手术室前瞻性流程化管理在结肠癌手术患者中的应用  

Application of prospective process management in operating room for patients with colon cancer surgery

作　　者：林柳兰 徐明 LIN Liulan;XU Ming(Department of Operating Room,Guangdong Provincial People′s Hospital/Ganzhou Municipal Hospital,Ganzhou,Jiangxi 341000,China)

机构地区：[1]广东省人民医院赣州医院/赣州市立医院手术室,江西赣州341000

出　　处：《现代医药卫生》2025年第4期916-920,共5页Journal of Modern Medicine & Health

摘　　要：目的探讨在结肠癌手术患者中应用手术室前瞻性流程化管理的效果。方法选取2020年1月至2023年3月于该院拟行腹腔镜结肠癌根治术的110例患者,以随机数字表法分为对照组与试验组,均为55例。给予对照组患者常规手术室护理,试验组患者实施手术室前瞻性流程化管理,记录并比较2组患者入室后负性情绪、术中各时点体温、术后复苏期苏醒情况、术中并发症发生率及患者满意度。结果试验组患者焦虑自评量表[(28.84±3.41)分]、恐惧视觉模拟评分量表[(4.21±1.39)分]评分均低于对照组[(35.92±5.16)、(6.82±1.44)分],差异有统计学意义(P<0.05)。2组患者切皮时(T2)、手术开始后30 min(T3)、手术开始后60 min(T4)及手术结束时(T5)时体温对比,试验组均高于对照组(P<0.05)。且对照组T2、T3、T4、T5时体温显著低于麻醉时(T1)时(P<0.05);试验组麻醉苏醒时间[(19.71±6.59)min]、气管插管拔管时间[(22.96±5.87)min]均短于对照组[(22.73±6.17)、(26.12±6.05)min],Steward苏醒评分高于对照组[(4.92±0.62)分vs.(4.46±0.87)分],差异有统计学意义(P<0.05)。试验组术中并发症发生率低于对照组[3.64%(2/55)vs.14.55%(8/55)],试验组患者对护理工作总满意度高于对照组[98.18%(54/55)vs.85.45%(47/55)],差异有统计学意义(P<0.05)。结论前瞻性流程化模式可缓解结肠癌患者恐惧、焦虑情绪,避免术中低体温的发生,缩短麻醉苏醒时间、气管插管拔管时间,并能够提高患者苏醒质量,降低术中并发症发生率,提高患者对护理工作满意度。Objective To explore the effect of prospective process management in operating room for patients with colon cancer surgery.Methods A total of 110 patients who underwent laparoscopic radical resection of colon cancer in the hospital from January 2020 to March 2023 were selected.They were divided into the control group and the experimental group using a random number table method,with 55 cases in each group.The patients in the control group were given routine operating room nursing,and the patients in the experimental group were given the prospective process management of the operating room.The negative emotions after entry,body temperature at various points during operation,recovery status during the post operative recovery period,incidence of complications during operation and patient satisfaction were recorded and compared between the two groups.Results The scores of anxiety self-rating scale[(28.84±3.41)points]and fear visual analog scale[(4.21±1.39)points]of the experimental group were lower than those of the control group[(35.92±5.16),(6.82±1.44)points],and the differences were statistically significant(P<0.05).The body temperature of the two groups at the time of incision(T2),30 min after the operation(T3),60 min after the operation(T4)and at the end of the operation(T5)in the experimental group were higher than those in the control group(P<0.05).The body temperature of the control group at T2,T3,T4 and T5 were significantly lower than those at anesthesia(T1)(P<0.05).Anesthesia recovery time[(19.71±6.59)min]and tracheal intubation and extubation time[(22.96±5.87)min]in the experimental group were shorter than those in the control group[(22.73±6.17),(26.12±6.05)min].The recovery score of Steward of the experimental group was higher than that of the control group[(4.92±0.62)points vs.(4.46±0.87)points],and the difference was statistically significant(P<0.05).The incidence of complication during operation of the experimental group was lower than that of the control group[3.64%(2/55)vs.14.55%(8/55)],an

关 键 词：腹腔镜结肠癌根治术 手术室护理 前瞻性流程化管理 体温 麻醉苏醒 

分 类 号：R473.6[医药卫生—护理学]