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作 者:陈燕珠[1] 胡宝君 黄馥桦 杜丽[3] 刘俐敏[4] 林跃梅[5] Chen Yanzhu;Hu Baojun;Huang Fuhua;Du Li;Liu Limin;Lin Yuemei(Operating Room,The Second Affiliated Hospital of Medical College of Shantou University,Shantou 505041,China;Hospital Wound Team,The Second Affiliated Hospital of Medical College of Shantou University,Shantou 505041,China;Recovery Room,The Second Affiliated Hospital of Medical College of Shantou University,Shantou 505041,China;Gastrointestinal Ward,The Second Affiliated Hospital of Medical College of Shantou University,Shantou 505041,China;Nursing Department,The Second Affiliated Hospital of Medical College of Shantou University,Shantou 505041,China)
机构地区:[1]汕头大学医学院第二附属医院手术室,505041 [2]汕头大学医学院第二附属医院医院伤口小组,505041 [3]汕头大学医学院第二附属医院恢复室,505041 [4]汕头大学医学院第二附属医院胃肠外科病房,505041 [5]汕头大学医学院第二附属医院护理部,505041
出 处:《国际医药卫生导报》2020年第15期2185-2188,共4页International Medicine and Health Guidance News
基 金:汕头市科技计划项目(汕府科[2017]182号)。
摘 要:目的比较多学科团队协作手术过程中压力性损伤防护管理和常规手术中压力性损伤防护管理两种护理方式对腹腔镜胃癌手术患者的护理效果。方法将2019年1—12月在本院行腹腔镜胃癌手术的148例住院患者设为研究对象,使用随机数字法随机分为对照组和实验组各74例。在围手术期压力性损伤护理时,对照组采用通常采用的常规术中压力性损伤防护管理,实验组采用多学科团队协作的手术过程中压力性损伤防护管理。手术后第1天,记录两组患者的术中压力性损伤情况,并对病房护士进行手术室护理工作效果的满意度问卷调查。结果对照组发生手术过程中压力性损伤7例(1期5例,2期2例,部位为骶尾部和足跟,发生率9.46%),实验组发生1例(1期,骶尾部,发生率1.35%),对照组高于实验组,两组差异有统计学意义(P<0.05)。调查问卷结果表明,实验组满意率(100.00%)高于对照组(81.09%),差异有统计学意义(P<0.05)。结论术中实施多学科团队协作的压力性损伤预防措施,能明显降低腹腔镜胃癌手术患者手术中压力性损伤的发生率,同时提高了病房护理人员对手术室护理工作的满意度。Objective To compare the nursing effect of two kinds of nursing methods(intraoperative pressure injury protection management under the cooperation of multidisciplinary team and conventional intraoperative pressure injury protection management)on patients undergoing laparoscopic gastric cancer surgery.Methods A total of 148 inpatients who underwent laparoscopic gastric cancer surgery in our hospital from January to December 2019 were set as the research subjects,and were divided into a control group and an experimental group with 74 cases in each group with the random number table method.In the nursing for perioperative pressure injury,the control group underwent conventional intraoperative pressure injury protection management,and the experimental group underwent intraoperative pressure injury protection management under the cooperation of multidisciplinary team.On the first day after the operation,the intraoperative pressure injuries of the two groups of patients were recorded,and the nurses in the ward were asked about the satisfaction on the nursing work of operating room.Results There were 7 cases of intraoperative pressure injury in the control group(5 cases of stage 1,2 cases of stage 2,at the sacrococcygeal and heel sites,the incidence of 9.46%);there was 1 case of intraoperative pressure injury in the experimental group(stage 1,at the sacrococcygeal site,the incidence of 1.35%),there was statistically significant difference(P<0.05).The questionnaire results showed that the satisfaction rate of the experimental group(100.00%)was higher than that of the control group(81.09%),with statistically significant difference(P<0.05).Conclusion The implementation of multi-disciplinary team cooperation can effectively reduce the incidence of stress injuries during laparoscopic gastric cancer surgery,and the nurses in the ward are highly satisfied with the nursing work in the operating room.
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