導語：科(ke)室(shi)協同模式在骨科(ke)護理(li)人(ren)員的運用(yong)一文來源于(yu)網(wang)友上(shang)傳，不(bu)代表本站觀點，若需要原(yuan)創文章可咨(zi)詢客(ke)服老師，歡迎參考(kao)。

多科室協同模式是以醫護統一流程、全方位銜接下，充分調節各科室主動能力性，相互協作、優勢互補的一種新型的工作管理模式[1-3]。手術室是一個流動性大、配合多、時限性強的部門，難以形成完整的管理模式，不同的主刀醫生有不同的操作習慣，配合難度高，不僅降低了手術配合的水平，更易因配合的誤差影響手術床的周轉，從而降低手術室整體工作效率[4-6]。多科室協同模式以骨科專業特征為基礎，建立了關節組、創作組、脊柱組與運動醫學組4個專業小組，充分配合骨科醫師，開展多科室協調合作模式，采用手術室護理人員三級責任制，以體現專科、專人(ren)的高(gao)業務(wu)水平(ping)護理配合優(you)勢。本(ben)研究旨在探討骨科手(shou)術(shu)室(shi)多科室(shi)協(xie)同模(mo)式在骨科護理人(ren)員中(zhong)的應用(yong)效果(guo)，現報道如(ru)下(xia)。

1資料與方法

1.1一(yi)(yi)般(ban)資(zi)料(liao)。選取2017年(nian)(nian)(nian)(nian)(nian)(nian)1月(yue)(yue)～2018年(nian)(nian)(nian)(nian)(nian)(nian)12月(yue)(yue)我院(yuan)62名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)骨(gu)(gu)(gu)科(ke)(ke)(ke)手(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)室(shi)(shi)護(hu)(hu)(hu)理(li)(li)(li)(li)(li)(li)(li)(li)人(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)員(yuan)(yuan)作(zuo)(zuo)(zuo)(zuo)(zuo)為(wei)(wei)(wei)(wei)(wei)研(yan)(yan)究(jiu)(jiu)對(dui)(dui)象，根據(ju)(ju)(ju)是否(fou)使用(yong)(yong)(yong)(yong)骨(gu)(gu)(gu)科(ke)(ke)(ke)手(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)室(shi)(shi)多(duo)科(ke)(ke)(ke)室(shi)(shi)協同(tong)(tong)模式(shi)分(fen)(fen)(fen)為(wei)(wei)(wei)(wei)(wei)應(ying)(ying)(ying)用(yong)(yong)(yong)(yong)前組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)和應(ying)(ying)(ying)用(yong)(yong)(yong)(yong)后(hou)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)，每組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)各(ge)(ge)(ge)31名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)。應(ying)(ying)(ying)用(yong)(yong)(yong)(yong)前組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)中(zhong)，男(nan)3名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)，女28名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)；年(nian)(nian)(nian)(nian)(nian)(nian)齡22～48歲(sui)(sui)(sui)(sui)，平(ping)(ping)(ping)均(jun)(jun)(jun)(jun)(jun)（29.68±3.65）歲(sui)(sui)(sui)(sui)；研(yan)(yan)究(jiu)(jiu)生(sheng)1名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)，本(ben)(ben)科(ke)(ke)(ke)11名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)，大(da)專(zhuan)(zhuan)(zhuan)18名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)，中(zhong)專(zhuan)(zhuan)(zhuan)1名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)；職(zhi)稱(cheng)：副(fu)主(zhu)任護(hu)(hu)(hu)師(shi)(shi)(shi)(shi)(shi)(shi)1名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)，主(zhu)管(guan)(guan)護(hu)(hu)(hu)師(shi)(shi)(shi)(shi)(shi)(shi)3名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)，護(hu)(hu)(hu)師(shi)(shi)(shi)(shi)(shi)(shi)5名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)，護(hu)(hu)(hu)士(shi)22名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)；職(zhi)務(wu)：護(hu)(hu)(hu)士(shi)長(chang)(chang)(chang)(chang)1名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)，教(jiao)學(xue)(xue)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)長(chang)(chang)(chang)(chang)1名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)，組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)長(chang)(chang)(chang)(chang)4名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)，器(qi)(qi)(qi)械(xie)護(hu)(hu)(hu)理(li)(li)(li)(li)(li)(li)(li)(li)人(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)員(yuan)(yuan)4名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)，巡(xun)回(hui)(hui)護(hu)(hu)(hu)理(li)(li)(li)(li)(li)(li)(li)(li)人(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)員(yuan)(yuan)6名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)。患(huan)者(zhe)(zhe)共(gong)(gong)(gong)348例(li)，其(qi)中(zhong)男(nan)201例(li)，女147例(li)；年(nian)(nian)(nian)(nian)(nian)(nian)齡18～76歲(sui)(sui)(sui)(sui)，平(ping)(ping)(ping)均(jun)(jun)(jun)(jun)(jun)（46.21±9.61）歲(sui)(sui)(sui)(sui)。骨(gu)(gu)(gu)科(ke)(ke)(ke)手(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)師(shi)(shi)(shi)(shi)(shi)(shi)：主(zhu)治(zhi)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)師(shi)(shi)(shi)(shi)(shi)(shi)1名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)，副(fu)主(zhu)任醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)師(shi)(shi)(shi)(shi)(shi)(shi)4名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)，主(zhu)任醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)師(shi)(shi)(shi)(shi)(shi)(shi)1名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)，主(zhu)任醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)師(shi)(shi)(shi)(shi)(shi)(shi)、教(jiao)授1名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)；麻(ma)醉(zui)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)師(shi)(shi)(shi)(shi)(shi)(shi)4名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)。