细节化手术室护理对腹腔镜胃肠手术患者术后并发症及临床满意度的影响  

Effect of Detailed Operating Room Nursing on Postoperative Complications and Clinical Satisfaction of Patients Undergoing Laparoscopic Gastrointestinal Surgery

作　　者：杨琴 唐斐 YANG Qin;TANG Fei(Operating Room Wanzai County People's Hospital,Wanzai 336100,Jiangxi,China)

机构地区：[1]万载县人民医院手术室,江西万载336100

出　　处：《医学信息》2024年第21期173-176,共4页Journal of Medical Information

摘　　要：目的研究细节化手术室护理对腹腔镜胃肠手术患者术后并发症及临床满意度的影响。方法选取2019年3月-2023年3月万载县人民医院拟行腹腔镜胃肠手术治疗的50例患者,行随机数字表法分为对照组与观察组,各25例。对照组应用常规手术室护理,观察组则开展细节化手术室护理,比较两组围术期指标(术中不良事件发生次数、医护配合满意度)、心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、术后并发症及临床满意度。结果观察组术中不良事件发生次数少于对照组,且医护配合满意度评分高于对照组(P<0.05);两组麻醉前SAS、SDS评分均低于入室时,且观察组麻醉前SAS、SDS评分低于对照组(P<0.05);观察组术后并发症发生率为4.00%,低于对照组的20.00%(P<0.05);观察组满意度为100.00%,高于对照组的84.00%(P<0.05)。结论细节化手术室护理可减少腹腔镜胃肠手术不良事件的发生,提升医护配合满意度,改善患者负面情绪,降低术后并发症风险,且患者满意度较高。Objective To study the effect of detailed operating room nursing on postoperative complications and clinical satisfaction of patients undergoing laparoscopic gastrointestinal surgery.Methods A total of 50 patients undergoing laparoscopic gastrointestinal surgery in Wanzai County People's Hospital from March 2019 to March 2023 were selected and divided into control group and observation group by random number table method,with 25 patients in each group.The control group was given routine operating room nursing,while the observation group was given detailed operating room nursing.The perioperative indexes(number of adverse events during operation,satisfaction of medical cooperation),psychological status[Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS)],postoperative complications and clinical satisfaction were compared between the two groups.Results The number of adverse events in the observation group was less than that in the control group,and the satisfaction score of medical cooperation was higher than that in the control group(P<0.05).The SAS and SDS scores of the two groups before anesthesia were lower than those at the time of admission,and the SAS and SDS scores of the observation group before anesthesia were lower than those of the control group(P<0.05).The incidence of postoperative complications in the observation group was 4.00%,which was lower than 20.00% in the control group(P<0.05).The satisfaction rate of the observation group was 100.00%,which was higher than 84.00% of the control group(P<0.05).Conclusion Detailed operating room nursing can reduce the incidence of adverse events in laparoscopic gastrointestinal surgery,improve the satisfaction of medical cooperation,improve the negative emotions of patients,reduce the risk of postoperative complications,and have higher patient satisfaction.

关 键 词：腹腔镜胃肠手术 细节化手术室护理 术后并发症 负面情绪 

分 类 号：R473[医药卫生—护理学]