电视辅助胸腔镜肺叶切除术的护理配合研究  

Nursing research of operative cooperation for video-assisted thoracoscopic lobectomy

作　　者：黄东兰 廖勇 

机构地区：[1]广西壮族自治区龙潭医院手术室,柳州545005 [2]广西壮族自治区龙潭医院胸外科,柳州545005

出　　处：《中国防痨杂志》2017年第5期539-541,共3页Chinese Journal of Antituberculosis

摘　　要：目的对电视辅助胸腔镜手术（video-assisted thoracoscopic surgery，VATS）行肺叶切除术的术中配合护理进行深入研究，以缩短手术时间、减少出血量、提高患者和医生对手术室护理工作的满意度。方法2015年1月至2017年1月我院采用VATS施行肺叶切除术100例，将2015年1月至2015年12月48例行常规手术配合者设置为对照组，将2016年1月至2017年1月52例在常规手术配合基础上加腔镜特别的术前、术中护理配合者作为观察组，比较两组的手术时间、术中出血量，并采用我院自制的的满意度调查表对患者、家属及医生的满意度进行评价。结果观察组患者的手术时间平均为（182．4±10．2）min，术中出血量平均为（432．0±32．1）ml；对照组患者的手术时间平均为（245．3±12．1）min，术中出血量平均为（642．3±25．1）ml，两组上述指标差异均有统计学意义（t值分别为16．2、28．3，P值均〈O．05）。观察组患者及其家属对手术室护理工作满意度为98．1％（51／52），手术医师对手术室护士手术配合的满意度为100．0％（52／52）；对照组患者及其家属对手术室护理工作满意度为81．2％（39／48），手术医师对手术室护士手术配合的满意度为85．4％（41／48），两组上述满意度差异均有统计学意义（χ2值分别为12．3、8．6，P〈0．05）。结论对VATS肺叶切除术患者进行科学合理、细致有效的手术护理及精准熟练的术中配合效果显著，可缩短手术时间，提高手术室护理工作满意度，促使患者早日康复。Objective To study operative cooperation for video-assisted thoracoscopic lobectomy, shorten operation time, reduced blood lose and improve the degree satisfaction by patients and surgeons. Methods From January 2015 to January 2017, we selected 100 patients to treat by video-assisted thoracoscopic lobectomy. 48 patients who were taken conventional operative cooperation during January 2015 to December 2015 was defined as control group, 52 patients who were taken conventional operative cooperation＋ special preoperation and intraopera- tion video-assisted thoracoscopic surgery （VATS） operative cooperation during January 2016 to January 2017 was defined as observation group. We compared 2 groups operation time, blood lose and the degree satisfaction by pa- tients and surgeons. Results Average operation time was （182.4±10. 2） rain and average blood lose was （432±32.1） ml in observation group,average operation time was （245.3±12.1） rain and average blood lose was （642.3±25.1） ml in control group, the two groups＇ difference had statistic significance （t values were 16.2 and 28. 3, all P〈0. 05）. According to the questionnaires, in observation group, the degree satisfaction was 98.1% （51/52） by patients and their family members, the degree satisfaction was 100% （52/52） by surgeons; in control group, the degree satisfaction was 81.2% （39/48） by patients and their family members, the degree satisfaction was 85.4% （41/48） by surgeons; the 2 groups＇ difference had statistic significance （χ2 values were 12.3 and 8.6, all P〈0.05）. Conclusion If we do VATS operative nursing and operative cooperation perfect, can shorten operation time, reduce blood lose and also improve the degree satisfaction by patients, family members and surgeons.

关 键 词：胸腔镜 肺切除术 手术配合 护理研究 结果与过程评价(卫生保健) 

分 类 号：R734.2[医药卫生—肿瘤]