Research on the construction and application of sensitive quality index system for operating room nursing in second class A hospitals
二级甲等医院手术室护理敏感质量指标体系的构建与应用研究

摘要

目的 构建科学、可行的二级甲等医院手术室护理敏感质量指标体系，并验证其在临床护理质量提升中的应用效果。方法 选取 2024年5月至2025年5月在本院接受手术治疗的40例患者作为研究对象，采用随机数字表法分为对照组和实验组，各20例。对照组实施常规手术室护理管理，实验组基于构建的手术室护理敏感质量指标体系开展护理干预。比较两组患者的护理质量相关指标、不良事件发生率及患者满意度。结果 构建的手术室护理敏感质量指标体系包含3个一级指标、12个二级指标及28个三级指标。实验组护理核心指标达标率（95.00%）高于对照组（70.00%），差异有统计学意义（χ²=4.329，P=0.037）；实验组不良事件发生率（5.00%）低于对照组（30.00%），差异有统计学意义（χ²=4.800，P=0.028）；实验组患者满意度（98.50±1.20 分）高于对照组（85.30±3.50 分），差异有统计学意义（t=17.256，P<0.001）。结论 构建的手术室护理敏感质量指标体系可有效提升二级甲等医院手术室护理质量，降低不良事件发生率，提高患者满意度，具有较高的临床应用价值。

Abstract

Objective To construct a scientific and feasible quality index system for sensitive nursing in operating rooms of second-class hospitals, and to verify its application effect in improving clinical nursing quality.
Methods Forty patients who underwent surgical treatment in our hospital from May 2024 to May 2025 were selected as the research subjects. They were randomly divided into a control group and an experimental group using a random number table method, with 20 patients in each group. The control group implemented routine operating room nursing management, while the experimental group carried out nursing interventions based on the constructed sensitive quality index system for operating room nursing. Compare the nursing quality related indicators, incidence of adverse events, and patient satisfaction between two groups of patients.
Results The sensitive quality index system for operating room nursing constructed as a result includes 3 primary indicators, 12 secondary indicators, and 28 tertiary indicators. The compliance rate of core nursing indicators in the experimental group (95.00%) was higher than that in the control group (70.00%), and the difference was statistically significant (χ ²=4.329, P=0.037); The incidence of adverse events in the experimental group (5.00%) was lower than that in the control group (30.00%), and the difference was statistically significant (χ ²=4.800, P=0.028); The satisfaction level of patients in the experimental group (98.50 ± 1.20 points) was higher than that in the control group (85.30 ± 3.50 points), and the difference was statistically significant (t=17.256, P<0.001).
Conclusion   The constructed sensitive quality index system for operating room nursing can effectively improve the quality of operating room nursing in second-class hospitals, reduce the incidence of adverse events, improve patient satisfaction, and has high clinical application value.