梁肖鸾 郑小飞 陈丽梅

【摘要】 目的：探讨空间管理在妇科腹腔镜手术中的应用效果。方法：选取2017年1-10月25名妇科手术室护士为对照组，采用常规手术配合管理方法;选取2018年1-10月进行空间管理能力培训的25名妇科手术室护士为观察组，采用空间管理方法进行手术配合。比较两组手术配合满意度、空间管理能力评分和术前准备时间。结果：观察组手术配合满意度为96.00%，高于对照组的72.00%，差异有统计学意义（P<0.05）;观察组空间管理能力评分高于对照组，术前准备时间为（24.73±3.19）min，明显短于对照组的（32.30±2.78）min，差异均有统计学意义（P<0.05）。结论：空间管理在妇科腹腔镜手术中的应用效果显著，可提高手术配合满意度，值得在临床中推广应用。

【关键词】 空间管理 手术室护士 妇科腹腔镜手术 应用效果

doi：10.14033/j.cnki.cfmr.2020.19.046 文献标识码 B 文章编号 1674-6805（2020）19-0-02

Application Effect of Space Management in Gynecological Laparoscopic Operation/LIANG Xiaoluan， ZHENG Xiaofei， CHEN Limei. //Chinese and Foreign Medical Research， 2020， 18（19）： -115

[Abstract] Objective： To explore the application effect of space management in gynecological laparoscopic operation. Method： Twenty-five gynecological operating room nurses were selected from January to October 2017 as the control group， and the management method of routine operation coordination were adopted. Twenty-five gynecological operating room nurses who received training in space management ability were selected from January to October 2018 as the observation group， and the space management method was adopted to cooperate with the operation. Satisfaction with operation cooperation， scores of space management ability and preoperative preparation time were compared between the two groups. Result： The satisfaction with operation cooperation in the observation group was 96.00%， which was higher than 72.00% of the control group， and the difference was statistically significant （P<0.05）. The score of space management ability of the observation group was higher than that of the control group， and the preoperative preparation time was （24.73±3.19） min， which was significantly shorter than （32.30±2.78） min of the control group， and the differences were statistically significant （P<0.05）. Conclusion： The application of space management in gynecological laparoscopic operation is effective and can improve the satisfaction with operation cooperation， which is worth popularizing in clinic.

[Key words] Space management Operating room nurses Gynecological laparoscopic operation Application effect

First-authors address： Yangjiang Maternal and Child Health Hospital， Yangjiang 529500， China

腹腔鏡手术是外科手术史上的一次革命。随着腹腔镜技术的不断发展，腹腔镜手术已成为诊治疾病的不可缺少的手段之一，具有损伤小、恢复快、术后组织粘连少等优点[1]。在实施腹腔镜手术过程中，护士不仅需正确传递器械，还要确保仪器设备的安全性、患者体位的正确性，从而提高手术质量。因此，在腹腔镜手术中应合理的应用空间管理。空间管理主要指对手术间合理的空间分布，将手术间的仪器设备、患者、手术医生、麻醉医生、护士进行合理的分区分布，让护士能正确选择患者手术体位及静脉输液部位，迅速做好仪器设备布局和器械台的标准摆放，以此提高手术室护士配合质量及手术医生满意度，减少手术并发症，增加手术安全性[2]。为进一步准确评价空间管理在妇科腹腔镜手术中的应用效果，本次研究选取笔者所在医院妇科手术室护士50名作为观察对象，报道如下。……