Đánh giá hiệu quả áp dụng quy trình phụ dụng cụ trong phẫu thuật tim bẩm sinh tại Bệnh viện Nhi Trung ương

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Tác giả: Thị Thuỳ Dung Đỗ, Lệ Quyên Mai, Lý Thịnh Trường Nguyễn, Thu Mùi Phạm, Thị Thu Vũ, Văn Đẩu Vũ

Ngôn ngữ: vie

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Thông tin xuất bản: Tạp chí Khoa học Điều dưỡng, 2022

Mô tả vật lý: tr.128

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ID: 333404

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Mục tiêu: Đánh giá hiệu quảáp dụng quy trình phụ dụng cụ trong phẫu thuật tim bẩm sinh tại Bệnh viện Nhi Trung ương. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang trên 100 trường hợp phẫu thuật đã được xây dựng quy trình và khảo sát 19 nhân viên y tế trực tiếp tham gia nghiên cứu được thực hiện từ tháng 01/2021 đến tháng 5/2022. Kết quả: Sau khi áp dụng thử nghiệm quy trình phụ dụng cụ, chỉ còn 25% phẫu thuật viên còn stress và chỉ còn ở mức độ thỉnh thoảng, còn lại 75% phẫu thuật viên không còn stress về vấn đề liên quan đến dụng cụ trong quá trình phẫu thuật tim bẩm sinh. 27,3% dụng cụ viên còn stress về vấn đề liên quan đến dụng cụ trong quá trình phẫu thuật tim bẩm sinh, lý do do dụng cụ hỏng hoặc vật tư tiêu hao hết, không còn stress do quy trình phụ dụng cụ trong phẫu thuật. Tỷ lệ sai sót chuyên môn và bệnh nhân có tai biến liên quan đến dụng cụ trong phẫu thuật giảm so với khi chưa sử dụng quy trình. Kết luận: Áp dụng quy trình phụ dụng cụ giúp cho phẫu thuật viên và điều dưỡng phụ dụng cụ giảm stress công việc và giảm tỷ lệ tai biến trong phẫu thuật đồng thời làm giảm thời gian phẫu thuật các ca bệnhObjectives: Evaluation of the effectiveness of the application of ancillary procedures in congenital heart surgery at the National Children’s Hospital. Methods and subjects: Descriptive cross-sectional study on surgical cases were developed, procedures and surveys were carried out from January 2021 to May 2022. Results: After the experimental application of the sub-instrument procedure, only 25% of the surgeons were still stressed and only occasionally, the remaining 75% of the surgeons were no longer stressed about the problem related to the instrument during the procedure. congenital heart surgery. 27.3% of medical staff were still stressed about equipment-related problems during congenital heart surgery, due to broken instruments or consumables, and no longer stress due to surgical instrumentation procedures art. The rate of professional errors and patients having complications related to surgical instruments decreased compared to when the procedure was not used. Conclusion: Applying an auxiliary process helps surgeons and ancillary nurses to reduce work stress and reduce the rate of complications in surgery and at the same time reduce the operating time of patients

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