手术室细节护理在确保手术室护理安全中的应用效果[摘要]目的?^察和探讨手术室细节护理在确保手术室护理安全中的应用效果。方法选取2016年1～12月在我院进行手术治疗的64例女性患者作为研究对象，随机分为两组，每组32例。观察组采用手术细节护理，对照组采用常规护理，观察对比两组患者的护理质量评分、护理人员形象与职业素养评分、术后护理综合评分、护理满意度以及术前术后SAS评分等。结果观察组的护理质量评分（仪器设备管理、器械设备、护士配合等）均显著优于对照组患者，差异有统计学意义（P<0.05）。观察组患者的手术时间短于对照组患者，差异无统计学意义（P>0.05）。观察组的护理人员形象与职业素养、术后护理综合评分及护理满意度方面均显著优于对照组，差异有统计学意义（P<0.05）。两组患者术前的SAS评分比较，差异无统计学意义（P>0.05）。术后1d，观察组患者的SAS评分显著低于对照组，差异有统计学意义（P<0.05）。结论手术室细节护理显著提高了手术室的护理安全及护理质量评分，提升了护理人员的形象与素养，增强了患者的自信心，效果显著，值得临床推广应用。[关键词]手术室细节护理；护理安全；效果[]R472.3[文献标识码]A[]1674-4721（2017）09（b）-0195-03TheapplicationeffectofoperatingroomdetailnursingtoensurethesafetyofnursingintheoperationroomZHANGGuo-yingTheoperatingroom，MaternalandChildHealthHospitalinYichunCity，激angxiProvince，Yichun336000，China[Abstract]ObjectiveToobserveanddiscusstheapplicationeffectofoperatingroomdetailnursingtoensurethesafetyofnursingintheoperationroom.MethodsAtotalof64femalepatientswhounderwentsurgicaltreatmentinourhospitalfromJanuarytoDecember2016wereselectedasthestudysubjects，andpatientswererandomlydividedintotwogroups，32casesineachgroup.Theobservationgroupadoptedoperatingroomdetailnursing，whilethecontrolgroupadoptedconventionalnursingmethod.Thenursingqualityscores，theimageandoccupationaccomplishmentofnursingstaffs，postoperativenursingcomprehensivescore，nursingsatisfactionandpostoperativeSASscoreofthetwogroupswereobservedandcompared.ResultsThenursingqualityscoresofobservationgroup（equipmentmanagement，equipment，thenursescooperateandetc）weresignificantlybetterthanthoseofthecontrolgroup，andthedifferenceswerestatisticallysignificant（P<0.05）.Theoperationtimeoftheobservationgroupwasshorterthanthatofthecontrolgroup，andthedifferenceswasnotstatisticallysignificant（P>0.05）.Theimageandoccupationaccomplishmentofnursingstaffs，postoperativenursingcomprehensivescoreandnursingsatisfactionoftheobservationgroupweresignificantlybetterthanthoseofthecontrolgroup，andthedifferenceswerestatisticallysignificant（P<0.05）.ThepreoperativeSASscoreswerecomparedinthetwogroups，andthedifferenceswasnotstatisticallysignificant（P>0.05）.After1dayofoperation，theSASscoresintheobservationgroupwassignificantlylowerthanthatinthecontrolgroup，andthedifferencewasstatisticallysignificant（P<0.05）.ConclusionTheoperationroomdetailsnursingcansignificantlyimprovethesaftyofoperationroomnursingandnursingqualityscore，promotetheimageandoccupationaccomplishmentofnursingstaffsandstrengthenthepatients′self-confidence.Theefficacyissignificant，soitisworthyofclinicalapplication.[Keywords]Operationroomdetailnursing；Thesafetyofnursing；Effect手术室的护理工作具有工作强度大、风险高、复杂多变等特点。如护理不当，会造成患者的损伤或者机能损害。目前，常规护理方法已经很难满足手术室患者的需求。近些年来，细节护理被应用于护理过程中。有文献研究表明，细节护理可以降低护理风险，提高护理质量，但总体来讲，此类研究的成果和询证还是比较少的[1-3]。为了更好地...