Abstract:

Objective To explore the effect of "picture-type nursing preparation checklist" in reducingpreoperative and intraoperative preparation time for liver transplantation patients. Methods The control group was selected from 60 patients undergoing orthotopic liver transplantation in our hospital from January 2019 to January 2020， and the preoperative preparation time （T1） from the patient's entrance to the start of the operation， the waiting time due to lack of items during the operation （T2） and the preparation time for anhepatic phase（T3） were recorded. The preoperative and intraoperative nursing preparation of liver transplantation was analyzed， and the preoperative and intraoperative "picturetype nursing preparation checklist" was developed， which was used in the observation group of 60 patients undergoing orthotopic liver transplantation from February 2020 to February 2021. The T1， T2 and T3 were recorded， respectively， and statistical analysis was performed between two groups.Results The average T1 in the control group was （60.4±14.2） mins. The longest steps were inadequate preparation for the body position and the inappropriate time and position of the waterproof film. The average T2 was （3.1±0.6） mins. The longest steps were the preparation of shadowless lamphandle， the error of the waterproof film and the incomplete preparation of bipolar electrocoagulation. The average T3 was（17.8±2.1） mins， the core speed-limiting factors were insufficient preparation of drug dispensing timing and dispensingsequence. After adopting the "picture-type nursing preparation checklist"， T1， T2 and T3 of the observation group weresignificantly lower than those of the control group , the time were （45.2±11.3） mins，（1.3±0.3） mins，（13.2±1.2） mins，P ＜ 0.05 respectively. Conclusion The "picture-type nursing preparation checklist" summarized through observationcan improve the work efficiency and nursing quality， and improve the satisfaction of surgeons， which is worth promoting inclinical application. 

Key words:

"> Liver transplantation； , Nursing cooperation； , Picture-type nursing preparation checklist

摘要：

目的 探讨手术室护士使用图文式护理准备清单在减少肝移植患者术前及术中准备时间的效果分析。方法 选取 2019 年 1 月至 2020 年 1 月本院进行的原位肝移植手术 60 例为对照组，记录从患者入室到手术开始的术前准备时间（T1）、术中因物品准备不充分手术停顿等待时间（T2）及无肝期用药准备时间（T3）分析肝移植手术术前、术中护理准备工作情况，制定肝移植患者术前、术中图文式护理准备清单并应用于 2020 年 2 月至 2021 年 2 月接受原位肝移植手术患者为观察组 60 例，分别记录 T1、T2 及 T3，组间进行统计分析。结果 对照组中 T1 平均为（60.4±14.2）min，占时最长的为体位用物准备不充分，防水贴膜贴取时机、位置不合适。T2 平均为（3.1±0.6）min，停顿时间最长的是手术灯炳容易遗忘，手术贴膜准备错误，双极电凝准备用物不全，T3 平均为（17.8±2.1）min，无肝期用药配药时机，配药顺序掌握不明确。应用肝移植手术图文式护理准备清单后，观察组 T1 和 T2 及 T3 较对照组显著降低（45.2±11.3）min，（1.3±0.3）min，（13.2± 1.2）min。两组结果相比，具有统计学意义（P ＜ 0.05）。结论 通过观察总结的肝移植患者图文式护理准备清单提高了工作效率和护理质量，医生满意率得到提升，值得在临床中推广应用。

关键词:

肝移植手术 , 护理配合 , 图文式护理准备清单