Abstract: ［Abstract］ Objective To explore the effect of nursing by peer review combined with performance check on enhancing nursing pathway in operation room. Methods 104 patients underwent laparoscopic appendectomy in Maoming People??s Hospital from January to June 2017 were selected and divided into observation group and control group， 52 cases in each group. The patients in the control group were given routine nursing intervention， while those in the observation group were performed a new operating room nursing protocol （on the basis of the control group， strengthening and emphasizing the execution of each procedure， quantifying nursing details according to different weights）. The effects of nursing during appendectomy procedure were scored by peer review and performance examination. The clinical indicators， complications， nursing errors or problems， and doctor?patient satisfaction were compared between the two groups. Results The time from entering the operating room to returning to the ward and the total hospitalization time of the patients in the observation group were shorter than those in the control group （P<0.01， P<0.001， respectively）. The incidences of potential safety incidents in the observation group were lower than those in the control group （P<0.05）. There was no significant difference between the two groups in the occurrence of anesthesia accidents， organ injuries and postoperative infections. Conclusions Nursing peer review combined with performance check can promote participants activity to implement the operating room nursing， shorten the operating room time， reduce errors， and improve patients’ satisfaction with the nursing work in the operating room.

Key words: peer review, operating room nursing, laparoscopic appendectomy

摘要： ［摘要］ 目的 探讨护理同行评议结合绩效检查对增强手术室护理路径在腹腔镜阑尾切除术的实施效果。方法 选取2017年1月~6月茂名市人民医院104例腹腔镜下阑尾切除术患者，符合入组条件患者按住院号尾数单双号分为观察组和对照组，各52例。对照组给予常规护理干预措施，观察组实施新手术室护理路径（在对照组基础上，加强和强调各个路径方案执行力，将护理细节根据权重不同进行量化）。采用同行评议和绩效检查方法，对阑尾切除术的护理给予打分，对比两组临床指标、并发症、护理差错或问题、医患满意度。结果 观察组患者进入手术室到完成手术返回病房时间、总住院时间短于对照组（P<0.01，P<0.001），观察组手术安全隐患事件发生率低于对照组（P<0.05），两组患者发生手术中麻醉意外、脏器损伤及术后感染例数的差异没有统计学意义。结论 护理同行评议结合绩效检查能够促进参与者执行手术室护理路径的良好效果，缩短手术室时间，减少差错，提高患者对手术室护理工作的满意度。

关键词: 同行评议, 手术室护理, 腹腔镜阑尾切除