当代护士（专科版）
噹代護士（專科版）
당대호사（전과판）
TODAY NURSE
2014年
7期
28-29,30
,共3页
手术医生%依从性%现状调查
手術醫生%依從性%現狀調查
수술의생%의종성%현상조사
Surgeon%Compliance%Survey
目的：了解本院手术医生执行防止异物遗留措施依从性的现状。方法采用现场观察的方法对本院胃肠科、妇产科、胸科、小儿外科、泌尿科共5个手术专科的200例手术，对实施手术的主刀医生现场执行防止异物遗留措施行为指针的情况进行调查。结果手术医生对防止异物遗留措施总体执行率为84%；择期手术执行率为86%，明显高于急诊手术执行率（79%）；第一台手术执行率为95%，明显高于连台手术执行率78%；高级职称手术医生的执行率为87%，优于中级和初级职称手术医生执行率（83%和81%）；关闭体腔后执行率为最高（100%），最低为术中管理仅92%。结论本院手术医生对防止异物遗留措施执行状况亟待改善，提高手术医生防止疏忽性异物遗留措施执行率是一项长期艰巨的任务，需要医院政策面、管理层以及医护人员携手努力。
目的：瞭解本院手術醫生執行防止異物遺留措施依從性的現狀。方法採用現場觀察的方法對本院胃腸科、婦產科、胸科、小兒外科、泌尿科共5箇手術專科的200例手術，對實施手術的主刀醫生現場執行防止異物遺留措施行為指針的情況進行調查。結果手術醫生對防止異物遺留措施總體執行率為84%；擇期手術執行率為86%，明顯高于急診手術執行率（79%）；第一檯手術執行率為95%，明顯高于連檯手術執行率78%；高級職稱手術醫生的執行率為87%，優于中級和初級職稱手術醫生執行率（83%和81%）；關閉體腔後執行率為最高（100%），最低為術中管理僅92%。結論本院手術醫生對防止異物遺留措施執行狀況亟待改善，提高手術醫生防止疏忽性異物遺留措施執行率是一項長期艱巨的任務，需要醫院政策麵、管理層以及醫護人員攜手努力。
목적：료해본원수술의생집행방지이물유류조시의종성적현상。방법채용현장관찰적방법대본원위장과、부산과、흉과、소인외과、비뇨과공5개수술전과적200례수술，대실시수술적주도의생현장집행방지이물유류조시행위지침적정황진행조사。결과수술의생대방지이물유류조시총체집행솔위84%；택기수술집행솔위86%，명현고우급진수술집행솔（79%）；제일태수술집행솔위95%，명현고우련태수술집행솔78%；고급직칭수술의생적집행솔위87%，우우중급화초급직칭수술의생집행솔（83%화81%）；관폐체강후집행솔위최고（100%），최저위술중관리부92%。결론본원수술의생대방지이물유류조시집행상황극대개선，제고수술의생방지소홀성이물유류조시집행솔시일항장기간거적임무，수요의원정책면、관리층이급의호인원휴수노력。
Objective Understand our doctor surgery to prevent foreign body left what measures implementation. Methods Using field observation method in our gastrointestinal branch, gynecology and obstetrics, pediatrics, thoracic surgery, urology surgery were five col-lege of surgery in 200 cases, to carry out the operation of the surgeon field implementation to prevent foreign body left measures be-havior pointer were investigated. Results The operation to prevent foreign body left measures overall executions carried out have is 84%; Executions carried out have elective surgical procedures for 86%, much higher than executions carried out have emergency oper-ation (79%); The first executions carried out have surgery was 95%, much higher than even the station operation executions carried out have 78%; Senior professional title surgery doctor executions carried out have is 87%, which is higher than that of intermediate and primary title surgery doctor executions carried out have (83% and 81%); After closing coelom executions carried out have the highest (100%), minimum for intraoperative management only 92%. Conclusion Our operation to prevent foreign doctors left measures to improve the implementation status, improve the operation doctor prevent inadvertent sex from foreign executions carried out have measures is a long-term and arduous task, need hospital policy level, management and staff work together.
