Ren Liyan, Han Li, Ping Fumin, Yin Yanli, Liang Tao, Wang Fang
Operation Room, Affiliated Hospital of Hebei University of Engineering, Handan, 056002, People's Republic of China.
Department of Nephrology, Affiliated Hospital of Hebei University of Engineering, Handan, 056002, People's Republic of China.
Risk Manag Healthc Policy. 2025 May 24;18:1735-1746. doi: 10.2147/RMHP.S508787. eCollection 2025.
Ear, nose and throat (ENT) surgeries require meticulous nursing care due to their complexity and risk of complications. Traditional nursing models often lack the standardization needed to ensure consistent quality and patient safety. This study aimed to explore the application and effectiveness of checklist management combined with Standard Operating Procedures (SOP) in ENT surgery nursing and its impact on nursing quality improvement.
This was an experimental study using a pretest-posttest control group design. A total of 200 patients undergoing ENT surgery in the Otolaryngology Department of our hospital from April 2023 to April 2024 were randomly divided into control group and intervention group, including 100 cases in each group. The control group received conventional nursing management, while the intervention group was subjected to checklist management combined with SOP. The intervention outcomes, nursing quality scores, and incidence of surgery-related adverse events were compared between the two groups.
The baseline characteristics of the two groups showed no significant differences, indicating comparability (P>0.05). After the nursing intervention, the intervention group demonstrated better outcomes than the control group, with lower Tinnitus Handicap Inventory (THI) scores (P<0.05). The intervention group also showed higher General Comfort Questionnaire (GCQ) scores, indicating better comfort levels (P<0.05). The incidence of device-related adverse events in the intervention group was significantly lower than that in the control group (P<0.05). Additionally, the intervention group had higher physician satisfaction scores (P<0.05), higher patient satisfaction scores (P<0.05), better management effectiveness scores (P<0.05), and significantly improved nursing quality scores compared to the control group (P<0.05).
Checklist management combined with SOP demonstrates excellent effectiveness in ENT surgery nursing, enhancing patient comfort and satisfaction, significantly improving nursing quality, reducing the incidence of device-related adverse events, and substantially increasing physician satisfaction. It holds great potential for clinical application.
耳鼻喉科(ENT)手术因其复杂性和并发症风险,需要精心的护理。传统护理模式往往缺乏确保质量一致和患者安全所需的标准化。本研究旨在探讨检查表管理结合标准操作程序(SOP)在耳鼻喉科手术护理中的应用及效果,及其对护理质量提升的影响。
这是一项采用前后测对照组设计的实验研究。2023年4月至2024年4月在我院耳鼻喉科接受手术的200例患者被随机分为对照组和干预组,每组100例。对照组接受常规护理管理,干预组采用检查表管理结合SOP。比较两组的干预结果、护理质量评分及手术相关不良事件发生率。
两组的基线特征无显著差异,具有可比性(P>0.05)。护理干预后,干预组的结果优于对照组,耳鸣障碍量表(THI)得分更低(P<0.05)。干预组的一般舒适度问卷(GCQ)得分也更高,表明舒适度更好(P<0.05)。干预组与设备相关的不良事件发生率显著低于对照组(P<0.05)。此外,干预组的医生满意度得分更高(P<0.05),患者满意度得分更高(P<0.05),管理效果得分更好(P<0.05),与对照组相比,护理质量得分显著提高(P<0.05)。
检查表管理结合SOP在耳鼻喉科手术护理中显示出卓越的效果,提高了患者的舒适度和满意度,显著提升了护理质量,降低了与设备相关的不良事件发生率,并大幅提高了医生满意度。具有很大的临床应用潜力。