[1]杨 琴,唐 斐.细节化手术室护理对腹腔镜胃肠手术患者术后并发症及临床满意度的影响[J].医学信息,2024,37(21):173-176.[doi:10.3969/j.issn.1006-1959.2024.21.041]
 YANG Qin,TANG Fei.Effect of Detailed Operating Room Nursing on Postoperative Complications and Clinical Satisfaction of Patients Undergoing Laparoscopic Gastrointestinal Surgery[J].Journal of Medical Information,2024,37(21):173-176.[doi:10.3969/j.issn.1006-1959.2024.21.041]
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细节化手术室护理对腹腔镜胃肠手术患者术后并发症及临床满意度的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年21期
页码:
173-176
栏目:
护理研究
出版日期:
2024-11-01

文章信息/Info

Title:
Effect of Detailed Operating Room Nursing on Postoperative Complications and Clinical Satisfaction of Patients Undergoing Laparoscopic Gastrointestinal Surgery
文章编号:
1006-1959(2024)21-0173-04
作者:
杨 琴唐 斐
万载县人民医院手术室,江西 万载 336100
Author(s):
YANG QinTANG Fei
Operating Room Wanzai County People’s Hospital,Wanzai 336100,Jiangxi,China
关键词:
腹腔镜胃肠手术细节化手术室护理术后并发症负面情绪
Keywords:
Laparoscopic gastrointestinal surgeryDetailed operating room nursingPostoperative complicationsNegative emotions
分类号:
R473
DOI:
10.3969/j.issn.1006-1959.2024.21.041
文献标志码:
A
摘要:
目的 研究细节化手术室护理对腹腔镜胃肠手术患者术后并发症及临床满意度的影响。方法 选取2019年3月-2023年3月万载县人民医院拟行腹腔镜胃肠手术治疗的50例患者,行随机数字表法分为对照组与观察组,各25例。对照组应用常规手术室护理,观察组则开展细节化手术室护理,比较两组围术期指标(术中不良事件发生次数、医护配合满意度)、心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、术后并发症及临床满意度。结果 观察组术中不良事件发生次数少于对照组,且医护配合满意度评分高于对照组(P<0.05);两组麻醉前SAS、SDS评分均低于入室时,且观察组麻醉前SAS、SDS评分低于对照组(P<0.05);观察组术后并发症发生率为4.00%,低于对照组的20.00%(P<0.05);观察组满意度为100.00%,高于对照组的84.00%(P<0.05)。结论 细节化手术室护理可减少腹腔镜胃肠手术不良事件的发生,提升医护配合满意度,改善患者负面情绪,降低术后并发症风险,且患者满意度较高。
Abstract:
Objective To study the effect of detailed operating room nursing on postoperative complications and clinical satisfaction of patients undergoing laparoscopic gastrointestinal surgery.Methods A total of 50 patients undergoing laparoscopic gastrointestinal surgery in Wanzai County People’s Hospital from March 2019 to March 2023 were selected and divided into control group and observation group by random number table method, with 25 patients in each group. The control group was given routine operating room nursing, while the observation group was given detailed operating room nursing. The perioperative indexes (number of adverse events during operation, satisfaction of medical cooperation), psychological status [Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS)], postoperative complications and clinical satisfaction were compared between the two groups.Results The number of adverse events in the observation group was less than that in the control group, and the satisfaction score of medical cooperation was higher than that in the control group (P<0.05). The SAS and SDS scores of the two groups before anesthesia were lower than those at the time of admission, and the SAS and SDS scores of the observation group before anesthesia were lower than those of the control group (P<0.05). The incidence of postoperative complications in the observation group was 4.00%, which was lower than 20.00% in the control group (P<0.05). The satisfaction rate of the observation group was 100.00%, which was higher than 84.00% of the control group (P<0.05).Conclusion Detailed operating room nursing can reduce the incidence of adverse events in laparoscopic gastrointestinal surgery, improve the satisfaction of medical cooperation, improve the negative emotions of patients, reduce the risk of postoperative complications, and have higher patient satisfaction.