應(ying)(ying)(ying)用(yong)(yong)(yong)(yong)后(hou)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)中(zhong)，男(nan)4名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)，女27名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)；年(nian)(nian)(nian)(nian)(nian)(nian)齡22～49歲(sui)(sui)(sui)(sui)，平(ping)(ping)(ping)均(jun)(jun)(jun)(jun)(jun)（29.71±3.69）歲(sui)(sui)(sui)(sui)；研(yan)(yan)究(jiu)(jiu)生(sheng)2名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)，本(ben)(ben)科(ke)(ke)(ke)11名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)，大(da)專(zhuan)(zhuan)(zhuan)17名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)，中(zhong)專(zhuan)(zhuan)(zhuan)1名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)；職(zhi)稱(cheng)：副(fu)主(zhu)任護(hu)(hu)(hu)師(shi)(shi)(shi)(shi)(shi)(shi)1名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)，主(zhu)管(guan)(guan)護(hu)(hu)(hu)師(shi)(shi)(shi)(shi)(shi)(shi)3名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)，護(hu)(hu)(hu)師(shi)(shi)(shi)(shi)(shi)(shi)6名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)，護(hu)(hu)(hu)士(shi)21名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)；職(zhi)務(wu)：護(hu)(hu)(hu)士(shi)長(chang)(chang)(chang)(chang)1名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)，教(jiao)學(xue)(xue)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)長(chang)(chang)(chang)(chang)1名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)，組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)長(chang)(chang)(chang)(chang)4名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)，器(qi)(qi)(qi)械(xie)護(hu)(hu)(hu)理(li)(li)(li)(li)(li)(li)(li)(li)人(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)員(yuan)(yuan)4名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)，巡(xun)回(hui)(hui)護(hu)(hu)(hu)理(li)(li)(li)(li)(li)(li)(li)(li)人(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)員(yuan)(yuan)6名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)。應(ying)(ying)(ying)用(yong)(yong)(yong)(yong)后(hou)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)患(huan)者(zhe)(zhe)共(gong)(gong)(gong)351例(li)，其(qi)中(zhong)男(nan)213例(li)，女138例(li)；年(nian)(nian)(nian)(nian)(nian)(nian)齡18～79歲(sui)(sui)(sui)(sui)，平(ping)(ping)(ping)均(jun)(jun)(jun)(jun)(jun)（47.02±9.92）歲(sui)(sui)(sui)(sui)。骨(gu)(gu)(gu)科(ke)(ke)(ke)手(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)師(shi)(shi)(shi)(shi)(shi)(shi)：主(zhu)治(zhi)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)師(shi)(shi)(shi)(shi)(shi)(shi)1名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)，副(fu)主(zhu)任醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)師(shi)(shi)(shi)(shi)(shi)(shi)4名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)，主(zhu)任醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)師(shi)(shi)(shi)(shi)(shi)(shi)1名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)，主(zhu)任醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)師(shi)(shi)(shi)(shi)(shi)(shi)、教(jiao)授1名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)；麻(ma)醉(zui)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)師(shi)(shi)(shi)(shi)(shi)(shi)4名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)。兩(liang)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)一(yi)(yi)般(ban)資(zi)料(liao)比(bi)(bi)較，差(cha)異無統(tong)計(ji)(ji)學(xue)(xue)意(yi)(yi)(yi)義（P>0.05），具(ju)有(you)(you)可比(bi)(bi)性。本(ben)(ben)研(yan)(yan)究(jiu)(jiu)經醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)學(xue)(xue)倫理(li)(li)(li)(li)(li)(li)(li)(li)委員(yuan)(yuan)會(hui)審核批準(zhun)(zhun)(zhun)(zhun)。本(ben)(ben)研(yan)(yan)究(jiu)(jiu)所有(you)(you)患(huan)者(zhe)(zhe)及(ji)其(qi)家屬(shu)均(jun)(jun)(jun)(jun)(jun)知情(qing)同(tong)(tong)意(yi)(yi)(yi)。1.2方法(fa)。應(ying)(ying)(ying)用(yong)(yong)(yong)(yong)前組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)工(gong)(gong)(gong)(gong)作(zuo)(zuo)(zuo)(zuo)(zuo)模式(shi)采(cai)取早班(ban)(ban)、白(bai)班(ban)(ban)、一(yi)(yi)線(xian)24h輪值，二線(xian)輔(fu)助(zhu)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)三班(ban)(ban)制。