摘要目的：探讨五常法在手术室护理管理中的临床应用效果,为手术室日常管理提供参考。方法选择2012年10月—2014年5月浙江省湖州市第一人民医院手术室进行手术的2459例患者为研究对象,其中2012年10月—2013年6月收治的1147例患者为常规组,采用常规护理管理模式,2013年7月—2014年5月收治的1312例患者为五常组,采用五常法护理管理模式。比较实施五常法前后手术室护理管理质量,并对管理经验进行总结。结果五常组物品准备完好率、器械准备完好率、仪器设备使用完好率与急救物品完好率分别为96.95%,98.70%,99.77%,97.79%,与常规组比较差异有统计学意义(χ2值分别为10.52,12.33,8.76,9.28；P<0.05)。五常组空气细菌检测指标、取物所需时间、补物所需时间分别为(29.71±5.94)cfu/m3,(18.34±6.42),(17.85±5.89)s,优于常规组,差异有统计学意义(t值分别为132.48,21.27,26.18；P <0.05)。且五常组医护人员及患者的满意度分别为89.42%,92.38%,较常规组提高,差异有统计学意义(χ2值分别为8.56,9.41；P<0.05)。结论五常法的实施有助于提高手术室护理管理效率,提高手术室整体的工作效率与工作质量。

abstractsObjective To explore the clinical application of 5S methodology in the operation room of nursing management, and to provide reference for daily management. Methods A total of 2 459 patients were chosen from October 2012 to May 2014. 1 147 Patients from October 2012 to June 2013 were in the control group that given regular nursing management, while 1 312 patients from July 2013 to May 2015 were as experimental group and underwent 5S methodology. Quality of operation nursing management were compared before and after using 5S methodology, and managerial experience was summarized. Results The items readiness rate, equipment readiness rate, use of intact rate and emergency items readiness rate were 96. 95%, 98. 70%, 99. 77% and 97. 79%, respectively, and there were statistically significance between the two groups (χ2 =10. 52, 12. 33, 8. 76, 9. 28, respectively;P <0. 05). In the experimental group, the air bacteria detection index, time of fetching items and time of supplementing items were (29. 71 ± 5.94)cfu/m3, (18. 34 ± 6. 42)and (17. 85 ± 5. 89)s, which were better than those in the control group (t=132. 48, 21. 27, 26. 18, respectively;P <0. 05). For the satisfaction of medical staffs and patients, the experimental group (89. 42% and 92. 38%) were better than control group, the differences were statistically significant (χ2 =8. 56,9. 41;P<0. 05). Conclusions The implement of 5S methodology can help to improve the efficiency of nursing management in operation room, and promote the operation room overall work efficiency and quality.