提昇手術室護理人員迷你腹腔鏡手術準備的正確性

Promoting Precision of Preparation in Mini-Laparoscopic Surgery for Operating Room Nurses

邱芬媛(Fen-Yuan Chiu) ； 陳明珠(Ming-Zhu Chen)

《北市醫學雜誌》 5卷6_S期 (2008/12) Pp. 701-712

https://doi.org/10.6200/TCMJ.2008.5.6.14

摘要

手術室護理人員在參與迷你腹腔鏡手術時，常遭到醫師埋怨，甚至延遲手術時間，進而影響醫護關係與病人的權益。專案小組於2004年10月使用問卷調查發現其主要原因有：儀器種類複雜熟悉度不足、新進人員缺乏參與此手術的機會與經驗、缺乏系統性之專人指導及相關教具。經製作儀器參考手冊，運用愚巧法將儀器以色帶做標示，由專人進行系統性規劃訓練課程指導，利用小組討論與多媒體教學，配合回覆示教等方式介入，結果護理人員全程準備的正確性評分由改善前的69分提昇至改善後的98分，達到改善成效與本專案目的，期此專案結果能做為手術室護理人員相關手術準備的參考。

關鍵字

迷你腹腔鏡 ； 愚巧法 ； 多媒體教學

並列摘要

This report investigates the problems faced by operating room (OR) nurses participating in minilaparoscopic surgery. It was found that delayed surgical time, complaints from surgeons, and the development of negative relationships with patients were some of the problems faced. After project staff had developed and distributed a questionnaire they determined that several major reasons were responsible for these problems: a lack of professional instruction in mini-laparoscopic surgical techniques, limited image-related teaching tools, and inadequate experience for new staff. These problems then led to a general lack of familiarity with surgical instruments and how to use them. After writing a reference manual for the mini-laparoscope, developing a failsafe system of colored tapes to label instruments, performing systematic professional training courses with discussion groups and multi-media teaching methods, as well as encouraging nurses to self-study, it was found that the precision score of full preparation for OR nurses rose from 69 in pre-training to 89 posttraining. This was a clear sign that our OR nurses were better trained by means of our multi-media teaching methods and that our project aims were achieved.

並列關鍵字

mini-laparoscope ； multi-media teaching methods ； fail-safe ； image-related teaching tools ； operating room