早班(ban)(ban)為(wei)(wei)(wei)(wei)(wei)8∶00～15∶00，白(bai)班(ban)(ban)為(wei)(wei)(wei)(wei)(wei)8∶00～12∶00，14∶30～17∶30。急(ji)(ji)(ji)診(zhen)(zhen)為(wei)(wei)(wei)(wei)(wei)24h輪值，二線(xian)白(bai)班(ban)(ban)主(zhu)要(yao)為(wei)(wei)(wei)(wei)(wei)早班(ban)(ban)，晚間為(wei)(wei)(wei)(wei)(wei)急(ji)(ji)(ji)診(zhen)(zhen)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)備(bei)(bei)(bei)班(ban)(ban)。由(you)護(hu)(hu)(hu)士(shi)長(chang)(chang)(chang)(chang)安(an)排(pai)(pai)手(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)及(ji)配(pei)(pei)(pei)(pei)合(he)(he)(he)(he)(he)人(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)員(yuan)(yuan)，以(yi)(yi)(yi)工(gong)(gong)(gong)(gong)作(zuo)(zuo)(zuo)(zuo)(zuo)年(nian)(nian)(nian)(nian)(nian)(nian)限＞5年(nian)(nian)(nian)(nian)(nian)(nian)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)器(qi)(qi)(qi)械(xie)護(hu)(hu)(hu)士(shi)為(wei)(wei)(wei)(wei)(wei)主(zhu)，搭配(pei)(pei)(pei)(pei)青年(nian)(nian)(nian)(nian)(nian)(nian)護(hu)(hu)(hu)理(li)(li)(li)(li)(li)(li)(li)(li)人(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)員(yuan)(yuan)，工(gong)(gong)(gong)(gong)作(zuo)(zuo)(zuo)(zuo)(zuo)年(nian)(nian)(nian)(nian)(nian)(nian)限≥5年(nian)(nian)(nian)(nian)(nian)(nian)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)護(hu)(hu)(hu)理(li)(li)(li)(li)(li)(li)(li)(li)人(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)員(yuan)(yuan)主(zhu)要(yao)以(yi)(yi)(yi)巡(xun)回(hui)(hui)護(hu)(hu)(hu)士(shi)為(wei)(wei)(wei)(wei)(wei)主(zhu)，護(hu)(hu)(hu)士(shi)長(chang)(chang)(chang)(chang)于(yu)(yu)12∶00、17∶00前完成(cheng)兩(liang)次(ci)(ci)巡(xun)房，依據(ju)(ju)(ju)手(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)情(qing)況(kuang)調(diao)(diao)(diao)整(zheng)手(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)室(shi)(shi)配(pei)(pei)(pei)(pei)合(he)(he)(he)(he)(he)護(hu)(hu)(hu)理(li)(li)(li)(li)(li)(li)(li)(li)人(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)員(yuan)(yuan)。應(ying)(ying)(ying)用(yong)(yong)(yong)(yong)后(hou)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)工(gong)(gong)(gong)(gong)作(zuo)(zuo)(zuo)(zuo)(zuo)模式(shi)采(cai)取多(duo)科(ke)(ke)(ke)室(shi)(shi)協同(tong)(tong)模式(shi)，具(ju)體措施如下(xia)。①建(jian)立專(zhuan)(zhuan)(zhuan)業(ye)(ye)(ye)小(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)：依據(ju)(ju)(ju)骨(gu)(gu)(gu)科(ke)(ke)(ke)手(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)特(te)(te)點(dian)建(jian)立創傷組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)、關(guan)(guan)節(jie)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)、脊(ji)柱組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)及(ji)運(yun)動(dong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)學(xue)(xue)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)4個專(zhuan)(zhuan)(zhuan)業(ye)(ye)(ye)小(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)，與(yu)(yu)骨(gu)(gu)(gu)科(ke)(ke)(ke)手(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)治(zhi)療(liao)專(zhuan)(zhuan)(zhuan)業(ye)(ye)(ye)范疇對(dui)(dui)應(ying)(ying)(ying)，各(ge)(ge)(ge)專(zhuan)(zhuan)(zhuan)業(ye)(ye)(ye)小(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)分(fen)(fen)(fen)別(bie)(bie)設(she)(she)置組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)長(chang)(chang)(chang)(chang)1名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)，組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)員(yuan)(yuan)5名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)，組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)長(chang)(chang)(chang)(chang)由(you)主(zhu)管(guan)(guan)護(hu)(hu)(hu)師(shi)(shi)(shi)(shi)(shi)(shi)、護(hu)(hu)(hu)師(shi)(shi)(shi)(shi)(shi)(shi)或(huo)高年(nian)(nian)(nian)(nian)(nian)(nian)資(zi)護(hu)(hu)(hu)士(shi)擔任；由(you)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)長(chang)(chang)(chang)(chang)負責(ze)(ze)相(xiang)(xiang)(xiang)(xiang)關(guan)(guan)工(gong)(gong)(gong)(gong)作(zuo)(zuo)(zuo)(zuo)(zuo)流程(cheng)、崗位責(ze)(ze)任等(deng)(deng)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)制定與(yu)(yu)落實(shi)，組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)織組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)內(nei)專(zhuan)(zhuan)(zhuan)業(ye)(ye)(ye)技能(neng)、知識培訓(xun)與(yu)(yu)考(kao)核，監督手(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)配(pei)(pei)(pei)(pei)