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精细化护理管理对腹腔镜普外科手术效率、术后恢复和应激反应的价值。

The Value of Refined Nursing Management for Surgical Efficiency, Postoperative Recovery, and Stress Response in Laparoscopic General Surgery.

机构信息

Operating Department, Zhongnan Hospital of Wuhan University, 430071 Wuhan, Hubei, China.

出版信息

Ann Ital Chir. 2024;95(5):809-815. doi: 10.62713/aic.3636.

Abstract

AIM

The study aimed to explore the impact of refined nursing management in the operating room on surgical efficiency, postoperative recovery, and stress responses in patients undergoing laparoscopic general surgery.

METHODS

A retrospective analysis was conducted on 100 patients who underwent laparoscopic surgery at Zhongnan Hospital of Wuhan University between March 2023 and March 2024. The control group comprised 48 cases receiving conventional operating room nursing, while the observation group comprised 52 cases receiving refined nursing management in the operating room in addition to the conventional care. Comparisons were conducted between the two groups regarding surgical efficiency, postoperative recovery, postoperative stress indicators, psychological status before and after nursing, overall treatment comfort, perioperative complications, and nursing satisfaction.

RESULTS

The observation group showed statistically significant improvements in surgical efficiency, postoperative recovery, and stress indicators compared to the control group. After the intervention, the Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) scores of both groups significantly decreased compared to pre-nursing levels (p < 0.05), while such decrease was notably higher in the observation group (p < 0.05). Patients in the observation group reported significantly higher post-nursing comfort levels (p < 0.05) and exhibited significantly fewer perioperative complications (p < 0.05) compared to the control group. Furthermore, the nurses indicated significantly higher satisfaction with patient care in the observation group (p < 0.05).

CONCLUSIONS

Implementing refined nursing in the operating room for laparoscopic general surgery can facilitate the recovery of gastrointestinal function, reduce postoperative recovery time, prevent complications, improve patients' psychological state, and enhance their quality of life.

摘要

目的

本研究旨在探讨手术室精细化护理管理对腹腔镜普外科手术患者手术效率、术后恢复及应激反应的影响。

方法

采用回顾性分析方法,选取 2023 年 3 月至 2024 年 3 月在武汉大学中南医院行腹腔镜手术的 100 例患者,对照组 48 例行常规手术室护理,观察组 52 例在常规护理基础上实施手术室精细化护理管理,比较两组手术效率、术后恢复、术后应激指标、护理前后心理状态、整体治疗舒适度、围术期并发症及护理满意度。

结果

观察组手术效率、术后恢复及应激指标均显著优于对照组,干预后两组患者的焦虑自评量表(SAS)和抑郁自评量表(SDS)评分均较护理前显著降低(p<0.05),且观察组降低幅度显著大于对照组(p<0.05);观察组患者护理后舒适度评分显著高于对照组(p<0.05),围术期并发症发生率显著低于对照组(p<0.05),护理满意度显著高于对照组(p<0.05)。

结论

对腹腔镜普外科手术患者实施手术室精细化护理管理可促进胃肠功能恢复,缩短术后康复时间,预防并发症发生,改善患者心理状态,提高其生活质量。

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