手术室护理路径在腹腔镜胆囊切除术患者手术室护理中的应用  

Application of operating room nursing pathway in patients receiving laparoscopic cholecystectomy

作　　者：钟奕[1] 张军花[1] 卜文君[1] 郑莉丽[1] Zhong Yi;Zhang Junhua;Bu Wenjun;Zheng Lili(Operating Room,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China)

机构地区：[1]南方医科大学南方医院手术室,广州510515

出　　处：《中华现代护理杂志》2018年第20期2423-2426,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨手术室护理路径在腹腔镜胆囊切除手术（LC）患者手术室护理中的应用效果。方法选取2016年10月—2017年4月南方医院手术室96例行LC治疗患者，根据入院顺序分为观察组与对照组，各48例。对照组给予常规护理干预措施，观察组在对照组基础上，根据手术室护理路径进行手术室护理。对比两组手术及术后恢复情况（手术用时、术中出血量、胃肠功能恢复时间、住院时间）、并发症发生率、手术室安全隐患事件发生率、患者对护理的满意率。结果与对照组比较，观察组手术用时少，术中出血量少，胃肠功能恢复时间早，住院时间短，两组比较差异有统计学意义（P〈0.05）。观察组患者术后并发症发生率（4.17%）低于对照组（16.67%），差异有统计学意义（P〈0.05）。观察组未发生手术室安全隐患事件，对照组发生率为12.50%，两组比较差异有统计学意义（P〈0.05）。观察组患者满意率（93.75%）高于对照组（75.00%），差异有统计学意义（P〈0.05）。结论实施手术室护理路径可保证LC顺利进行，降低术后并发症发生率，且有利于加强手术患者安全管理，减少手术室安全隐患事件发生，提高患者对护理工作的满意度。Objective To explore the effects of operating room nursing pathway in patients receiving laparoscopic cholecystectomy （LC）. Methods Totally 96 patients receiving LC in the Operating Room of Nanfang Hospital from October 2016 to April 2017 were selected and equally randomized into observation group （n=48） and control group （n=48） according to the order of admittance. Patients in the control group received conventional nursing, while patients in the observation group received operating room nursing according to operating room nursing pathway on this basis. Operation, postoperative recovery （time of operation, intraoperative bleeding, time of gastrointestinal function recovery and length of hospital stay）, incidence of complications, incidence of operating room safety hazard and patients＇ satisfaction with nursing were compared between the two groups. Results Compared with the control group, shorter time of operation, less intraoperative bleeding, earlier recovery of gastrointestinal function and shorter length of hospital stay were found in the observation group （P 〈 0.05）. Incidence of postoperative complications in the observation group was lower at 4.17% compared to 16.67% in the control group （P 〈 0.05）. No operating room safety hazard was found in the observation group, while the incidence in the control group was 12.50%, showing a significant difference （P 〈 0.05）. Patients＇ satisfaction with nursing in the observation group was higher at 93.75% compared to 75.00% in the control group （P 〈 0.05）. Conclusions Operating room nursing pathway enables LC to run smoothly, reduces the incidence of postoperative complications, enhance surgical patient safety management, curtail operating room safety hazard, and improve patients＇satisfaction with nursing service.

关 键 词：手术室护理 腹腔镜胆囊切除术 患者安全管理 护理路径 

分 类 号：R472.3[医药卫生—护理学]