合(he)(he)(he)(he)(he)，根據(ju)(ju)(ju)日常(chang)工(gong)(gong)(gong)(gong)作(zuo)(zuo)(zuo)(zuo)(zuo)需要(yao)管(guan)(guan)理(li)(li)(li)(li)(li)(li)(li)(li)相(xiang)(xiang)(xiang)(xiang)關(guan)(guan)儀(yi)器(qi)(qi)(qi)、設(she)(she)備(bei)(bei)(bei)、耗材等(deng)(deng)并及(ji)時(shi)購進補充(chong)；負責(ze)(ze)本(ben)(ben)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)手(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)配(pei)(pei)(pei)(pei)合(he)(he)(he)(he)(he)等(deng)(deng)課件、視(shi)頻(pin)(pin)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)制作(zuo)(zuo)(zuo)(zuo)(zuo)；根據(ju)(ju)(ju)本(ben)(ben)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)專(zhuan)(zhuan)(zhuan)科(ke)(ke)(ke)特(te)(te)點(dian)、醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)師(shi)(shi)(shi)(shi)(shi)(shi)操作(zuo)(zuo)(zuo)(zuo)(zuo)習慣、要(yao)求等(deng)(deng)建(jian)立本(ben)(ben)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)師(shi)(shi)(shi)(shi)(shi)(shi)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)配(pei)(pei)(pei)(pei)合(he)(he)(he)(he)(he)檔(dang)案；制定本(ben)(ben)小(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)工(gong)(gong)(gong)(gong)作(zuo)(zuo)(zuo)(zuo)(zuo)計(ji)(ji)劃(hua)，并進行月(yue)(yue)工(gong)(gong)(gong)(gong)作(zuo)(zuo)(zuo)(zuo)(zuo)總(zong)(zong)結匯(hui)報(bao)。護(hu)(hu)(hu)師(shi)(shi)(shi)(shi)(shi)(shi)及(ji)以(yi)(yi)(yi)上(shang)資(zi)歷(li)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)護(hu)(hu)(hu)理(li)(li)(li)(li)(li)(li)(li)(li)人(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)員(yuan)(yuan)不參(can)與(yu)(yu)輪轉，主(zhu)要(yao)負責(ze)(ze)配(pei)(pei)(pei)(pei)合(he)(he)(he)(he)(he)各(ge)(ge)(ge)專(zhuan)(zhuan)(zhuan)業(ye)(ye)(ye)小(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)工(gong)(gong)(gong)(gong)作(zuo)(zuo)(zuo)(zuo)(zuo)。工(gong)(gong)(gong)(gong)作(zuo)(zuo)(zuo)(zuo)(zuo)年(nian)(nian)(nian)(nian)(nian)(nian)限＜5年(nian)(nian)(nian)(nian)(nian)(nian)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)護(hu)(hu)(hu)士(shi)每6個輪轉1次(ci)(ci)。②手(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)室(shi)(shi)配(pei)(pei)(pei)(pei)置：1間為(wei)(wei)(wei)(wei)(wei)急(ji)(ji)(ji)診(zhen)(zhen)專(zhuan)(zhuan)(zhuan)業(ye)(ye)(ye)，其(qi)他為(wei)(wei)(wei)(wei)(wei)平(ping)(ping)(ping)診(zhen)(zhen)手(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)室(shi)(shi)，根據(ju)(ju)(ju)本(ben)(ben)院(yuan)以(yi)(yi)(yi)往手(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)頻(pin)(pin)率(lv)(lv)(lv)情(qing)況(kuang)，運(yun)動(dong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)學(xue)(xue)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)、關(guan)(guan)節(jie)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)分(fen)(fen)(fen)別(bie)(bie)占(zhan)(zhan)用(yong)(yong)(yong)(yong)1.5間，創傷組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)、脊(ji)柱組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)分(fen)(fen)(fen)別(bie)(bie)占(zhan)(zhan)用(yong)(yong)(yong)(yong)2間；由(you)護(hu)(hu)(hu)士(shi)長(chang)(chang)(chang)(chang)負責(ze)(ze)應(ying)(ying)(ying)急(ji)(ji)(ji)手(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)室(shi)(shi)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)臨(lin)時(shi)調(diao)(diao)(diao)配(pei)(pei)(pei)(pei)。③工(gong)(gong)(gong)(gong)作(zuo)(zuo)(zuo)(zuo)(zuo)班(ban)(ban)次(ci)(ci)，將應(ying)(ying)(ying)用(yong)(yong)(yong)(yong)前的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)班(ban)(ban)次(ci)(ci)時(shi)間調(diao)(diao)(diao)整(zheng)為(wei)(wei)(wei)(wei)(wei)：A班(ban)(ban)8∶00～15∶00，B班(ban)(ban)15∶00～22∶00，急(ji)(ji)(ji)診(zhen)(zhen)24h輪值；按(an)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)信(xin)息系統(tong)（HIS）安(an)排(pai)(pai)手(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)，手(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)科(ke)(ke)(ke)住(zhu)院(yuan)總(zong)(zong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)師(shi)(shi)(shi)(shi)(shi)(shi)于(yu)(yu)12∶00前在(zai)HIS中(zhong)進行手(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)申(shen)請，安(an)排(pai)(pai)手(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)臺(tai)(tai)序、手(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)室(shi)(shi)；各(ge)(ge)(ge)專(zhuan)(zhuan)(zhuan)業(ye)(ye)(ye)小(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)長(chang)(chang)(chang)(chang)據(ju)(ju)(ju)此安(an)排(pai)(pai)本(ben)(ben)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