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Article in Chinese | WPRIM | ID: wpr-908202


Objective:To explore the application value of establishing standardized mobile nurses in operation room in improving the quality of operation nursing and reducing the occurrence of adverse events.Methods:A total of 3 445 operations in the Eastern and Western surgical wards of Shengjing Hospital Affiliated to China Medical University from 2018 to 2019 were selected in this study. The surgeries performed in the eastern surgical wards were the experimental group ( n = 1 650), and the standardized mobile nurse operation mode was adopted. The surgeries performed in the Western surgical wards were the control group ( n=1 795) adopted the general operation management and cooperation mode. The differences of nursing quality score, incidence of adverse events and satisfaction of doctors and nurses under different operation modes were observed. Results:The scores of surgical preparation, instrument management, surgical safety, and environmental management in the quality of surgical care in the experimental group were 9.14±0.38, 9.42±0.37, 9.64±0.27, 9.64±0.27, respectively, which were higher than those of the control group 9.11±0.36, 7.99±0.33, 8.03±0.39, 7.98±0.79, the difference between the two groups was statistically significant ( t value was 2.379-139.712, P<0.05). The satisfaction rate of doctors in the test group was 97.33% (73/75), which was higher than 91.67% (52/60) in the control group, and the satisfaction rate of nurses in the test group was 99.00% (99/100), which was higher than 97.92% (90/96) in the control group. The difference between the two groups was statistically significant ( χ2 value was 5.530, 3.920, P<0.05). The incidence of adverse surgical events in the experimental group was 0.79%(13/1 650), which was less than 1.78%(32/1 795) in the control group, the difference was statistically significant ( χ2 value was 6.600, P<0.05). Conclusions:The establishment of mobile nurse database in the operating room can not only alleviate the current situation of human resource shortage in the operating room, improve the quality of surgical care and physician satisfaction, but also reduce the probability of adverse events.