目的:探讨基于加速康复模式下伤口专科护士在普外科手术伤口管理工作中的推广效果。方法:将2023年6月~2023年8月在我科行胃肠手术的132例患者为对照组,2023年11月~2024年1月在我科行胃肠手术的143例患者为观察组。比较两组患者伤口感染...目的:探讨基于加速康复模式下伤口专科护士在普外科手术伤口管理工作中的推广效果。方法:将2023年6月~2023年8月在我科行胃肠手术的132例患者为对照组,2023年11月~2024年1月在我科行胃肠手术的143例患者为观察组。比较两组患者伤口感染发生率,术后住院天数,患者等待换药的时间,责任护士寻找告知医生换药的时间,医生在伤口管理上的时间,以及患者的满意度。结果:试验组和对照组的感染发生率分别为1.67%和2.27%,胃部手术患者术后住院时间分别为(9.00 ± 2.04) d和(9.64 ± 0.92) d,结直肠手术患者术后住院时间分别为(7.64 ± 1.86) d和(8.12 ± 1.05) d,患者等待换药时间分别为7.75 ± 4.57 min和20.40 ± 14.68 min,责任护士寻找告知医师换药的时间分别为2.55 ± 1.23 min/d和12.20 ± 5.54 min/d,医师用于伤口管理的时间分别为2.46 ± 1.30 min/d和9.56 ± 3.59 min/d,两组比较,除感染发生率外差异均有统计学意义(P Objective: To explore the promotion effect of specialized wound nurses in wound management of general surgery under accelerated rehabilitation mode. Methods: 132 patients who underwent gastrointestinal surgery in our department from June 2023 to August 2023 were taken as the control group, and 143 patients who underwent gastrointestinal surgery in our department from November 2023 to January 2024 were taken as the observation group. The incidence of wound infection, the number of days in hospital after surgery, the time for patients to wait for dressing change, the time for responsible nurses to find and inform doctors of dressing change, the time for doctors to manage wounds, and patient satisfaction were compared between the two groups. Results: The incidence of infection in the test group and the control group was 1.67% and 2.27%, respectively. The hospitalization time of patients with gastric surgery was (9.00 ± 2.04) days and (9.64 ± 0.92) days, respectively. The hospitalization time of patients with colorectal surgery was (7.64 ± 1.86) days and (8.12 ± 1.05) days, respectively. The waiting time for dressing change was 7.75 ± 4.57 min and 20.4 ± 14.68 min, respectively. The time for the responsible nurse to seek and inform the physician to change the dressing was 2.55 ± 1.23 min/d and 12.20 ± 5.54 min/d, respectively, and the time for the physician to use wound management was 2.46 ± 1.30 min/d and 9.56 ± 3.59 min/d, respectively. The difference between the two groups was statistically significant (P < 0.05), except for the incidence of infection. The patient’s length of stay after surgery, the time for the responsible nurse to seek and inform the doctor about dressing change, the time for the patient to wait for dressing change, and the time for the doctor to use wound management were significantly shortened, and the patient’s satisfaction with wound management was higher than 95%. Conclusion: The integrated medical and nursing wound management mode led by specialized wound nurses can shorten the hospital stay and waiting time of patients after surgery, meet the needs of ERAS development, and enrich the connotation of ERAS. At the same time, it can reduce the time for nurses to find and inform doctors about dressing changes, shorten doctors’ time in wound management, facilitate the collection of department wound management data, improve the efficiency of medical and nursing work, enhance the cohesion of departments, and achieve the three satisfaction of doctors, nurses and patients, which is worth promoting.展开更多
目的了解伤口造口失禁专科护士(wound,ostomy and continence nurse,WOCN)体面劳动感知与人文执业能力的现状,探讨体面劳动感知对WOCN人文执业能力的影响程度,为提升WOCN人文执业能力的管理对策提供借鉴。方法采取便利抽样法,2024年3月...目的了解伤口造口失禁专科护士(wound,ostomy and continence nurse,WOCN)体面劳动感知与人文执业能力的现状,探讨体面劳动感知对WOCN人文执业能力的影响程度,为提升WOCN人文执业能力的管理对策提供借鉴。方法采取便利抽样法,2024年3月—6月选择陕西省32所医院的224名WOCN作为研究对象,采用一般资料调查表、体面劳动感知量表、护士人文执业能力量表进行调查,采用Pearson相关性分析分析体面劳动感知与人文执业能力的相关性,并采用多重分层线性回归分析体面劳动感知对WOCN人文执业能力的影响。结果211名WOCN完成研究。WOCN体面劳动感知得分(60.24±16.43)分,人文执业能力得分(108.95±24.68)分。WOCN体面劳动感知与人文执业能力呈正相关(r=0.391,P<0.05)。体面劳动感知、年龄、职称、职务、工作年限是WOCN人文执业能力的影响因素(均P<0.001),共同解释其56.80%的变异,其中体面劳动感知占比20.60%。结论WOCN体面劳动感知处于中等偏上水平,人文执业能力处于较高水平。医院管理者可通过加强WOCN对体面劳动的感知程度,激发护士的积极情绪,并重点关注职业成长阶段的护士,进一步提升WOCN人文执业能力。展开更多
