of this specification include: the principles of scheduling day surgery; the resource allocation of operating room; operating room nursing care, nursing points, and precautions. The release of this specification is conducive to the improvement of the nursing management for day surgery operating room, and the promotion of day surgery.
ObjectiveTo explore the application effect of itinerant strengthening post in ophthalmic day operating room.MethodsIn June 2019 (before the establishment of the itinerant strengthening post) and January 2020 (after the establishment of the itinerant strengthening post), satisfaction of 21 ophthalmic surgeons in the ophthalmic day operation room of the West China Hospital of Sichuan University on intraoperative nursing cooperation, and coping ability scores of operation in key links, satisfaction with scheduling and workload, as well as complaints and accusations received by surgeons of 15 ophthalmological nurses in the ophthalmic day operation room of the West China Hospital of Sichuan University were collected. The total volume of eye day surgeries and the length of the day operating room open in the second half of 2018 and 2019 were retrospectively collected.ResultsAfter the establishment of the itinerant strengthening post, the coping ability score of operation in key links of ophthalmological nurses was improved [(3.28±0.72) vs. (4.67±0.72), P<0.01]. In terms of surgeons’ satisfaction with intraoperative nursing cooperation, with the exception of aseptic operation, the other items were improved (P<0.05). The surgical nurses’ satisfaction with scheduling and workload [(3.30±0.77) vs. (4.47±0.67), P<0.01]; nurses’ complaints and accusations received by surgeons [(3.60±1.18) vs. (2.33±0.82), P<0.01] were improved. The volume of eye day surgery from July to December 2019 increased by 6.58% over the same period in 2018, and the average open time of the operating room increased by 1.88%.ConclusionThe setting up of itinerant strengthening posts in the ophthalmology day operation room is conducive to strengthening the strength and business guidance of the nurses’ key links in the operation room in a timely and effective manner. It can optimize the allocation of human resources in the operating room as much as possible when the existing nursing staff is in short supply, and improve the quality and efficiency of ophthalmic surgery nursing, which is worthy of promotion and application.
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.
Objective To investigate the opinions of operating room nurse (ORN) on enhanced recovery after surgery (ERAS). Methods A questionnaire survey was performed among 215 ORNs in West China Hospital. There were 10 males and 205 females at age of 33.4±8.84 years. Results A total of 154 ORNs (71.6%) thought that we already had very good ERAS theory but we still needed more practice. Thirty-four ORNs(15.8%) thought that the application of ERAS was poor in our clinic comparing to other countries.A percentage of 84.2% (181/215) ORNs thought the criteria to judge whether the ERAS succeed or not should be average days of hospitalization, patients' feeling, and experience and social satisfactions. Besides, 78.1% (168/215) ORNs selected team building as the key point of ERAS success. There were 91.2% (196/215) ORNs who believed expert consensus and ERAS guide should be worked out and propagandized through academic forum or conference in order to popularize the ERAS. Conclusion The theory of ERAS has already been accepted by almost all the clinicians and team building is the best way to make ERAS work well.
ObjectiveTo explore the effect of positive implication in the operating room on the patient's mental. MethodsA total of 160 patients who received the routine laparoscopic appendectomy surgery from January 2011 to October 2012 were treated with positive implications and conventional appease routine psychological care and the fear, pain, depression and anxiety, and other indicators of the two groups were compared. ResultsThe fear scores in the control group patients were significantly higher than that in the observation group (P<0.05). The patient's perceived pain in the control group was higher than that in the observation group (P<0.05); after nursing intervention, the anxiety and depression levels in the two groups decreased significantly; the observation group had significantly higher satisfaction for the entire course of medical treatment (P<0.05). ConclusionThe positive implication in the operating room can effectively alleviate the patient's fear, anxiety, depression and perceived pain and so on and can contribute to the effect of operation and rehabilitation of the patients.