组织工程与重建外科杂志2024，Vol.20Issue(5)：551-557,7.DOI:10.3969/j.issn.1673-0364.2024.05.009
基于SWITCH专科护理交接核查表在口腔颌面显微皮瓣重建手术中的应用
The application of nursing handover checklist based on SWITCH in oral and maxillofacial microvascular reconstructive surgery
徐康鑫 1毛嘉欣 1林燕1
作者信息
- 1. 210029 江苏省南京市 南京医科大学附属口腔医院
- 折叠
摘要
Abstract
Objective To design the intraoperative nursing handover checklist based on SWICTH checklist and investigate its application in oral and maxillofacial microsurgical flap reconstruction.Methods The intraoperative nursing handover checklist of oral and maxillofacial microvascular flap reconstruction was established according to SWICTH checklist.A total of 150 cases of microsurgical flap reconstruction performed in the department of oral and maxillofacial surgery from January to December 2021 were randomly divided into experimental and control groups.The handover checklist was used in experimental group,in comparison with oral handover method in control group.The quality and the duration of intraoperative nursing handover as well as the satisfaction scores from surgical team were compared between the two groups.Results There was no statistical difference in handover duration between the two groups.In stratified analysis,the duration of circular nursing handover for fibular myocutaneous flap cases in experimental group was significantly shorter than that of control group (P=0.0146).The score of overall competence from scrub curses in experimental group was 6.95±0.76,significantly higher than 6.25±0.85 in control group (P=0.0084).In fields of organization and communication skills,the scores of scrub and circular nurses in experimental group were statistical higher than those in control group (P<0.05).In the clinical judgment section,the score of scrub nurses in experimental group was significantly higher than that in control group (P=0.0305).The nursing handover errors and omissions of scrub and circular nurses in experimental group were (1.25±1.02) times and (1.05±1.10) times,respectively,which were significantly lower than (3.10±2.29) times and (2.65±2.30) times in control group (P=0.0021,P=0.0079).The score of satisfaction of surgeons and handover nurses in experiment group was significantly higher than that in control group (P<0.0001,P=0.0261,P=0.0316).Conclusion In terms of complicated oral and maxillofacial microvascular flap reconstruction,the intraoperative nursing handover checklist based on SWITCH standardizes the procedure and content of shifting,enhances handover quality,reduces the incidence of shifting errors and omissions,and improves the satisfaction of medical and nursing staff.关键词
护理核查表/术中交接/显微皮瓣重建手术Key words
Nursing checklist/Intraoperative handover/Microvascular flap reconstruction分类
医药卫生引用本文复制引用
徐康鑫,毛嘉欣,林燕..基于SWITCH专科护理交接核查表在口腔颌面显微皮瓣重建手术中的应用[J].组织工程与重建外科杂志,2024,20(5):551-557,7.