目的:构建伤口造口失禁专科护士能级评价方案,为该领域专科护士的能力评价提供参考。方法:运用文献分析、专家讨论及德尔菲法构建评价方案。于2020年9月随机选取全国213名伤口造口失禁专科护士为研究对象,收集其对评价方案各项指标的认...目的:构建伤口造口失禁专科护士能级评价方案,为该领域专科护士的能力评价提供参考。方法:运用文献分析、专家讨论及德尔菲法构建评价方案。于2020年9月随机选取全国213名伤口造口失禁专科护士为研究对象,收集其对评价方案各项指标的认可程度评分及本方案在专业领域中的适用性、可执行性与可推广性的综合评价数据。结果:两轮专家函询的积极系数均达到100%,专家权威系数为0.872,Kendall’s W值分别为0.252和0.331 (P均Objective: To construct a competency evaluation scheme for wound, ostomy, and continence specialist nurses, providing a reference for the capability assessment of nurses in this field. Methods: The evaluation scheme was constructed using literature analysis, expert discussions, and the Delphi method. In September 2020, 213 wound, ostomy, and continence specialist nurses were randomly selected nationwide as research subjects. Data were collected on their recognition degree scores for each indicator of the evaluation scheme, as well as comprehensive evaluation data on the scheme’s applicability, executability, and promotability in the professional field. Results: The positive coefficients of the two rounds of expert consultations were both 100%, the expert authority coefficient was 0.872, and the Kendall’s W values were 0.252 and 0.331 (both P < 0.001), indicating a high degree of consistency and reliability in expert opinions. The final competency evaluation scheme for wound, ostomy, and continence specialist nurses covers 5 dimensions, 3 competency levels, and 52 specific items. The survey found that the recognition degree scores for the scheme’s indicators were generally high, and the scheme received positive evaluations for its applicability, executability, and promotability in the professional field. Conclusion: The constructed competency evaluation scheme for wound, ostomy, and continence specialist nurses has good scientific and practical value, and can provide a scientific reference for the capability assessment of nurses in this field.展开更多
文摘目的:探讨基于加速康复模式下伤口专科护士在普外科手术伤口管理工作中的推广效果。方法:将2023年6月~2023年8月在我科行胃肠手术的132例患者为对照组,2023年11月~2024年1月在我科行胃肠手术的143例患者为观察组。比较两组患者伤口感染发生率,术后住院天数,患者等待换药的时间,责任护士寻找告知医生换药的时间,医生在伤口管理上的时间,以及患者的满意度。结果:试验组和对照组的感染发生率分别为1.67%和2.27%,胃部手术患者术后住院时间分别为(9.00 ± 2.04) d和(9.64 ± 0.92) d,结直肠手术患者术后住院时间分别为(7.64 ± 1.86) d和(8.12 ± 1.05) d,患者等待换药时间分别为7.75 ± 4.57 min和20.40 ± 14.68 min,责任护士寻找告知医师换药的时间分别为2.55 ± 1.23 min/d和12.20 ± 5.54 min/d,医师用于伤口管理的时间分别为2.46 ± 1.30 min/d和9.56 ± 3.59 min/d,两组比较,除感染发生率外差异均有统计学意义(P Objective: To explore the promotion effect of specialized wound nurses in wound management of general surgery under accelerated rehabilitation mode. Methods: 132 patients who underwent gastrointestinal surgery in our department from June 2023 to August 2023 were taken as the control group, and 143 patients who underwent gastrointestinal surgery in our department from November 2023 to January 2024 were taken as the observation group. The incidence of wound infection, the number of days in hospital after surgery, the time for patients to wait for dressing change, the time for responsible nurses to find and inform doctors of dressing change, the time for doctors to manage wounds, and patient satisfaction were compared between the two groups. Results: The incidence of infection in the test group and the control group was 1.67% and 2.27%, respectively. The hospitalization time of patients with gastric surgery was (9.00 ± 2.04) days and (9.64 ± 0.92) days, respectively. The hospitalization time of patients with colorectal surgery was (7.64 ± 1.86) days and (8.12 ± 1.05) days, respectively. The waiting time for dressing change was 7.75 ± 4.57 min and 20.4 ± 14.68 