Analysis of the impact of operating room nursing management on surgical safety
手术室护理管理对手术安全性的影响分析

摘要

目的 探究“三维精细化”手术室护理管理模式对手术安全性的影响，为优化手术室护理流程、降低不良事件风险提供实证依据。方法 选取2025年3月至8月本院收治的60例手术患者，按随机数字表法分为对照组（30例，实施常规手术室护理管理）与实验组（30例，应用“三维精细化”护理管理模式）。对照组采用传统岗位分工护理，实验组从人员资质、流程节点、风险预警三个维度构建管理体系，对比两组手术不良事件发生率、手术相关指标及患者满意度。结果 实验组手术不良事件发生率3.33%低于对照组23.33%（χ²=5.19，P=0.023）；手术准备时间（22.35±3.12）min、术中出血量（85.42±15.63）mL均优于对照组（t=8.67、6.24，均P＜0.001）；患者满意度96.67%高于对照组73.33%（χ²=6.41，P=0.011）。结论 “三维精细化”手术室护理管理可显著降低手术风险，提升手术效率与患者体验，是保障手术安全的有效管理模式。

Abstract

Objective To investigate the effects of the “Three-Dimensional Precision” operating room nursing management model on surgical safety, providing empirical evidence for optimizing nursing procedures and reducing adverse event risks.
Methods Sixty surgical patients admitted to our hospital from March to August 2025 were randomly divided into a control group (30 cases, conventional nursing management) and an experimental group (30 cases, “Three-Dimensional Precision” nursing management). The control group received traditional position-based nursing, while the experimental group implemented a management system focusing on three dimensions: personnel qualifications, procedural milestones, and risk alerts. The incidence of surgical adverse events, related indicators, and patient satisfaction were compared between groups.
Results The experimental group showed a significantly lower incidence of surgical adverse events (3.33% vs. 23.33%,χ²=5.19, P=0.023). Additionally, the experimental group demonstrated better outcomes in preparation time (22.35±3.12) minutes and intraoperative blood loss (85.42±15.63) mL (t=8.67,6.24, both P<0.001). Patient satisfaction was also higher (96.67% vs. 73.33%,χ²=6.41, P=0.011).
Conclusion   The “Three-Dimensional Precision” operating room nursing management model significantly reduces surgical risks, enhances efficiency and patient experience, and serves as an effective approach to ensure surgical safety.