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精细化管理在结肠癌腹腔镜根治性切除术中的手术室护理对手术效率及护理满意度的影响

Effect of refined management in operating room nursing on surgical efficiency and nursing satisfaction during laparoscopic radical resection of colon cancer.

作者信息

Pan Yan, Yi Meilian

机构信息

Operating Room, Yichun People's Hospital Yichun 336000, Jiangxi, China.

出版信息

Am J Transl Res. 2024 Feb 15;16(2):506-514. doi: 10.62347/JUVO8905. eCollection 2024.

Abstract

AIM

To assess the effect of refined management in the operating room nursing on surgical efficiency and nursing satisfaction during laparoscopic radical resection of colon cancer.

METHODS

In this retrospective study, 100 patients with laparoscopic radical resection of colon cancer were enrolled into this study. There were 51 patients who received refined management (the observation group) and 49 patients who received routine nursing intervention (the control group). The effect of refined management in the operating room nursing was evaluated by comparing the surgical efficiency, quality of care ratings, pain scores, and the nursing satisfaction between the two groups.

RESULTS

The preoperative preparation time, surgical time, intraoperative bleeding volume, and time to first postoperative defecation in the observation group were all less than those in the control group after nursing intervention (all P<0.05). The observation group had higher scores than the control group in five categories: operating room environment and safety, drug and instrument management, hygiene and sterilization, nursing records, and nursing professionalism (all P<0.05). The numerical rating scale (NRS) pain scores of the patients in the observation group were lower than those of the control group at 12, 24, and 48 hours postoperatively (all P<0.05). The rate of satisfaction in the observation group was 96.1%. This was higher than the 91.8% in the control group (P<0.05). The multivariate regression analysis demonstrated that refined management intervention is an independent factor for patients' prognosis.

CONCLUSION

The implementation of a refined management model in the operating room is effective in improving the quality of surgical care and surgical efficiency, and increasing patient satisfaction with nursing staff.

摘要

目的

评估手术室护理精细化管理对结肠癌腹腔镜根治术手术效率及护理满意度的影响。

方法

本回顾性研究纳入100例行结肠癌腹腔镜根治术的患者。其中51例接受精细化管理(观察组),49例接受常规护理干预(对照组)。通过比较两组的手术效率、护理质量评分、疼痛评分及护理满意度,评估手术室护理精细化管理的效果。

结果

护理干预后,观察组的术前准备时间、手术时间、术中出血量及术后首次排便时间均少于对照组(均P<0.05)。观察组在手术室环境与安全、药品与器械管理、卫生与消毒、护理记录及护理专业性五个方面的评分均高于对照组(均P<0.05)。观察组患者术后12、24及48小时的数字分级量表(NRS)疼痛评分低于对照组(均P<0.05)。观察组的满意度为96.1%,高于对照组的91.8%(P<0.05)。多因素回归分析表明,精细化管理干预是患者预后的独立因素。

结论

在手术室实施精细化管理模式可有效提高手术护理质量和手术效率,并提高患者对护理人员的满意度。

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