Talking about the detail management method in hepatobiliary surgery catheter nursing
肝胆外科导管护理中的细节管理方法浅谈

摘要

目的 分析将细节管理应用于肝胆外科导管护理中的临床价值。方法 为提升肝胆外科导管护理质量，于科室内开展本次对照实验，首先选取70例接受肝胆外科手术治疗且留置导管的患者作为研究对象，将其分为使用不同护理方法的两组，每组35例患者，即使用细节管理的观察组合使用常规护理，对比两组患者护理过程中的护理风险发生率以及患者满意度。结果 使用细节管理的观察组，出现1例无标识、1例敷料脱落情况，风险发生率5.71%；反观依然使用常规护理的对照组，出现2例标识错误、2例无标识、3例导管固定松紧不合适以及2例敷料脱落，风险事件发生率25.71%，对比来看观察组风险事件发生率明显低于对照组，（P＜0.05）。其次，观察组患者满意度也更高，（P＜0.05）。结论 对肝胆外科留置导管患者实施细节管理可有效降低护理风险性。

Abstract

Objective: To analyze the clinical value of applying detailed management to the nursing of hepatobiliary surgery catheter. Method: In order to improve the quality of hepatobiliary surgery catheter care, this controlled experiment was carried out in the department. First, 70 patients receiving hepatobiliary surgery and indwelling catheter were selected as the research object, and they were divided into two groups using different nursing methods. Group 35 patients, that is, the use of detailed management observation combined with routine care, the care risk incidence and patient satisfaction during the nursing process of the two groups were compared.
Results: In the observation group with detailed management, there was 1 case of no labeling and 1 case of dressing falling off, with a risk rate of 5.71%; in contrast, the control group still using routine care had 2 cases of identification errors, 2 cases of no labeling, and 3 cases of catheters Improper fixation tightness and 2 cases of dressing falling off, the risk event rate was 25.71%. In comparison, the risk event rate of the observation group was significantly lower than that of the control group (P<0.05). Secondly, the satisfaction of patients in the observation group was also higher (P<0.05).
Conclusion  : The detailed management of patients with indwelling catheters in hepatobiliary surgery can effectively reduce the nursing risk.