精细化护理管理对腹腔镜普外科手术效率、术后恢复和应激反应的价值。

IF 0.9 4区 医学 Q3 SURGERY
Kunxian Zhang, Guoyan Zhao
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引用次数: 0

摘要

目的:本研究旨在探讨手术室精细化护理管理对腹腔镜普外科手术患者手术效率、术后恢复及应激反应的影响:方法:对2023年3月至2024年3月期间在武汉大学中南医院接受腹腔镜手术的100例患者进行回顾性分析。对照组 48 例接受常规手术室护理,观察组 52 例在常规护理基础上接受手术室精细化护理管理。两组在手术效率、术后恢复、术后应激指标、护理前后心理状态、整体治疗舒适度、围手术期并发症、护理满意度等方面进行比较:结果:与对照组相比,观察组在手术效率、术后恢复和压力指标方面均有明显改善,差异有统计学意义。干预后,两组患者的焦虑自评量表(SAS)和抑郁自评量表(SDS)得分与护理前相比均显著下降(P < 0.05),而观察组的下降幅度明显更高(P < 0.05)。与对照组相比,观察组患者护理后的舒适度明显提高(p < 0.05),围手术期并发症明显减少(p < 0.05)。此外,观察组护士对患者护理的满意度明显更高(P < 0.05):腹腔镜普外科手术室实施精细化护理可促进患者胃肠功能的恢复,缩短术后恢复时间,预防并发症,改善患者心理状态,提高患者生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Value of Refined Nursing Management for Surgical Efficiency, Postoperative Recovery, and Stress Response in Laparoscopic General Surgery.

Aim: The study aimed to explore the impact of refined nursing management in the operating room on surgical efficiency, postoperative recovery, and stress responses in patients undergoing laparoscopic general surgery.

Methods: A retrospective analysis was conducted on 100 patients who underwent laparoscopic surgery at Zhongnan Hospital of Wuhan University between March 2023 and March 2024. The control group comprised 48 cases receiving conventional operating room nursing, while the observation group comprised 52 cases receiving refined nursing management in the operating room in addition to the conventional care. Comparisons were conducted between the two groups regarding surgical efficiency, postoperative recovery, postoperative stress indicators, psychological status before and after nursing, overall treatment comfort, perioperative complications, and nursing satisfaction.

Results: The observation group showed statistically significant improvements in surgical efficiency, postoperative recovery, and stress indicators compared to the control group. After the intervention, the Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) scores of both groups significantly decreased compared to pre-nursing levels (p < 0.05), while such decrease was notably higher in the observation group (p < 0.05). Patients in the observation group reported significantly higher post-nursing comfort levels (p < 0.05) and exhibited significantly fewer perioperative complications (p < 0.05) compared to the control group. Furthermore, the nurses indicated significantly higher satisfaction with patient care in the observation group (p < 0.05).

Conclusions: Implementing refined nursing in the operating room for laparoscopic general surgery can facilitate the recovery of gastrointestinal function, reduce postoperative recovery time, prevent complications, improve patients' psychological state, and enhance their quality of life.

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来源期刊
CiteScore
0.90
自引率
12.50%
发文量
116
审稿时长
>12 weeks
期刊介绍: Annali Italiani di Chirurgia is a bimonthly journal and covers all aspects of surgery:elective, emergency and experimental surgery, as well as problems involving technology, teaching, organization and forensic medicine. The articles are published in Italian or English, though English is preferred because it facilitates the international diffusion of the journal (v.Guidelines for Authors and Norme per gli Autori). The articles published are divided into three main sections:editorials, original articles, and case reports and innovations.
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