精细化综合器械管理在肝胆胰癌腹腔镜手术患者中的应用价值  

Application value of refined comprehensive instrument management in patients with laparoscopic surgery for hepatobiliary and pancreatic cancer

作　　者：彭菊 蔡亚楠 王如雪 李坤磊 金尘 杜玉青 PENG Ju;CAI Ya’nan;WANG Ruxue;LI Kunlei;JIN Chen;DU Yuqing(Department of Operation,the First Affiliated Hospital of He’nan University,Kaifeng 475000,He’nan,China)

机构地区：[1]河南大学第一附属医院手术部,河南开封4750000

出　　处：《癌症进展》2022年第11期1112-1115,共4页Oncology Progress

摘　　要：目的探讨精细化综合器械管理在肝胆胰癌腹腔镜手术患者中的应用价值。方法将2017年12月至2018年12月应用精细化综合器械管理前收治的62例肝胆胰癌腹腔镜手术患者作为对照组,将2019年1月至2020年1月应用精细化综合器械管理后收治的62例肝胆胰癌腹腔镜手术患者作为观察组。比较两组患者一般手术指标、手术器械不良情况、负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、患者和医师满意度。结果观察组患者手术时间、手术器械准备时间、衔接时间均明显短于对照组(P﹤0.01)。观察组患者手术器械不良总发生率为4.84%,明显低于对照组患者的22.58%(P﹤0.01)。观察组患者SAS评分明显低于对照组(P﹤0.01),但两组患者SDS评分无明显差异(P﹥0.05)。观察组医师满意度为98.39%,明显高于对照组医师的83.87%(P﹤0.01);观察组患者的满意度为98.39%,高于对照组患者的87.10%(P﹤0.05)。结论精细化综合器械管理应用于腹腔镜肝胆胰癌根治术患者中,能够全面提高手术器械的管理水平,缓解患者的负性情绪,提高手术医师和患者的满意度。Objective To investigate the application value of refined comprehensive instrument management in pa-tients with laparoscopic surgery for hepatobiliary and pancreatic cancer.Method A total of 62 patients with laparoscopic surgery for hepatobiliary and pancreatic cancer who were admitted before the application of refined comprehensive de-vice management from December 2017 to December 2018 were selected as the control group.Another 62 patients with laparoscopic surgery for hepatobiliary and pancreatic cancer who were treated with refined comprehensive instrument management from January 2019 to January 2020 were selected as the observation group.The general surgical indicators,adverse surgical instruments,negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],and patient and physician satisfaction were compared between the two groups.Result The operation time,surgical instru-ment preparation time,and articulation time of the observation group were significantly shorter than those of the control group(P<0.01).The total incidence of adverse surgical instruments in the observation group was 4.84%,which was sig-nificantly lower than 22.58%in the control group(P<0.01).The SAS score of the observation group was significantly lower than that of the control group(P<0.01),but there was no significant difference in SDS score between the two groups(P>0.05).The physician satisfaction rate in the observation group was 98.39%,which was significantly higher than that in the control group with 83.87%(P<0.01).The satisfaction rate of patients in the observation group was 98.39%,which was higher than 87.10%in the control group(P<0.05).Conclusion The application of refined compre-hensive instrument management in patients undergoing laparoscopic hepatobiliary and pancreatic cancer could generally improve the management level of surgical instruments,alleviate patients’negative emotions,and improve both surgeons’and patients’satisfaction.

关 键 词：肝胆胰癌 腹腔镜手术 精细化综合管理 手术器械管理 

分 类 号：R735[医药卫生—肿瘤]