移动换药车提高了小儿外科病房的满意度和后勤效率。

Mobile Dressing Trolleys Improve Satisfaction and Logistics on Pediatric Surgery Wards.

作者信息

Franck Hannes, Dempfle Astrid, Reischig Katja, Baastrup Jonas, Meinzer Andreas, Kossakowski Meike, Krebs Thomas Franz, Bergholz Robert

机构信息

Department of General, Visceral, Thoracic, Transplant and Pediatric Surgery, UKSH University Hospital of Schleswig-Holstein Kiel Campus, Arnold-Heller-Strasse 3, 24105 Kiel, Germany.

Institute of Medical Informatics and Statistics, UKSH University Hospital of Schleswig-Holstein Kiel Campus, Arnold-Heller-Strasse 3, 24105 Kiel, Germany.

出版信息

Children (Basel). 2023 Jun 21;10(7):1089. doi: 10.3390/children10071089.

DOI:10.3390/children10071089

PMID:37508586

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10378491/

Abstract

BACKGROUND

Evidence-based data on the effect of dressing trolleys on children's postoperative recovery are not available. The aim of this study was to evaluate a specific pediatric surgical dressing trolley on patient and caregiver satisfaction, as well as temporal and logistical aspects of the dressing change procedures.

METHODS

In a prospective observational non-randomized study, a total of 100 dressing changes were observed before (group 1) and after (group 2) the introduction of a pediatric surgical dressing trolley and the satisfaction, time and logistical factors were recorded on site.

RESULTS

The median preparation time, the duration of the dressing change and the total time decreased significantly from group 1 to group 2 by 1:11 min ( < 0.001); 1:56 min ( = 0.05) and 5:09 min ( = 0.001), respectively. The patient's room was left significantly less often in group 2 to retrieve missing bandages. The median satisfaction of the medical staff increased by 12% in group 2 ( < 0.001). The satisfaction of the parents increased by 2.5% in group 2 ( = 0.042), and that of the nursing staff increased by 9.25% in group 2 ( = 0.015).

CONCLUSIONS

Our results demonstrate the positive effects of a dressing trolley for pediatric surgical dressing changes by minimizing postoperative handling and manipulation of the child. It improves time and logistical factors as well as the satisfaction of those involved, which may lead to a faster recovery.

摘要

背景

关于换药车对儿童术后恢复影响的循证数据尚不可得。本研究的目的是评估一种特定的儿科手术换药车对患者及护理人员满意度以及换药程序的时间和后勤方面的影响。

方法

在一项前瞻性观察性非随机研究中，在引入儿科手术换药车之前（第1组）和之后（第2组）共观察了100次换药，并在现场记录满意度、时间和后勤因素。

结果

从第1组到第2组，中位准备时间、换药持续时间和总时间分别显著减少1:11分钟（P<0.001）；1:56分钟（P=0.05）和5:09分钟（P=0.001）。第2组因找回缺失绷带而离开患者病房的次数显著减少。第2组医务人员的中位满意度提高了12%（P<0.001）。第2组家长的满意度提高了2.5%（P=0.042），护理人员的满意度提高了9.25%（P=0.015）。