目的探讨零缺陷理论用于手术室心脏手术护理中的效果。方法 880例行心脏手术的患者,随机分为对照组(采用常规手术护理模式)及观察组(采用零缺陷理论护理),各440例。比较两组患者的术中各项指标、护理质量、护理缺陷。结果观察组手术时间、术中出血量、住院时间均优于对照组,差异均有统计学意义(P<0.05)。观察组心理状态、睡眠质量、遵医行为、饮食护理质量评分均高于对照组,差异均有统计学意义(P<0.05)。观察组护理缺陷发生率1.14%明显低于对照组3.64%,差异有统计学意义(χ~2=5.903,P<0.05)。结论零缺陷理论用于手术室心脏手术护理中效果显著,利于提高护理质量,减少护理缺陷,提升手术室整体护理品质。 Objective To investigate the effect of zero defect theory in the operation of cardiac surgery in operation room. Methods 880 patients undergoing cardiac surgery were randomly divided into control group (using conventional surgical nursing model) and observation group (using zero defect theoretical nursing), each of 440 cases. The indexes of operation, nursing quality and nursing defects of two groups were compared. Results The operation time, intraoperative blood loss and hospital stay in the observation group were better than those in the control group (P <0.05). The observation group’s psychological status, sleep quality, compliance behavior, diet quality of care scores were higher than the control group, the difference was statistically significant (P <0.05). The incidence of nursing defects in the observation group was significantly lower than that of the control group (1.14% vs 3.64%, χ ~ 2 = 5.903, P <0.05). Conclusion The zero-defect theory is effective in the operation of cardiac surgery in operation room, which is beneficial to improve the quality of nursing care, reduce the nursing defects and improve the overall nursing quality of operating room.