单侧双通道脊柱内镜围手术期护理标准作业程序的构建及应用

Construction and Application of Perioperative Nursing Standard Operation Procedures Undergoing Unilateral Biportal Endoscopic

摘要: 目的：探讨单侧双通道脊柱内镜(UBE)围手术期护理标准作业程序(SOP)的构建与应用效果。方法：选取2021年7月~2023年6月于本院手术室行UBE的100例患者为对照组，实施UBE围手术期常规护理；另选取2023年7月~2024年6月行UBE的患者100例为观察组，实施UBE围手术期护理SOP。比较两组术前准备完成率、康复运动方案落实率、手术配合度、并发症及医护患满意度。结果：观察组术前准备完成率和康复运动方案落实率均明显高于对照组(P < 0.05)。观察组手术间布局、仪器设备使用方便、手术体位对操作的影响、器械摆放合理、器械传递准确、器械传递及时、医护配合7个维度评分均高于对照组(P < 0.05)。观察组并发症总发生率低于对照组，医护患满意度均高于对照组(P < 0.05)。结论：UBE围手术期护理SOP的实施有利于提高术前准备完成率和康复运动方案落实率，提升手术配合质量，降低术后并发症发生率，提高医护患满意度。

Abstract: Objective: To explore the construction and application effect of perioperative nursing standard operation procedures (SOP) undergoing unilateral biportal endoscopic (UBE). Method: 100 patients who underwent UBE in the operating room of our hospital from July 2021 to June 2023 were selected as the control group and received routine perioperative care for UBE; Another 100 patients who underwent UBE from July 2023 to June 2024 were selected as the observation group and received the UBE perioperative nursing SOP. The preoperative preparation completion rate, postoperative education implementation rate, surgical compliance, complications and satisfaction of doctors, nurses and patients were compared between two groups. Result: The preoperative preparation completion rate and postoperative education implementation rate in the observation group were significantly higher than those in the control group (P < 0.05). The scores of seven dimensions: layout of the operating room, convenient use of instruments and equipment, impact of surgical position on operation, reasonable placement of instruments, accurate and timely instrument delivery, and medical cooperation in the observation group were significantly higher than those in the control group (P < 0.05). The total incidence of complications in the observation group was lower than that in the control group, and the satisfaction of doctors, nurses and patients was higher than that in the control group (P < 0.05). Conclusion: The implementation of UBE perioperative nursing SOP is beneficial for improving the preoperative preparation completion rate and postoperative education implementation rate, enhancing the quality of surgical cooperation, reducing the incidence of postoperative complications, and improving the satisfaction of doctors, nurses and patients.