目的 探讨应用反思报告单提高内镜护士手术配合能力的效果。方法 设计反思报告单,内容主要包括患者一般资料、简要病史、术前讨论、术前准备、术中配合存在的问题、原因分析及整改措施、上级护士和护士长审阅意见、报告护士查看反馈意见后的总结与思考。选取在内镜中心工作<2年的8名护士为研究对象,让其在复杂手术和涉及新材料、新附件的手术后填写反思报告单。护士长和带教教师对反思报告单进行汇总分析,开展相应的培训和指导。在干预前和干预6个月时采用问卷调查内镜手术护理质量和医生对配合护士技能满意度。结果 干预后,内镜手术护理质量得分高于干预前（t=6.808,P<0.001）,医生对配合护士的技能满意度高于干预前（t=7.539,P<0.001）。结论 应用反思报告单能提高消化内镜护士内镜手术护理质量,使其能更好地配合医生完成内镜手术,提高医生对护理工作的满意度。

Objective To explore the effects of a reflection sheet on cooperative ability improvement of endoscopic nurses. Methods We designed a reflection sheet including general information of the patient,brief medical history,preoperative discussion,preoperative preparation,cooperation problems during operation,reasons analysis and improvement measures,comments by senior nurses and head nurses,and reports and reflections of nurses. Eight nurses who had been working in the Endoscopy Center for less than 2 years were selected and they were asked to fill in the reflection sheet after the complicated operation especially those involving new materials and attachments. The head nurses summarized and analyzed the reflection sheet,and carried out the training and guidance for the nurses. This study used self-developed questionnaires investigating the nursing quality of endoscopic surgery and doctors' satisfaction with the nurses' cooperation before and after the intervention used. Results After the intervention,the nursing quality of endoscopic surgery was higher than that of before（t=6.808,P<0.001）. Doctors' satisfaction with the cooperative nurses' professional skills was also higher than that before the intervention（t=7.539,P<0.001）.Conclusion The application of a reflection sheet can improve the nursing quality of endoscopic surgery for digestive endoscopy nurses,and improve cooperation with doctors to complete endoscopic surgery,and increase doctors' satisfaction with nursing work.