参考文献/References:

[1]周彩云.手术室整体护理对高龄腹腔镜手术后患者心理状态及生活质量影响的临床研究[J].上海中医药大学学报,2022,36(1):100-102.[2]Du Q,Yang Y,Zhang J,et al.Laparoscopic versus open left hemicolectomy for left-sided colon cancer: protocol for a systematic review and meta-analysis[J].BMJ Open,2022,12(6):e062216.[3]南宁,张燕.腹腔镜结直肠癌根治术患者加强手术室优质护理干预对术后恢复的影响研究[J].贵州医药,2022,46(2):332-333.[4]蒋薇薇,谢汝慧.手术室护理路径在普外科腹腔镜手术护理中的应用[J].中国医药导报,2022,19(1):170-172,176.[5]冯晓瑞,刘清元,董苗英.基于QCC的精细化护理模式在手术室腹腔镜下结直肠肿瘤切除术患者中的应用[J].海南医学,2023,34(7):1028-1031.[6]刘会乐,武晓攀.手术室优质护理干预对腹腔镜结直肠癌根治术患者的影响[J].医学理论与实践,2017,30(2):284-285.[7]刘燕,路志红,李建立,等.手术室护理干预对腹腔镜下结直肠肿瘤切除术患者术后康复的影响[J].中国肿瘤临床与康复,2020,27(4):509-512.[8]李秀婷,李政玲.强化性护理干预对腹腔镜结直肠癌术患者胃肠功能及并发症的影响[J].现代中西医结合杂志,2018,27(15):1701-1703.[9]Byrne J,Ludington-Hoe SM.Theory of heat stress management: Development and application in the operating room[J].J Adv Nurs,2021,77(3):1218-1227.[10]李小娟,王婷婷.整体性手术室护理在腹腔镜联合胆道镜胆总管切开取石术中的应用效果评价[J].山西医药杂志,2021,50(10):1772-1774.[11]沈洁清.腹腔镜结直肠癌根治术患者加强手术室优质护理干预对术后恢复的影响[J].中国药物与临床,2019,19(17):3062-3064.[12]吴利蓉,何芳,赵平武,等.护理干预对腹腔镜结直肠癌手术患者胃肠功能的影响(附84例报告)[J]. 结直肠肛门外科,2015,21(2):151-153.[13]侯水莲,王燕利,刘桂香,等.手术室护理干预对腹腔镜下结直肠肿瘤切除术患者影响[J].中华肿瘤防治杂志,2018,25(2):214-215.[14]肖婷婷,叶晶晶.实施手术室护理路径对腹腔镜子宫肌瘤剔除术患者应激反应的影响[J].中华肿瘤防治杂志,2018,25(2):225,227.[15]Natt Och Dag Y,Mehlig K,Rosengren A,et al.Negative emotional states and negative life events: Consequences for cardiovascular health in a general population[J].J Psychosom Res,2020,129:109888.[16]司艳平,黄艳玲.腹腔镜结直肠癌手术围术期预见性护理和常规护理效果的对比研究[J].河南外科学杂志,2023,29(1):191-192[17]任书群,孟临翠.围手术期循证护理策略对中老年腹腔镜下结直肠癌根治术后恢复和并发症的影响[J].临床与病理杂志,2023,43(1):167-174.[18]姚红英.腹腔镜手术中手术室护理路径对降低患者术后并发症发生率及安全性[J].重庆医学,2020,49(2):378-379.[19]曹倩,张鹤.不同护理方法在腹腔镜下卵巢囊肿剥离术围术期中的效果观察[J].中国肿瘤临床与康复,2018,25(11):1400-1402.[20]尹丽娜,高丽红,刘朝霞,等.快速康复外科护理对妇科腹腔镜手术患者康复水平的影响[J].河北医药,2019,41(8):1277-1280.[21]Debats CEJM,Dellaert NP,Pouwels S,et al.Balancing Workload in the PACU by Using an Integrated OR Planning Methodology[J].J Perianesth Nurs,2021,36(3):279-290.[22]刘立敏.手术室细节护理对行腹腔镜手术治疗的老年患者心理状态 并发症及生活质量的影响[J].山西医药杂志,2019,48(21):2706-2708.

更新日期/Last Update: 1900-01-01