)護(hu)(hu)(hu)理(li)(li)(li)(li)(li)(li)(li)(li)人(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)員(yuan)(yuan)；護(hu)(hu)(hu)士(shi)長(chang)(chang)(chang)(chang)對(dui)(dui)上(shang)述(shu)手(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)安(an)排(pai)(pai)進行監控、調(diao)(diao)(diao)整(zheng)；護(hu)(hu)(hu)理(li)(li)(li)(li)(li)(li)(li)(li)人(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)員(yuan)(yuan)根據(ju)(ju)(ju)手(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)安(an)排(pai)(pai)做好相(xiang)(xiang)(xiang)(xiang)關(guan)(guan)器(qi)(qi)(qi)材、設(she)(she)備(bei)(bei)(bei)、耗材的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)術(shu)(shu)(shu)(shu)前準(zhun)(zhun)(zhun)(zhun)備(bei)(bei)(bei)，器(qi)(qi)(qi)械(xie)護(hu)(hu)(hu)士(shi)、巡(xun)回(hui)(hui)護(hu)(hu)(hu)士(shi)可實(shi)現交叉審核。④相(xiang)(xiang)(xiang)(xiang)關(guan)(guan)培訓(xun)與(yu)(yu)配(pei)(pei)(pei)(pei)合(he)(he)(he)(he)(he)：各(ge)(ge)(ge)專(zhuan)(zhuan)(zhuan)業(ye)(ye)(ye)小(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)長(chang)(chang)(chang)(chang)制定本(ben)(ben)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)培訓(xun)計(ji)(ji)劃(hua)，于(yu)(yu)每周五的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)18∶00～20∶00由(you)小(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)長(chang)(chang)(chang)(chang)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)織相(xiang)(xiang)(xiang)(xiang)關(guan)(guan)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)師(shi)(shi)(shi)(shi)(shi)(shi)、麻(ma)醉(zui)師(shi)(shi)(shi)(shi)(shi)(shi)及(ji)護(hu)(hu)(hu)師(shi)(shi)(shi)(shi)(shi)(shi)等(deng)(deng)進行培訓(xun)；術(shu)(shu)(shu)(shu)前由(you)主(zhu)刀(dao)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)師(shi)(shi)(shi)(shi)(shi)(shi)根據(ju)(ju)(ju)本(ben)(ben)臺(tai)(tai)手(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)特(te)(te)點(dian)，明(ming)確參(can)與(yu)(yu)科(ke)(ke)(ke)室(shi)(shi)，由(you)專(zhuan)(zhuan)(zhuan)業(ye)(ye)(ye)小(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)長(chang)(chang)(chang)(chang)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)織各(ge)(ge)(ge)相(xiang)(xiang)(xiang)(xiang)關(guan)(guan)科(ke)(ke)(ke)室(shi)(shi)，如血(xue)管(guan)(guan)外科(ke)(ke)(ke)、神經外科(ke)(ke)(ke)等(deng)(deng)多(duo)科(ke)(ke)(ke)室(shi)(shi)相(xiang)(xiang)(xiang)(xiang)關(guan)(guan)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)師(shi)(shi)(shi)(shi)(shi)(shi)參(can)與(yu)(yu)協作(zuo)(zuo)(zuo)(zuo)(zuo)。⑤問(wen)題反饋：各(ge)(ge)(ge)專(zhuan)(zhuan)(zhuan)業(ye)(ye)(ye)小(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)長(chang)(chang)(chang)(chang)于(yu)(yu)每月(yue)(yue)爭取各(ge)(ge)(ge)協作(zuo)(zuo)(zuo)(zuo)(zuo)科(ke)(ke)(ke)室(shi)(shi)意(yi)(yi)(yi)見(jian)與(yu)(yu)建(jian)議(yi)，完善小(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)工(gong)(gong)(gong)(gong)作(zuo)(zuo)(zuo)(zuo)(zuo)內(nei)容(rong)(rong)、制定等(deng)(deng)。1.3觀察指(zhi)及(ji)標(biao)評價(jia)標(biao)準(zhun)(zhun)(zhun)(zhun)。比(bi)(bi)較兩(liang)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)護(hu)(hu)(hu)人(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)員(yuan)(yuan)及(ji)患(huan)者(zhe)(zhe)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)總(zong)(zong)滿(man)(man)(man)意(yi)(yi)(yi)度(du)(du)；比(bi)(bi)較兩(liang)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)專(zhuan)(zhuan)(zhuan)業(ye)(ye)(ye)小(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)護(hu)(hu)(hu)理(li)(li)(li)(li)(li)(li)(li)(li)人(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)員(yuan)(yuan)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)考(kao)核合(he)(he)(he)(he)(he)格率(lv)(lv)(lv)；比(bi)(bi)較兩(liang)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)器(qi)(qi)(qi)械(xie)護(hu)(hu)(hu)理(li)(li)(li)(li)(li)(li)(li)(li)人(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)員(yuan)(yuan)和巡(xun)回(hui)(hui)護(hu)(hu)(hu)理(li)(li)(li)(li)(li)(li)(li)(li)人(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)員(yuan)(yuan)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)工(gong)(gong)(gong)(gong)作(zuo)(zuo)(zuo)(zuo)(zuo)質量。①采(cai)用(yong)(yong)(yong)(yong)本(ben)(ben)院(yuan)自(zi)制的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)調(diao)(diao)(diao)查(cha)(cha)(cha)(cha)(cha)問(wen)卷，每季(ji)度(du)(du)開(kai)展(zhan)1次(ci)(ci)滿(man)(man)(man)意(yi)(yi)(yi)度(du)(du)調(diao)(diao)(diao)查(cha)(cha)(cha)(cha)(cha)。醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)師(shi)(shi)(shi)(shi)(shi)(shi)調(diao)(diao)(diao)查(cha)(cha)(cha)(cha)(cha)內(nei)容(rong)(rong)：手(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)室(shi)(shi)護(hu)(hu)(hu)理(li)(li)(li)(li)(li)(li)(li)(li)人(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)員(yuan)(yuan)術(shu)(shu)(shu)(shu)前準(zhun)(zhun)(zhun)(zhun)備(bei)(bei)(bei)情(qing)況(kuang)，各(ge)(ge)(ge)項操作(zuo)(zuo)(zuo)(zuo)(zuo)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)規范程(cheng)度(du)(du)，與(yu)(yu)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)師(shi)(shi)(shi)(shi)(shi)(shi)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)配(pei)(pei)(pei)(pei)合(he)(he)(he)(he)(he)情(qing)況(kuang)，護(hu)(hu)(hu)理(li)(li)(li)(li)(li)(li)(li)(li)人(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)員(yuan)(yuan)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)職(zhi)業(ye)(ye)(ye)素質，急(ji)(ji)(ji)診(zhen)(zhen)手(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)準(zhun)(zhun)(zhun)(zhun)備(bei)(bei)(bei)效(xiao)率(lv)(lv)(lv)，術(shu)(shu)(shu)(shu)中(zhong)器(qi)(qi)(qi)械(xie)傳(chuan)遞(di)效(xiao)率(lv)(lv)(lv)，體位架、主(zhu)動(dong)擺位配(pei)(pei)(pei)(pei)合(he)(he)(he)(he)(he)等(deng)(deng)情(qing)況(kuang)，相(xiang)(xiang)(xiang)(xiang)關(guan)(guan)設(she)(she)備(bei)(bei)(bei)、儀(yi)器(qi)(qi)(qi)等(deng)(deng)參(can)數的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)設(she)(she)置操作(zuo)(zuo)(zuo)(zuo)(zuo)熟練(lian)(lian)程(cheng)度(du)(du)，臺(tai)(tai)上(shang)、麻(ma)醉(zui)配(pei)(pei)(pei)(pei)合(he)(he)(he)(he)(he)等(deng)(deng)。每組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)每季(ji)度(du)(du)分(fen)(fen)(fen)別(bie)(bie)抽查(cha)(cha)(cha)(cha)(cha)3名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)主(zhu)刀(dao)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)師(shi)(shi)(shi)(shi)(shi)(shi)、2名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)麻(ma)醉(zui)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)師(shi)(shi)(shi)(shi)(shi)(shi)，每年(nian)(nian)(nian)(nian)(nian)(nian)共(gong)(gong)(gong)調(diao)(diao)(diao)查(cha)(cha)(cha)(cha)(cha)80人(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)次(ci)(ci)。每項調(diao)(diao)(diao)查(cha)(cha)(cha)(cha)(cha)內(nei)容(rong)(rong)均(jun)(jun)(jun)(jun)(jun)以(yi)(yi)(yi)非常(chang)滿(man)(man)(man)意(yi)(yi)(yi)計(ji)(ji)5分(fen)(fen)(fen)、滿(man)(man)(man)意(yi)(yi)(yi)計(ji)(ji)4分(fen)(fen)(fen)、基本(ben)(ben)滿(man)(man)(man)意(yi)(yi)(yi)計(ji)(ji)3分(fen)(fen)(fen)、不滿(man)(man)(man)意(yi)(yi)(yi)計(ji)(ji)0分(fen)(fen)(fen)。醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)師(shi)(shi)(shi)(shi)(shi)(shi)、麻(ma)醉(zui)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)師(shi)(shi)(shi)(shi)(shi)(shi)滿(man)(man)(man)意(yi)(yi)(yi)度(du)(du)調(diao)(diao)(diao)查(cha)(cha)(cha)(cha)(cha)總(zong)(zong)分(fen)(fen)(fen)25分(fen)(fen)(fen)，23分(fen)(fen)(fen)及(ji)以(yi)(yi)(yi)上(shang)為(wei)(wei)(wei)(wei)(wei)非常(chang)滿(man)(man)(man)意(yi)(yi)(yi)；20～<23分(fen)(fen)(fen)為(wei)(wei)(wei)(wei)(wei)滿(man)(man)(man)意(yi)(yi)(yi)；10～<20分(fen)(fen)(fen)為(wei)(wei)(wei)(wei)(wei)基本(ben)(ben)滿(man)(man)(man)意(yi)(yi)(yi)；<10分(fen)(fen)(fen)為(wei)(wei)(wei)(wei)(wei)不滿(man)(man)(man)意(yi)(yi)(yi)，總(zong)(zong)滿(man)(man)(man)意(yi)(yi)(yi)度(du)(du)=（非常(chang)滿(man)(man)(man)意(yi)(yi)(yi)+滿(man)(man)(man)意(yi)(yi)(yi)+基本(ben)(ben)滿(man)(man)(man)意(yi)(yi)(yi)）例(li)數/總(zong)(zong)例(li)數×100%。護(hu)(hu)(hu)理(li)(li)(li)(li)(li)(li)(li)(li)人(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)員(yuan)(yuan)調(diao)(diao)(diao)查(cha)(cha)(cha)(cha)(cha)內(nei)容(rong)(rong)：相(xiang)(xiang)(xiang)(xiang)關(guan)(guan)設(she)(she)備(bei)(bei)(bei)、儀(yi)器(qi)(qi)(qi)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)操作(zuo)(zuo)(zuo)(zuo)(zuo)指(zhi)導(dao)，手(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)師(shi)(shi)(shi)(shi)(shi)(shi)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)配(pei)(pei)(pei)(pei)合(he)(he)(he)(he)(he)態度(du)(du)，麻(ma)醉(zui)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)師(shi)(shi)(shi)(shi)(shi)(shi)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)配(pei)(pei)(pei)(pei)合(he)(he)(he)(he)(he)態度(du)(du)，協作(zuo)(zuo)(zuo)(zuo)(zuo)科(ke)(ke)(ke)室(shi)(shi)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)配(pei)(pei)(pei)(pei)合(he)(he)(he)(he)(he)度(du)(du)，搭班(ban)(ban)護(hu)(hu)(hu)理(li)(li)(li)(li)(li)(li)(li)(li)人(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)員(yuan)(yuan)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)配(pei)(pei)(pei)(pei)合(he)(he)(he)(he)(he)度(du)(du)，工(gong)(gong)(gong)(gong)作(zuo)(zuo)(zuo)(zuo)(zuo)環境等(deng)(deng)。