Management and maintenance of minimally invasive surgical instruments in operating room nursing of children's hospital
儿童医院手术室护理中微创手术器械的管理与维护

摘要

目的 探索儿童医院手术室护理中微创手术器械科学有效的管理与维护方法，提升器械使用效能，降低故障率，保障儿童手术安全与质量。方法 于2024年3月至2024年9月，在我院儿童医院选取268例接受微创手术的患儿，按照严格的纳入与排除标准，将其对应的手术器械管理情况作为研究对象，随机均分为对照组和实验组，每组134例。对照组采用传统的微创手术器械管理与维护模式，实验组实施优化后的管理维护策略。结果 实验组手术器械故障率（5.2%）显著低于对照组（18.7%），手术平均准备时间（14.3±2.1分钟）短于对照组（21.6±3.0分钟），医护人员器械管理满意度（94.0%）高于对照组（66.4%），差异均具有统计学意义（P<0.05）。结论 优化后的微创手术器械管理与维护策略能有效降低器械故障率，缩短手术准备时间，提升医护人员满意度，对提高儿童医院手术室护理水平与手术效率意义重大，值得推广应用。

Abstract

Objective To explore scientific and effective management and maintenance methods for minimally invasive surgical instruments in pediatric hospital operating rooms, improve instrument usage efficiency, reduce failure rates, and ensure the safety and quality of pediatric surgeries.
Methods From June 2024 to May 2025,268 children undergoing minimally invasive surgery were selected from our pediatric hospital. According to strict inclusion and exclusion criteria, the management of corresponding surgical instruments was studied as the research object. The subjects were randomly divided into a control group and an experimental group, with 134 cases in each group. The control group used traditional management and maintenance strategies for minimally invasive surgical instruments, while the experimental group implemented optimized management and maintenance strategies.
Results The failure rate of surgical instruments in the experimental group(5.2%)was significantly lower than that in the control group(18.7%),the average preparation time for surgery(14.3±2.1 minutes)was shorter than that in the control group(21.6±3.0 minutes),and the satisfaction of medical staff with instrument management(94.0%)was higher than that in the control group(66.4%).All differences were statistically significant(P<0.05).
Conclusion   The optimized management and maintenance strategy for minimally invasive surgical instruments can effectively reduce the failure rate, shorten the preparation time for surgery, and enhance the satisfaction of medical staff. This has significant implications for improving the nursing level and surgical efficiency in pediatric hospital operating rooms, and is worthy of promotion and application.