Tuân thủ quy trình an toàn mổ lấy thai tại một bệnh viện năm 2020

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Tác giả: Thị Hiền Hồ, Thị Cẩm Lành La

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Khoa học Nghiên cứu Sức khỏe và Phát triển, 2022

Mô tả vật lý: tr.131-139

Bộ sưu tập: Metadata

ID: 336977

Thêm vào giỏ Liên kết toàn văn

Mục tiêu: Mô tả thực trạng tuân thủ quy trình an toàn mổ lấy thai và một số yếu tố ảnh hưởng tuân thủ quy trình an toàn mổ lấy thai tại một bệnh viện năm 2020. Phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang, định lượng kết hợp với định tính. Quan sát trực tiếp lượt mổ lấy thai về thực hành quy trình an toàn phẫu thuật tại khoa gây mê hồi sức tại Bệnh viện Quận Thủ Đức, năm 2020, phỏng vấn sâu đối tượng nghiên cứu được chọn có chủ đích đang công tác tại bệnh viện về các yếu tố ảnh hưởng tới tuân thủ quy trình an toàn mổ lấy thai (ATMLT). Cỡ mẫu nghiên cứu là 142 lượt mổ lấy thai. Kết quả: Tỉ lệ tuân thủ quy trình ATMLT ở giai đoạn trước phẫu thuật là 95,8%
giai đoạn tiến hành phẫu thuật là 81,7%
giai đoạn sau phẫu thuật là 92,2%. Tỉ lệ tuân thủ quy trình an toàn MLT là 81,7%. Một số hoạt động ATPT chưa được thực hiện theo thứ tự của quy trình: xác nhận trang thiết bị và thuốc gây mê sẵn sàng là 0,7%, gắn máy theo dõi SpO2 là 4,2%, xem phiếu khám tiền mê là 0,7%, xác nhận tiền căn bệnh đi kèm, dị ứng, đặt nội khí quản khó, nguy cơ hít sặc với các thiết bị sẵn sàng là 0,7%, xác nhận các thành viên trong ê kíp biết tên và nhiệm vụ là 16,2%, xác nhận đúng người bệnh, vị trí, phương pháp phẫu thuật là 2,8%, ước lượng thời gian và phương pháp phẫu thuật dự kiến là 18,3%, xác nhận sử dụng kháng sinh dự phòng 60 phút trước mổ là 9%, xác nhận tình trạng vô trùng của trang thiết bị, dụng cụ là 5,6%, xác nhận lại chẩn đoán, phương pháp phẫu thuật sau mổ là 2,1%. Một số yếu tố tăng cường việc tuân thủ quy trình ATMLT là lãnh đạo kiểm tra, giám sát, đánh giá định kỳ về thực hiện ATPT và chất lượng trang thiết bị. Một số yếu tố cản trở là do đặc điểm của MLT (cấp cứu). Kết luận: Cần có hướng dẫn cụ thể hơn về qui định thực hiện quy trình ATMLT theo từng mức độ cấp cứu.Objectives: Describe the compliance with safe cesarean section procedures and inﬂuencing factors of the compliance in Thu Duc District Hospital, Ho Chi Minh City in 2020. Methodology: Cross-sectional study design, quantitative and qualitative data were collected. Direct observation of practicing safe surgical procedures during cesarean sections at the Department of Anesthesia and Resuscitation, Thu Duc District hospital was conducted. Interviews with hospital staﬀ were conducted using semi-structured interview guides. The study was conducted from April to October 2020. The study sample size was 142 caesarean sections (C-sections). Results: The compliance rate of safe cesarean section procedure at each stage of surgery, was rather high: 95.8% at pre-operative stage, 81.7% surgical stage, and postoperative stage was 92.2%. The compliance rate for safe cesarean section procedure was 81.7%. Some surgical safety actions are not performed in the emergency cases such as fetal distress. Recommendations: It is necessary to have specifc guidance on the safety procedures for each level of emergency of C-section in the hospital.

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