动静脉内瘘手术器械台的设计与应用

doi:10.3761/j.issn.0254-1769.2022.21.008

摘要/Abstract

摘要：

目的设计并制作动静脉内瘘手术器械台，并探讨其应用效果。方法自制的动静脉内瘘手术器械台包括器械台面板、手部支撑组件、支撑杆、底座和万向轮5个部分。选取2021年1月—12月北京市某三级甲等医院的120例动静脉内瘘手术患者为研究对象，按手术排程顺序编号，采用随机数字表法分为试验组和对照组，每组各60例。试验组采用动静脉内瘘手术器械台进行手术，对照组采用现有手术器械台。比较两组皮肤消毒用时、患者及医护人员对手术器械台的满意度。结果试验组皮肤消毒用时低于对照组，差异具有统计学意义（t=-11.936，P<0.001）。试验组手术患者对手术器械台有利于支撑、舒适度及省时节力3个方面满意度高于对照组，差异具有统计学意义（Z=-4.421，-3.235，-4.449，均P<0.05）;试验组医护人员对手术器械台有利于消毒、操作便捷、省时节力3个方面满意度高于对照组，差异具有统计学意义（Z=-4.861，-2.709，-4.464，均P<0.05）。结论动静脉内瘘手术器械台操作便捷、有利于患者支撑、方便手术医生消毒、省时节力，有助于提升手术患者的舒适度和满意度，提高医护人员的工作效率。

关键词: 血液透析, 动静脉内瘘, 手术台, 设计, 围手术期护理

Abstract:

Objective This study explored the application effects of a self-designed arteriovenous fistula operating table. Methods The self-designed arteriovenous fistula operating table includes 5 parts with an instrument panel，a hand support component，a stand bar，a base and omni-directional wheels.A total of 120 patients undergoing the arteriovenous fistula surgery in a tertiary hospital from January to December 2021 were selected as the research subjects. They were numbered according to the order of surgical scheduling，and they were divided into an experimental group and a control group by a random number table with 60 cases in each group. The experimental group used a self-designed arteriovenous fistula operating table for the operation，and the control group used the traditional operating table. Time for skin disinfection，and the satisfaction of patients and medical staff with the arteriovenous fistula operating table in 2 groups were observed and compared. Results The skin disinfection time of the patients in the experimental group was lower than that in the control group，and the difference was statistically significant（t=-11.936，P<0.001）. The patients in the experimental group were more satisfied with the arteriovenous fistula operating table in terms of favorable supporting，comfort，time-saving and effort-saving than the patients in the control group，and the difference was statistically significant（Z=-4.421，-3.235，-4.449，P<0.05）.The medical staff of the experimental group were more satisfied with the arteriovenous fistula operating table in terms of disinfection，convenient operation，saving time and saving effort than the control group，and the difference was statistically significant（Z=-4.861，-2.709，-4.464，P<0.05）. Conclusion The arteriovenous fistula operating table is convenient to operate，favorable for patients’ supporting，time-saving and effort-saving，which can help to improve the comfort and satisfaction of patients with arteriovenous fistula surgery，and improve the work efficiency of medical staff.

Key words: Hemodialysis, Arteriovenous Fistula, Operating Tables, Design, Perioperative Nursing

胡景贤, 韩舒羽, 张莉莉, 张玉玲, 池萍, 宋艳莉, 张圣丽. 动静脉内瘘手术器械台的设计与应用[J]. 中华护理杂志, 2022, 57(21): 2611-2614.

HU Jingxian, HAN Shuyu, ZHANG Lili, ZHANG Yuling, CHI Ping, SONG Yanli, ZHANG Shengli. Design and application of an operating table for arteriovenous fistula surgical operation[J]. Chinese Journal of Nursing, 2022, 57(21): 2611-2614.

图/表 3

图1 动静脉内瘘手术器械台实物图注：1.器械台面板;2.手部支撑组件;3.伸缩杆;4.滑动组件;5.滑杆;6.滑块;7.滑轨;8.锁紧组件;9.支撑杆;10.底座;11.万向轮。

Figure 1 The physical picture of the arteriovenous fistula operating table

表1 两组患者对手术器械台满意度的比较[例（百分比，%）]

Table 1 Comparison of satisfaction with operating tables between the 2 groups of surgical patients [cases（percentage，%） ]

表2 两组医护人员对手术器械台满意度的比较[名（百分比，%）]

Table 2 Comparison of satisfaction of medical staff with 2 kinds of operating tables[cases（percentage，%） ]

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