摘要目的 探讨六西格玛管理模式在手术室新护士骨科机器人手术培训中的效果.方法 选取2016年入职河南省人民医院的20名手术室护士作为对照组,选取2017年入职的20名手术室护士作为试验组.对照组采用常规培训方法进行骨科机器人手术培训,试验组应用六西格玛管理模式进行相同内容的培训.采用相同的考核形式及内容对两组新护士进行考核,并分别用手术医生满意度调查表、培训满意度调查表进行调查.结果 应用六西格玛模式管理进行骨科机器人手术培训后,试验组理论知识考核、操作技能考核及临床实训考核成绩分别为(94.72±3.63)、(96.95±2.32)、(95.96±2.15)分,对照组成绩分别为(86.41±4.44)、(90.15±4.61)、(88.72±4.28)分,试验组的各项成绩高于对照组,差异有统计学意义(P<0.01).培训后手术医生对试验组和对照组的满意度分别为(95.56±2.26)、(88.32±4.83)分,差异有统计学意义(P<0.01).试验组新护士对培训安排、培训形式、考核方式、接受程度及满意度总分分别为(24.08±1.03)、(23.78±0.77)、(23.95±0.83)、(23.71±0.73)、(95.45±1.64)分,对照组分别为(21.15±1.14)、(21.31±1.21)、(21.08±1.04)、(20.65±1.23)、(84.22±2.16)分,试验组对培训的满意度得分均高于于对照组,差异有统计学意义(P<0.01).结论 六西格玛管理模式有利于手术室新护士掌握机器人手术相关知识,提高手术配合能力,提升手术医师和新护士的满意度,从而提高骨科机器人手术培训效果.

abstractsObjective To explore the effects of six sigma management model in orthopedic robotic surgery training for new nurses of Operating Room. Methods This study selected 20 nurses with entry of 2016 of Operating Room at Henan Provincial People's Hospital in control group,20 nurses with entry of 2017 in experimental group. Control group carried out the orthopedic robotic surgery training with the routine method, while experimental group implemented the training based on the six sigma management model. Examination for new nurses of two groups was carried out with the same examination forms and contents. The investigation adopted the surgeon satisfaction questionnaire and the training satisfaction questionnaire. Results After orthopedic robotic surgery training based on the six sigma management model,the scores of theory knowledge, operational skills and clinical practice of experimental group were(94.72±3.63),(96.95±2.32)and (95.96±2.15)higher than those[(86.41±4.44),(90.15±4.61)and(88.72±4.28)]of control group with statistical differences(P<0.01). After training,surgeon satisfaction with experimental group and control group was(95.56±2.26)and(88.32±4.83)respectively with a statistical difference(P < 0.01). In experimental group,new nurses' satisfaction with training arrangement,training mode,examination,acceptance and total score of satisfaction were(24.08±1.03),(23.78±0.77),(23.95±0.83),(23.71±0.73)and(95.45±1.64) respectively better than those[(21.15±1.14),(21.31±1.21),(21.08±1.04),(20.65±1.23)and(84.22±2.16)] in control group with statistical differences(P< 0.01). Conclusions Six sigma management model can help new nurses of Operating Room to grasp the robotic surgery-related knowledge,increase operation cooperation ability,satisfaction of surgeon and new nurses so as to improve the effects of orthopedic robotic surgery training.