參(can)與(yu)(yu)調(diao)(diao)(diao)查(cha)(cha)(cha)(cha)(cha)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)4組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)長(chang)(chang)(chang)(chang)及(ji)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)員(yuan)(yuan)共(gong)(gong)(gong)計(ji)(ji)24人(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)次(ci)(ci)，每季(ji)度(du)(du)調(diao)(diao)(diao)查(cha)(cha)(cha)(cha)(cha)1次(ci)(ci)，全(quan)年(nian)(nian)(nian)(nian)(nian)(nian)共(gong)(gong)(gong)96人(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)次(ci)(ci)。計(ji)(ji)分(fen)(fen)(fen)標(biao)準(zhun)(zhun)(zhun)(zhun)與(yu)(yu)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)師(shi)(shi)(shi)(shi)(shi)(shi)滿(man)(man)(man)意(yi)(yi)(yi)度(du)(du)相(xiang)(xiang)(xiang)(xiang)同(tong)(tong)。患(huan)者(zhe)(zhe)調(diao)(diao)(diao)查(cha)(cha)(cha)(cha)(cha)內(nei)容(rong)(rong)：對(dui)(dui)于(yu)(yu)手(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)室(shi)(shi)環境，醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)護(hu)(hu)(hu)人(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)員(yuan)(yuan)態度(du)(du)，護(hu)(hu)(hu)理(li)(li)(li)(li)(li)(li)(li)(li)人(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)員(yuan)(yuan)核對(dui)(dui)信(xin)息，術(shu)(shu)(shu)(shu)前訪視(shi)，入室(shi)(shi)護(hu)(hu)(hu)理(li)(li)(li)(li)(li)(li)(li)(li)等(deng)(deng)；患(huan)者(zhe)(zhe)每季(ji)度(du)(du)隨機調(diao)(diao)(diao)查(cha)(cha)(cha)(cha)(cha)30人(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)次(ci)(ci)，每年(nian)(nian)(nian)(nian)(nian)(nian)共(gong)(gong)(gong)120人(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)次(ci)(ci)。計(ji)(ji)分(fen)(fen)(fen)標(biao)準(zhun)(zhun)(zhun)(zhun)與(yu)(yu)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)師(shi)(shi)(shi)(shi)(shi)(shi)滿(man)(man)(man)意(yi)(yi)(yi)度(du)(du)相(xiang)(xiang)(xiang)(xiang)同(tong)(tong)。②護(hu)(hu)(hu)理(li)(li)(li)(li)(li)(li)(li)(li)人(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)員(yuan)(yuan)考(kao)核各(ge)(ge)(ge)專(zhuan)(zhuan)(zhuan)業(ye)(ye)(ye)小(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)(zu)每月(yue)(yue)開(kai)展(zhan)1次(ci)(ci)專(zhuan)(zhuan)(zhuan)業(ye)(ye)(ye)技術(shu)(shu)(shu)(shu)、知識考(kao)核，參(can)與(yu)(yu)考(kao)核的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)共(gong)(gong)(gong)計(ji)(ji)27名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)護(hu)(hu)(hu)理(li)(li)(li)(li)(li)(li)(li)(li)人(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)員(yuan)(yuan)，全(quan)年(nian)(nian)(nian)(nian)(nian)(nian)共(gong)(gong)(gong)考(kao)核324人(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)次(ci)(ci)；滿(man)(man)(man)分(fen)(fen)(fen)100分(fen)(fen)(fen)，≥90分(fen)(fen)(fen)為(wei)(wei)(wei)(wei)(wei)合(he)(he)(he)(he)(he)格。③器(qi)(qi)(qi)械(xie)、巡(xun)回(hui)(hui)護(hu)(hu)(hu)理(li)(li)(li)(li)(li)(li)(li)(li)人(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)員(yuan)(yuan)工(gong)(gong)(gong)(gong)作(zuo)(zuo)(zuo)(zuo)(zuo)質量主(zhu)要(yao)統(tong)計(ji)(ji)器(qi)(qi)(qi)械(xie)護(hu)(hu)(hu)理(li)(li)(li)(li)(li)(li)(li)(li)人(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)員(yuan)(yuan)物(wu)品(pin)準(zhun)(zhun)(zhun)(zhun)備(bei)(bei)(bei)齊全(quan)率(lv)(lv)(lv)、器(qi)(qi)(qi)械(xie)傳(chuan)遞(di)及(ji)時(shi)準(zhun)(zhun)(zhun)(zhun)確率(lv)(lv)(lv)，巡(xun)回(hui)(hui)護(hu)(hu)(hu)理(li)(li)(li)(li)(li)(li)(li)(li)人(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)員(yuan)(yuan)物(wu)品(pin)準(zhun)(zhun)(zhun)(zhun)備(bei)(bei)(bei)齊全(quan)率(lv)(lv)(lv)、儀(yi)器(qi)(qi)(qi)操作(zuo)(zuo)(zuo)(zuo)(zuo)熟練(lian)(lian)準(zhun)(zhun)(zhun)(zhun)確率(lv)(lv)(lv)；每月(yue)(yue)抽查(cha)(cha)(cha)(cha)(cha)器(qi)(qi)(qi)械(xie)、巡(xun)回(hui)(hui)護(hu)(hu)(hu)理(li)(li)(li)(li)(li)(li)(li)(li)人(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)員(yuan)(yuan)各(ge)(ge)(ge)3名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)，全(quan)年(nian)(nian)(nian)(nian)(nian)(nian)共(gong)(gong)(gong)統(tong)計(ji)(ji)72人(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)次(ci)(ci)[（3名(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)(ming)巡(xun)回(hui)(hui)+3器(qi)(qi)(qi)械(xie)）×12個月(yue)(yue)=72人(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)(ren)次(ci)(ci)）]。