护理标准作业流程在先天性小耳畸形二期手术患者中的应用
|
摘要
目的:探讨护理标准作业流程在先天性小耳畸形二期手术围手术期的应用效果。方法:选取2017年7月-2018年7月就诊于笔者科室的先天性小耳畸形行二期手术患者138例,其中观察组68例,围手术期采用护理标准作业流程;对照组70例,采用常规护理措施。比较两组患者术前准备完整率、术后并发症发生率及满意度。结果:与常规护理措施相比,护理标准作业流程的实施提高了术前准备完整率和满意度,降低了并发症发生率,差异均有统计学意义(P<0.05)。结论:先天性小耳畸形二期手术围手术期护理标准作业流程规范了护士工作程序,使护理操作流程内容更加具体、明确、步骤清晰,具有较好的指导作用。
Objective To explore the effect of nursing standard operation procedure in perioperative period during second stage of ear reconstruction in congenital microtia. Methods From July 2017 to July 2018, 138 cases of congenital microtia malformation were selected. Among them, 68 cases were used as observation group, and the standard of nursing operation was used during perioperative period. 70 cases were selected as control group, using routine nursing measures. The integrity rate of preoperative preparation, the incidence of postoperative complications and the satisfaction of patients and their families were compared between the two groups. Results Compared with routine nursing measures, the implementation of nursing standard operation procedure improved the rate of preoperative preparation integrity and satisfaction, and reduced the incidence of complications. The difference was statistically significant.(P<0.05). Conclusion The standard operating procedure of nursing in the second stage operation of congenital microtia standardizes the working procedure of nurses, which makes the contents of nursing operation more specific, unambiguous and steps clear, and has a good guiding effect on clinical practice.
Objective To explore the effect of nursing standard operation procedure in perioperative period during second stage of ear reconstruction in congenital microtia. Methods From July 2017 to July 2018, 138 cases of congenital microtia malformation were selected. Among them, 68 cases were used as observation group, and the standard of nursing operation was used during perioperative period. 70 cases were selected as control group, using routine nursing measures. The integrity rate of preoperative preparation, the incidence of postoperative complications and the satisfaction of patients and their families were compared between the two groups. Results Compared with routine nursing measures, the implementation of nursing standard operation procedure improved the rate of preoperative preparation integrity and satisfaction, and reduced the incidence of complications. The difference was statistically significant.(P<0.05). Conclusion The standard operating procedure of nursing in the second stage operation of congenital microtia standardizes the working procedure of nurses, which makes the contents of nursing operation more specific, unambiguous and steps clear, and has a good guiding effect on clinical practice.
引文
[1]Mileshina NA,Osipenkov SS,Tavartkiladze GA.[The management of patients with congenital malformations of the external and middle ear][J].Vestn Otorinolaringol,2018,83(4):51-55.
[2]潘博,国冬军,蔡震,等.先天性小耳畸形研究现状和进展[J].中国美容医学,2007,16(7):1010-1012.
[3]刘海军,熊猛.先天性小耳畸形病因学研究进展[J].中国美容医学,2009,18(4):574-576.
[4]刘翔宇,刘宗辉,王璐,等.全扩张皮瓣法矫正小耳畸形一期手术的并发症分析及临床体会[J].中华整形外科杂志,2018,34(3):192-196.
[5]王璐,董立维,郭树忠,等.扩张法耳再造术预扩张方法探讨[J].中国美容整形外科杂志,2016,27(4):206-208.
[6]张雪芹,潘正英,周先利,等.应用Medpor行全耳再造术后的护理及耳支架外露的防治[J].中国美容医学,2012,21(14):291-292.
[7]刘露.皮肤软组织扩张法全耳再造二期手术的术后观察和护理[J].中国现代药物应用,2013,7(20):188-189.
[8]刘宗辉,舒茂国,刘翔宇.整形外科皮肤缝合技术的特点及应用[J].中国美容医学,2017,26(7):136-139.
[9]邹艺辉,汪绪武,廖劲松.先天性小耳畸形皮肤扩张法耳廓再造术及其效果评价[J].中华耳科学杂志,2014,12(4):543-545.
[10]Mehtsun WT,Ibrahim AM,Diener-West M,et al.Surgical never events in the United States[J].Surgery,2013,153(4):465-472.
[11]赵兴娥,赵丽萍,谭晓菊,等.脊柱手术患者Time-out前期病房安全核查的实施[J].护理学杂志,2016,31(10):17-19.
[12]张新春,赵春樱,贺春钰,等.标准化皮肤护理操作防治放射性皮肤损伤的效果观察[J].新疆医科大学学报,2015,38(3):373-375.
[13]张富花,曹建荣.临床护理技术操作训练及考核方法探讨[J].中国美容医学,2012,21(z2):480.
[14]陶小香.人文操作理念与护理操作标准化相结合的实践与效果评价[J].中国美容医学,2012,21(16):411.
[2]潘博,国冬军,蔡震,等.先天性小耳畸形研究现状和进展[J].中国美容医学,2007,16(7):1010-1012.
[3]刘海军,熊猛.先天性小耳畸形病因学研究进展[J].中国美容医学,2009,18(4):574-576.
[4]刘翔宇,刘宗辉,王璐,等.全扩张皮瓣法矫正小耳畸形一期手术的并发症分析及临床体会[J].中华整形外科杂志,2018,34(3):192-196.
[5]王璐,董立维,郭树忠,等.扩张法耳再造术预扩张方法探讨[J].中国美容整形外科杂志,2016,27(4):206-208.
[6]张雪芹,潘正英,周先利,等.应用Medpor行全耳再造术后的护理及耳支架外露的防治[J].中国美容医学,2012,21(14):291-292.
[7]刘露.皮肤软组织扩张法全耳再造二期手术的术后观察和护理[J].中国现代药物应用,2013,7(20):188-189.
[8]刘宗辉,舒茂国,刘翔宇.整形外科皮肤缝合技术的特点及应用[J].中国美容医学,2017,26(7):136-139.
[9]邹艺辉,汪绪武,廖劲松.先天性小耳畸形皮肤扩张法耳廓再造术及其效果评价[J].中华耳科学杂志,2014,12(4):543-545.
[10]Mehtsun WT,Ibrahim AM,Diener-West M,et al.Surgical never events in the United States[J].Surgery,2013,153(4):465-472.
[11]赵兴娥,赵丽萍,谭晓菊,等.脊柱手术患者Time-out前期病房安全核查的实施[J].护理学杂志,2016,31(10):17-19.
[12]张新春,赵春樱,贺春钰,等.标准化皮肤护理操作防治放射性皮肤损伤的效果观察[J].新疆医科大学学报,2015,38(3):373-375.
[13]张富花,曹建荣.临床护理技术操作训练及考核方法探讨[J].中国美容医学,2012,21(z2):480.
[14]陶小香.人文操作理念与护理操作标准化相结合的实践与效果评价[J].中国美容医学,2012,21(16):411.