The Role of Cluster Nursing Methods Following Laparoscopic Partial Nephrectomy

Abstract

Objective : Laparoscopic partial nephrectomy has become an important treatment method for patients with limited renal tumors; however, its most common complication is postoperative bleeding and, until now, little has been known about the use of enhanced recovery after surgery following the use of laparoscopic partial nephrectomy for kidney tumors in China. In the present study, we assessed the efficacy of cluster nursing methods in the recovery of patients after laparoscopic partial nephrectomy. Methods: We included 96 patients were in the study and separated them into an observation group and a control group. The control group received traditional oral and written education as well as routine care; the observation group received the cluster nursing methods of a dissociate hemorrhage risk classification and position plan, performed by doctors and nurses, respectively. We used the Kolcaba General Comfort Questionnaire (GCQ), Digital Pain Scoring, and Hamilton Anxiety Scale to evaluate the patients′ conditions. Results: We compared the durations of absolute bedrest, Kolcaba GCQ scores, flank pain scores, psychological anxiety scores and hospitalization indicators between the 2 groups; the differences were statistically significant (p<.05). No bleeding or lower extremity venous thrombosis occurred in either of the 2 groups. Conclusions: Position management and diversified health education may enhance post-surgery recovery, shorten the hospitalization time, and improve inpatient comfort.