min, respectively. The time for the responsible nurse to seek and inform the physician to change the dressing was 2.55 ± 1.23 min/d and 12.20 ± 5.54 min/d, respectively, and the time for the physician to use wound management was 2.46 ± 1.30 min/d and 9.56 ± 3.59 min/d, respectively. The difference between the two groups was statistically significant (P < 0.05), except for the incidence of infection. The patient’s length of stay after surgery, the time for the responsible nurse to seek and inform the doctor about dressing change, the time for the patient to wait for dressing change, and the time for the doctor to use wound management were significantly shortened, and the patient’s satisfaction with wound management was higher than 95%. Conclusion: The integrated medical and nursing wound management mode led by specialized wound nurses can shorten the hospital stay and waiting time of patients after surgery, meet the needs of ERAS development, and enrich the connotation of ERAS. At the same time, it can reduce the time for nurses to find and inform doctors about dressing changes, shorten doctors’ time in wound management, facilitate the collection of department wound management data, improve the efficiency of medical and nursing work, enhance the cohesion of departments, and achieve the three satisfaction of doctors, nurses and patients, which is worth promoting.
文摘目的了解伤口造口失禁专科护士(wound,ostomy and continence nurse,WOCN)体面劳动感知与人文执业能力的现状,探讨体面劳动感知对WOCN人文执业能力的影响程度,为提升WOCN人文执业能力的管理对策提供借鉴。方法采取便利抽样法,2024年3月—6月选择陕西省32所医院的224名WOCN作为研究对象,采用一般资料调查表、体面劳动感知量表、护士人文执业能力量表进行调查,采用Pearson相关性分析分析体面劳动感知与人文执业能力的相关性,并采用多重分层线性回归分析体面劳动感知对WOCN人文执业能力的影响。结果211名WOCN完成研究。WOCN体面劳动感知得分(60.24±16.43)分,人文执业能力得分(108.95±24.68)分。WOCN体面劳动感知与人文执业能力呈正相关(r=0.391,P<0.05)。体面劳动感知、年龄、职称、职务、工作年限是WOCN人文执业能力的影响因素(均P<0.001),共同解释其56.80%的变异,其中体面劳动感知占比20.60%。结论WOCN体面劳动感知处于中等偏上水平,人文执业能力处于较高水平。医院管理者可通过加强WOCN对体面劳动的感知程度,激发护士的积极情绪,并重点关注职业成长阶段的护士,进一步提升WOCN人文执业能力。
文摘目的:构建伤口造口失禁专科护士能级评价方案,为该领域专科护士的能力评价提供参考。方法:运用文献分析、专家讨论及德尔菲法构建评价方案。于2020年9月随机选取全国213名伤口造口失禁专科护士为研究对象,收集其对评价方案各项指标的认可程度评分及本方案在专业领域中的适用性、可执行性与可推广性的综合评价数据。结果:两轮专家函询的积极系数均达到100%,专家权威系数为0.872,Kendall’s W值分别为0.252和0.331 (P均Objective: To construct a competency evaluation scheme for wound, ostomy, and continence specialist nurses, providing a reference for the capability assessment of nurses in this field. Methods: The evaluation scheme was constructed using literature analysis, expert discussions, and the Delphi method. In September 2020, 213 wound, ostomy, and continence specialist nurses were randomly selected nationwide as research subjects. Data were collected on their recognition degree scores for each indicator of the evaluation scheme, as well as comprehensive evaluation data on the scheme’s applicability, executability, and promotability in the professional field. Results: The positive coefficients of the two rounds of expert consultations were both 100%, the expert authority coefficient was 0.872, and the Kendall’s W values were 0.252 and 0.331 (both P < 0.001), indicating a high degree of consistency and reliability in expert opinions. The final competency evaluation scheme for wound, ostomy, and continence specialist nurses covers 5 dimensions, 3 competency levels, and 52 specific items. The survey found that the recognition degree scores for the scheme’s indicators were generally high, and the scheme received positive evaluations for its applicability, executability, and promotability in the professional field. Conclusion: The constructed competency evaluation scheme for wound, ostomy, and continence specialist nurses has good scientific and practical value, and can provide a scientific reference for the capability assessment of nurses in this field.
