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| Application of seamless connection nursing model between operating room and ward under the mind map in the operation of critically ill patients |
| GUO Yunqing1 HU Ling2 JIN Xianrong1▲ |
1.Operating Room, Jiangjin District Central Hospital, Chongqing 402260, China;
2.Intensive Care Unit, Jiangjin District Central Hospital, Chongqing 402260, China |
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Abstract Objective To explore the application effect of the seamless connection nursing model between the operating room and the ward under the mind map in the operation of critically ill patients. Methods Prospectively selected 480 critically ill patients who received elective surgical treatment from June 2019 to June 2020 in Jiangjin Distict Central Hospital. They were divided into observation group (240 cases) and control group (240 cases) by random number table method. The nursing model of the control group was conventional nursing, and the nursing model of the observation group was the seamless connection nursing model between the operating room and the ward under the mind map. The operation efficiency and operating room management quality of the two groups were compared, the occurrence of postoperative complications of the two groups were counted and compared, and the nursing satisfaction of the two groups were compared after the nursing. Results The preparation time and operation time of the observation group were shorter than those of the control group, and the differences were statistically significant (P ＜ 0.05). The first aid supplies in the observation group were intact, the equipment was counted correctly, and the equipment sterilization qualified scores were higher than those of the control group, and the differences were statistically significant (P ＜ 0.05). The incidence of postoperative complications in the observation group was lower than that in the control group, and the difference was statistically significant (P ＜ 0.05). The nursing satisfaction of the observation group was better than that of the control group, and the difference was statistically significant (P ＜ 0.05). Conclusion The seamless connection nuring model between the operating room and the ward under the mind map is applied to critically ill patients undergoing surgical treatment. Compared with conventional care, it is more conducive to improving the efficiency of surgery and the quality of surgical management, reducing postoperative complications and improving nursing satisfaction.
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[1] 胡晓梅，解红文，陶华奎.专科护士在提升医院重症患者护理水平中的作用[J].护士进修杂志，2018，33（4）：334-336.
[2] 何红，占晓兰.流程责任小组对手术室护理服务水平的影响[J].中国医药导报，2015，12（14）：136-139.
[3] Schramm MS，Willener R. Seamless nursing care from the hospital to home [J]. Krankenpfl Soins Infirm，2016，109（2）：16-19.
[4] Radhakrishnan K，Jones TL，Weems D，et al. Seamless Transitions：Achieving Patient Safety Through Communication and Collaboration [J]. J Patient Saf，2018，14（1）：e3-e5.
[5] 罗梅，王娟，张颖，等.思维导图教学法在住院医师规范化培训教学中的体会[J].中国医药导报，2018，15（28）：65-69.
[6] 周茜.思维导图引导下无缝隙护理在泌尿外科手术室中的应用效果[J].实用临床医药杂志，2020，24（8）：114-116.
[7] Varghese YE，Kalaiselvan MS，Renuka MK，et al. Comparison of acute physiology and chronic health evaluation Ⅱ （APACHE Ⅱ） and acute physiology and chronic health evaluation Ⅳ （APACHE Ⅳ） severity of illness scoring systems，in a multidisciplinary ICU [J]. J Anaesthesiol Clin Pharmacol，2017，33（2）：248-253.
[8] Enriquez CM，Chisholm KH，Madden LK，et al. Glasgow Coma Scale： Generating Clinical Standards[J]. J neurosci nurs，2019，51（3）：142-146.
[9] 张海伟，杨美玲，冯建萍.医生对手术室护理工作满意度测评量表的研制及其应用[J].护理研究，2013，27（31）：3574-3575.
[10] 亓莱滨.李克特量表的统计学分析与模糊综合评判[J]. 山东科学, 2006, 19（2）：18-23.
[11] Chen Y，Han X，Xu Y，et al. Nursing Project Management to Reduce the Operating Room Infection [J]. Iran J Public Health，2017，46（2）：192-198.
[12] 蒋红翼.手术室护理中无缝隙护理的应用效果观察[J].中国妇幼健康研究，2016，27（S1）：109-110.
[13] 徐政秀.全程无缝隙护理在手术室护理中的应用效果及患者预后改善的影响分析[J].中国实用护理杂志，2016， 32（13）：1003-1006.
[14] McDonald MS，Neumeier M，Olver ME. From linear care plan through concept map to Concepto-Plan：The creation of an innovative and holistic care plan [J]. Nurse Educ Pract，2018，17（31）：171-176.
[15] 马恒，姜少琴，王露，等.思维导图引导康复护理对白内障超声乳化手术患者术后恢复的影响[J].川北医学院学报，2020，35（1）：155-158.
[16] van Mil JWF. Seamless care，do it well or not at all [J]. Int J Clin Pharm，2019，41（6）：1391-1393.
[17] Cochrane P，DiEmanuele M. Bundling Care for Cardiac Surgery Patients [J]. Healthc Q，2018，20（4）：43-47.
[18] 杨晓莹，胡蓉，杨小香.全程无缝隙护理在手术室护理中的应用效果及患者预后改善的影响分析[J].贵州医药，2019，43（10）：1643-1644.
[19] 张苗，王玉玲，范军臣，等.思维导图在护士交接班中的应用效果分析[J].中国实用护理杂志，2017，33（26）：2060-2064.
[20] Blauwet J，Bell M. Technology’s Role in Quality Improvement and Operational Efficiency [J]. Front Health Serv Manage，2018，34（3）：3-15.
[21] 姜红萍.手术室对骨科外来器械实施无缝隙护理管理的效果分析[J].实用临床医药杂志，2017，21（12）：199-201.
[22] 陈彩央，刘丽，舒君美，等.思维导图在供应室规范手术器械包装及质量控制中的应用[J].护士进修杂志，2016， 31（19）：1762-1764.
[23] 陈旭，顾立学，马艳梅.思维导图在乳腺癌患者围手术期护理中的应用[J].中国实用护理杂志，2016，32（21）：1631-1635.
[24] Boston-Fleischhauer C，Rose R，Hartwig L. Cross-continuum Care Continuity：Achieving Seamless Care and Managing Comorbidities [J]. J Nurs Adm，2017，47（7/8）：399-403.
[25] 杨怡萍，李瑾，李静.以思维导图为指导个体化护理在ICU重症患者中的应用价值[J].中国中西医结合急救杂志，2019，26（4）：463-466. |
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