1.4統(tong)計(ji)(ji)學(xue)(xue)方法(fa)。采(cai)用(yong)(yong)(yong)(yong)統(tong)計(ji)(ji)學(xue)(xue)軟件SPSS21.0分(fen)(fen)(fen)析數據(ju)(ju)(ju)，計(ji)(ji)量資(zi)料(liao)以(yi)(yi)(yi)均(jun)(jun)(jun)(jun)(jun)數±標(biao)準(zhun)(zhun)(zhun)(zhun)差(cha)（x±s）表示(shi)，采(cai)用(yong)(yong)(yong)(yong)t檢驗；計(ji)(ji)數資(zi)料(liao)以(yi)(yi)(yi)率(lv)(lv)(lv)表示(shi)，采(cai)用(yong)(yong)(yong)(yong)χ2檢驗，以(yi)(yi)(yi)P<0.05為(wei)(wei)(wei)(wei)(wei)差(cha)異有(you)(you)統(tong)計(ji)(ji)學(xue)(xue)意(yi)(yi)(yi)義。

2結果

2.1兩組(zu)(zu)醫護(hu)人(ren)員(yuan)(yuan)、患者滿意(yi)(yi)度的(de)比較(jiao)。應用(yong)后組(zu)(zu)的(de)醫師(shi)、麻醉師(shi)、手術室護(hu)理(li)人(ren)員(yuan)(yuan)及患者的(de)總滿意(yi)(yi)度高(gao)于應用(yong)前組(zu)(zu)，差(cha)異均有統計學意(yi)(yi)義（P<0.05）（表(biao)1）。2.2兩組(zu)(zu)專(zhuan)業(ye)小(xiao)組(zu)(zu)護(hu)理(li)人(ren)員(yuan)(yuan)考核結果的(de)比較(jiao)。應用(yong)后組(zu)(zu)的(de)專(zhuan)業(ye)小(xiao)組(zu)(zu)護(hu)理(li)人(ren)員(yuan)(yuan)考核合格(ge)率為89.51%，高(gao)于應用(yong)前組(zu)(zu)的(de)76.23%，差(cha)異有統計學意(yi)(yi)義（P<0.05）（表(biao)2）。2.3兩組(zu)(zu)器(qi)械(xie)與巡回護(hu)理(li)人(ren)員(yuan)(yuan)工作質量的(de)比較(jiao)。應用(yong)后組(zu)(zu)的(de)器(qi)械(xie)護(hu)理(li)人(ren)員(yuan)(yuan)和(he)巡回護(hu)理(li)人(ren)員(yuan)(yuan)的(de)物品準(zhun)備齊全、器(qi)械(xie)傳遞(di)及時(shi)準(zhun)確(que)和(he)儀器(qi)操作熟練準(zhun)確(que)發(fa)生率高(gao)于應用(yong)前組(zu)(zu)，差(cha)異均有統計學意(yi)(yi)義（P<0.05）（表(biao)3）。

3討論

骨科(ke)手(shou)術易受到(dao)合并神經損傷(shang)、皮膚(fu)損傷(shang)、血管損傷(shang)及年齡(ling)等因素(su)的(de)(de)(de)影響(xiang)，需要(yao)多科(ke)室協同合作[7-8]。傳(chuan)統手(shou)術室配(pei)(pei)合模式(shi)的(de)(de)(de)效(xiao)(xiao)率(lv)(lv)較低(di)(di)，難(nan)以滿足骨科(ke)手(shou)術的(de)(de)(de)要(yao)求[9]。多科(ke)室協同模式(shi)根據骨科(ke)手(shou)術特征建立不同專業(ye)小組，組內成員(yuan)相對(dui)固定，能有(you)效(xiao)(xiao)提(ti)高護(hu)(hu)理(li)人(ren)員(yuan)的(de)(de)(de)專業(ye)知識與配(pei)(pei)合水平(ping)[10-12]。目前，多科(ke)室協同模式(shi)在醫(yi)院(yuan)管理(li)、設備(bei)器材管理(li)及諸多疾病臨床(chuang)得(de)到(dao)廣泛應用，均取得(de)良好效(xiao)(xiao)果[13-15]。建立醫(yi)師(shi)配(pei)(pei)合檔(dang)案(an)能夠極大提(ti)高術中醫(yi)護(hu)(hu)人(ren)員(yuan)配(pei)(pei)合的(de)(de)(de)默契(qi)程(cheng)度，不僅能有(you)效(xiao)(xiao)提(ti)高手(shou)術效(xiao)(xiao)率(lv)(lv)，而且可以輔(fu)助提(ti)高手(shou)術操作水準(zhun)。器械與巡(xun)回護(hu)(hu)理(li)人(ren)員(yuan)的(de)(de)(de)交互式(shi)檢查，能有(you)效(xiao)(xiao)提(ti)高手(shou)術準(zhun)備(bei)的(de)(de)(de)準(zhun)確率(lv)(lv)、降低(di)(di)錯漏率(lv)(lv)，從而有(you)效(xiao)(xiao)減少了巡(xun)回護(hu)(hu)理(li)人(ren)員(yuan)術中的(de)(de)(de)往返(fan)次數(shu)，使(shi)護(hu)(hu)理(li)人(ren)員(yuan)之間的(de)(de)(de)滿意度得(de)到(dao)有(you)效(xiao)(xiao)提(ti)高，使(shi)護(hu)(hu)理(li)人(ren)員(yuan)的(de)(de)(de)情緒得(de)到(dao)改(gai)善，從而使(shi)醫(yi)護(hu)(hu)人(ren)員(yuan)間的(de)(de)(de)和(he)諧度上升[16-18]。

本(ben)(ben)研(yan)究結(jie)果(guo)顯示(shi)，應(ying)(ying)(ying)用(yong)(yong)后組的(de)(de)(de)(de)醫(yi)師、麻醉(zui)師、手術(shu)室(shi)(shi)護理人(ren)員(yuan)(yuan)及(ji)(ji)患(huan)者(zhe)的(de)(de)(de)(de)總滿意度高于應(ying)(ying)(ying)用(yong)(yong)前(qian)(qian)(qian)組，差異均有(you)(you)(you)統計學意義（P<0.05）。提示(shi)骨(gu)科(ke)(ke)手術(shu)室(shi)(shi)中應(ying)(ying)(ying)用(yong)(yong)多(duo)科(ke)(ke)室(shi)(shi)協(xie)(xie)同(tong)模(mo)式(shi)能(neng)(neng)有(you)(you)(you)效提高醫(yi)護人(ren)員(yuan)(yuan)與患(huan)者(zhe)的(de)(de)(de)(de)滿意度，對于維持醫(yi)患(huan)和諧度具(ju)有(you)(you)(you)積極作用(yong)(yong)。本(ben)(ben)研(yan)究結(jie)果(guo)顯示(shi)，應(ying)(ying)(ying)用(yong)(yong)后組的(de)(de)(de)(de)專業小(xiao)組護理人(ren)員(yuan)(yuan)考核合(he)格率(lv)為89.51%，高于應(ying)(ying)(ying)用(yong)(yong)前(qian)(qian)(qian)組的(de)(de)(de)(de)76.23%，差異有(you)(you)(you)統計學意義（P<0.05）；應(ying)(ying)(ying)用(yong)(yong)后組的(de)(de)(de)(de)器械護理人(ren)員(yuan)(yuan)和巡回護理人(ren)員(yuan)(yuan)的(de)(de)(de)(de)物品準備齊(qi)全、器械傳遞及(ji)(ji)時(shi)準和儀器操作熟練準確確發(fa)生率(lv)高于應(ying)(ying)(ying)用(yong)(yong)前(qian)(qian)(qian)組，差異均有(you)(you)(you)統計學意義（P<0.05）。提示(shi)多(duo)科(ke)(ke)室(shi)(shi)協(xie)(xie)同(tong)模(mo)式(shi)能(neng)(neng)夠有(you)(you)(you)效提高手術(shu)室(shi)(shi)護理人(ren)員(yuan)(yuan)的(de)(de)(de)(de)專業知識、操作技術(shu)及(ji)(ji)工作質量。綜上所述，骨(gu)科(ke)(ke)手術(shu)室(shi)(shi)多(duo)科(ke)(ke)室(shi)(shi)協(xie)(xie)同(tong)模(mo)式(shi)可加強手術(shu)室(shi)(shi)護理人(ren)員(yuan)(yuan)的(de)(de)(de)(de)業務水平(ping)，全面提高醫(yi)護人(ren)員(yuan)(yuan)與患(huan)者(zhe)各方(fang)的(de)(de)(de)(de)滿意度。

作者:孫月琴 單位:湖北(bei)省荊州市第(di)三人民(min)醫院血吸蟲病(bing)診療中(zhong)心