手术准备时间对患者结果的影响
1College of Nursing, The Catholic University of Korea, Seoul, Republic of Korea.
Journal of nursing management
|April 14, 2025
概括
较短的手术准备时间,即麻醉和切口之间的时间,与更好的患者结果有关. 操作室护士的能力是减少这一时间和改善术后结果的关键.
科学领域:
- 在外科手术期间的医学.
- 手术护理 医疗护理
- 患者安全 患者安全
背景情况:
- 手术后并发症显著影响生存率.
- 麻醉时间是影响这些并发症的关键因素.
- 手术准备时间,从麻醉到切口,受到手术室护士效率的影响.
研究的目的:
- 分析手术准备时间对患者结果的影响.
- 调查准备时间和术后并发症之间的关系.
主要方法:
- 一项追溯的队列研究,对2017-2020年手术后入院ICU的1944名患者进行了追溯的队列研究.
- 患者被分为准备时间≥30分钟和<30分钟的组.
- 统计分析包括千二测试,t测试和12个调整变量的多重逻辑回归.
主要成果:
- 多重后勤回归显示,手术准备时间显著影响警觉 (OR=1.44),呼吸机应用 (OR=1.32),以及ICU停留时间 (OR=1.69).
- 较短的准备时间 (<30分钟) 与这些领域的改善结果有关.
结论:
- 手术准备时间是术后患者结果的重要决定因素.
- 操作室护士的能力对于优化准备时间至关重要.
- 规范任务和提供有针对性的护士教育可以减少准备时间,提高患者的治疗效果.
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