9S管理在泌尿系结石手术标准化护理配合规范中的作用研究

Study on the Role of 9S Management in Standardized Nursing Cooperation Specifications for Urinary Stone Surgery

摘要: 目的：分析9S管理标准化护理配合规范在泌尿系结石手术中的有效性。方法：选择本院于2024年6月至2025年6月期间600例泌尿系结石手术患者，将患者根据入组时间分组，2024年6月~12月采用传统管理(对照组，300例)，2025年1月~6月采用9S管理标准化护理配合规范(观察组，300例)，比较两组患者在巡回护士在位率、术前准备时间、护理工作质量评分、手术医生满意度及患者护理满意度等方面的差异。结果：观察组巡回护士在位率高于对照组，观察组术前准备时间(器械摆台及物品清点时间、仪器设备布局及开机连接时间、协助消毒铺巾时间、台上布线时间)短于对照组(P < 0.05)。观察组护理工作质量评分(环境、操作规范、护理文书)高于对照组(P < 0.05)。观察组手术医生满意度评分(护理态度、物品准备 体位摆放、手术配合)高于对照组(P < 0.05)。观察组患者护理满意度(心理沟通、隐私保护、护理技术)高于对照组(P < 0.05)。结论：9S管理标准化护理配合规范可有效提高泌尿系结石手术的护理效率与质量，提升医护人员及患者满意度，值得推广。

Abstract: Objective: To analyze the effectiveness of 9S management standardized nursing cooperation specifications in urinary stone surgery. Methods: A total of 600 patients undergoing urinary stone surgery in our hospital from June 2024 to June 2025 were selected and divided into groups based on enrollment time. From June 2024 to December 2024, traditional management was adopted (control group, 300 cases), while from January 2025 to June 2025, 9S management standardized nursing cooperation specifications were implemented (observation group, 300 cases). The two groups were compared in terms of the attendance rate of circulating nurses, preoperative preparation time, nursing quality scores, surgeon satisfaction, and patient nursing satisfaction. Results: The attendance rate of circulating nurses in the observation group was higher than that in the control group, and the preoperative preparation times (instrument setup and item counting time, equipment layout and startup connection time, assistance with disinfection and draping time, and intraoperative wiring time) in the observation group were shorter than those in the control group (P < 0.05). Nursing quality scores (environment, operational standards, nursing documentation) in the observation group were higher than those in the control group (P < 0.05). Surgeon satisfaction scores (nursing attitude, item preparation, positioning, and surgical cooperation) in the observation group were higher than those in the control group (P < 0.05). Patient nursing satisfaction (psychological communication, privacy protection, nursing technique) in the observation group was higher than that in the control group (P < 0.05). Conclusion: 9S management standardized nursing cooperation specifications can effectively improve nursing efficiency and quality in urinary stone surgery, enhance satisfaction among medical staff and patients, and are worthy of promotion.