CAJ | 학술논문

目的研究麻醉科技术操作规范化管理的影响及效果。方法回顾性分析我院麻醉科30名麻醉医师、护师在2012年1月－12月期间技术操作规范化管理前以及2013年1月－12月期间技术操作规范化管理后的数据，对比实施前后麻醉医师、护师的考核情况、事故发生率以及患者满意程度等。结果技术操作规范化管理实施前后统计数据发现，实施前麻醉事故发生率高达6.69%，实施后麻醉事故发生率仅为1.04%，实施后明显好于实施前，P＜0.05。实施前麻醉医师、护师知识考核理论分数为（38.4±5.2）分，技能分数为（36.8±6.1）分，总分为（76.4±11.5）分；实施后理论分数为（45.7±4.1）分，技能分数为（44.6±4.8）分，总分为（89.3±8.1）分，实施后明显好于实施前，P＜0.05。实施前患者满意度为86%，实施后患者满意度高达98%，P＜0.05。结论技术操作规范化管理明显提高了我院麻醉科的工作效率，降低了麻醉事故发生率，提高了麻醉医师护师的知识掌握情况，更大的满足了患者的需求。
목적연구마취과기술조작규범화관리적영향급효과。방법회고성분석아원마취과30명마취의사、호사재2012년1월－12월기간기술조작규범화관리전이급2013년1월－12월기간기술조작규범화관리후적수거，대비실시전후마취의사、호사적고핵정황、사고발생솔이급환자만의정도등。결과기술조작규범화관리실시전후통계수거발현，실시전마취사고발생솔고체6.69%，실시후마취사고발생솔부위1.04%，실시후명현호우실시전，P＜0.05。실시전마취의사、호사지식고핵이론분수위（38.4±5.2）분，기능분수위（36.8±6.1）분，총분위（76.4±11.5）분；실시후이론분수위（45.7±4.1）분，기능분수위（44.6±4.8）분，총분위（89.3±8.1）분，실시후명현호우실시전，P＜0.05。실시전환자만의도위86%，실시후환자만의도고체98%，P＜0.05。결론기술조작규범화관리명현제고료아원마취과적공작효솔，강저료마취사고발생솔，제고료마취의사호사적지식장악정황，경대적만족료환자적수구。
Objective To study the effect of standardization management of operation procedures in anesthesiology department.Methods Conducted a retrospective analysis on the data of 30 anesthesiologists from January 2012 to December 2012 when standardization management of operation procedures was not implemented and their data from January 2012 to December 2013 when standardization management was implemented in our hospital. Compared the assessment results of anesthesiologists before and after the implementation as well as the accident incidence and the patients satisfaction degree etc.Results After the implementation of standardized management of operation procedures, statistical data found that the anesthesia accident incidence was as high as 6.69% before the implementation while it was only 1.04% after the implementation, which was significantly better than before (P<0.05). Knowledge assessment theory score for anesthesiologists before the implementation was (38.4±5.2), skill score was (36.8±6.1) and the total score was (76.4±11.5). After the implementation, the theory score was (45.7±4.1), skill score was (44.6±4.8) while the total score was (89.3±8.1). The results after implementation were significantly better (P<0.05). Patient satisfaction was 86% before the implementation while it was high up to 98% afterwards (P<0.05).Conclusion The implementation of standardization management of operation procedures in anesthesiology department obviously improved the working efficiency, reduced the incidence of anesthesia accidents, enhanced the knowledge of anesthesiologists and meet the needs of patients.