中文摘要：

目的临床手术的专业性和灵活性的要求越来越高，这大大提高了临床手术中护士的配合难度。为了改善原有巡回护士工作内容不明确，执行过程中经常出现秩序不明确、丢三落四等情况，使得繁杂的手术工作做到快中有序，提升医生和护士的工作效率，本研究的目的是探讨巡回护理流程图在开胸手术患者中的应用价值。方法选取2011年1月—2013年12月在丽水市人民医院就医，需要开胸手术治疗的患者560例作为研究对象，按照时间顺序将所有患者分为对照组和观察组，每组280例患者，对照组患者延续原有工作流程，观察组患者给予护理流程图的工作流程；比较2组患者在护理过程中出现的差错数和术后满意度。结果观察组患者的护理差错数（15）明显低于对照组（71），且差异具有统计学意义（t=41．957，P〈0．05）；观察组患者的满意度（96．16±2．83）要明显的高于对照组（86．17±4．26），且差异具有统计学意义（t=5．172，P〈0．05）。结论巡回护理流程图在开胸手术患者中应用取得了非常满意的效果，不仅有效地降低了术中出差错的概率，还提高了患者的满意度，值得临床推广。

英文摘要：

Objective The specialization and flexibility of clinical operations require a high level nursing corporation. The aims of this study are to make clear the tasks and duty of the circulating nurses, improve the working efficiency of doctors and nurses,and evaluate the application value of nursing flow charts in patients with open thoracotomy. Methods 560 patients scheduled for open thoracotomy in our hospital from January 2011 to December 2013 were enrolled in this study. The patients according to the time order were divided into the observation group and the control group with 280 cases in each group. The control group taken the old work procedure, while the observation group taken the nursing flow charts pro- cedure. The the number of nursing errors and satisfaction were compared between the two groups. Results The number of nursing error in observation group （15/280）were significantly lower than that in the control group （71/280）, and the difference was statistically significant （ t = 41. 957, P 〈 0.05 ） ; the satisfaction of patients in the observation group （96.16 ± 2.83 ）was significantly higher than that in the control group （86.17 ± 4.26）, and the difference was statistically significant （ t = 5.172, P 〈 0.05 ）. Conclusion The nursing flow chart in patients with open thoracotomy achieved a satisfactory result ;it can effectively reduce the error probability of the operation, and improve the satisfaction of patients.