CAJ | 학술논문

目的：研究细节管理提高腔镜手术器械使用质量的效果。方法将57位腔镜手术护理人员分为两组，研究组应用细节管理模式，对照组应用传统轮班制管理模式。结果两组管理前的腔镜手术器械使用情况差异无统计学意义(P>0.05)，研究组管理后的器械准备漏缺率(0)、器械不适用率(3.45%)及器械遗失率(0)低于对照组(21.43%、25.00%、17.88%)，其手术医生满意度(96.55%)明显高于对照组(64.28%)，两组比较，差异有统计学意义(P<0.05)。结论细节管理可有效提高腔镜手术器械使用质量，减少器械漏缺、不适用、遗失等，提升手术效果，手术医生满意度高。
목적：연구세절관리제고강경수술기계사용질량적효과。방법장57위강경수술호리인원분위량조，연구조응용세절관리모식，대조조응용전통륜반제관리모식。결과량조관리전적강경수술기계사용정황차이무통계학의의(P>0.05)，연구조관리후적기계준비루결솔(0)、기계불괄용솔(3.45%)급기계유실솔(0)저우대조조(21.43%、25.00%、17.88%)，기수술의생만의도(96.55%)명현고우대조조(64.28%)，량조비교，차이유통계학의의(P<0.05)。결론세절관리가유효제고강경수술기계사용질량，감소기계루결、불괄용、유실등，제승수술효과，수술의생만의도고。
Objective To study the effect of detail management improving using quality of endoscopic surgical instru-ment. Methods 57 nurse staff with endoscopic surgery were divided into the two groups.The research group was given detail management mode,and the control group was given the traditional shift system management mode. Methods There was a statistical difference of the using of endoscopic surgical instrument after management in the two groups (P>0.05).After management,the missing rate of the preparation of instrument (0),the inapplicable rate of instrument (3.45%), the instrument loss rate (0) in the research group were lower than those in the control group (21.43%,25.00%,17.88%), and the satisfaction degree of surgeon (96.55%) of the research group was significantly higher than that of the control group (64.29%) with statistically significant difference (P<0.05). Conclusion The detail management can effectively im-prove the using quality of surgical instrument, reduce equipment missing,inapplicability,loss of instrument,improve op-eration effect with high satisfaction of surgeon.