手术物品清点环节护理中断事件的危险因素分析

doi:10.3761/j.issn.1672-9234.2024.05.011

摘要/Abstract

摘要：

目的调查与分析手术物品清点环节护理中断事件的现状及危险因素，为提出针对性的防范措施提供参考。方法通过便利抽样法，选取2022年6月—10月山西省某三级甲等综合医院的手术进行观察，采用自行编制的手术物品清点环节护理中断事件调查表进行数据收集，分析手术物品清点环节护理中断事件的危险因素。结果最终观察了385台手术，其中244台（63.4%）的手术物品清点环节发生护理中断事件。Logistic回归分析显示，外科医生数量、手术时间、多外科联合手术、急诊手术、巡回护士工作年限和器械护士学历是手术物品清点环节发生护理中断事件的危险因素。结论手术物品清点环节受到多种危险因素的影响，早期识别并评估这些因素有助于早期干预护理中断事件，保证患者安全。

关键词: 手术室护理, 安全管理, 物品清点, 护理中断, 危险因素

Abstract:

Objective To investigate and analyze the current situation and risk factors of nursing interruptions during the process of surgical counts，and provide empirical evidence for targeted preventive measures. Methods Based on convenient sampling method，operations performed in a Class III general hospital in Shanxi Province from June 2022 to October 2022 were selected as the observation objects. The self-developed questionnaire of Nursing Interruption Events in the Counting of Surgical Items was used in data collection，and the risk factors for nursing interruptions during surgical counting sessions were analyzed. Results A total of 385 operations were eventually included，in which 244（63.4%） had nursing interruptions during the inventory of counts. Logistic regression analysis showed that the number of surgeons，surgery duration，surgeries of multi-surgical combination，emergency surgery，experience of circulating nurses，and education of scrub nurse were the independent risk factors for nursing interruptions during the inventory of counts. Conclusion The process of counting surgical items is influenced by various risk factors. Early identification and evaluation of these indicators is helpful in reducing nursing interruption events and maintain patient safety.

Key words: Operating Room Nursing, Safety Management, Surgical counts, Nursing interruption, Risk factors

郭栋, 付秀荣, 李恒. 手术物品清点环节护理中断事件的危险因素分析[J]. 中华护理教育, 2024, 21(5): 574-579.

GUO Dong, FU Xiurong, LI Heng. Analysis of risk factors for nursing interruption events during the surgical counts[J]. Chinese Journal of Nursing Education, 2024, 21(5): 574-579.

图/表 3

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