腔镜乙状结肠癌直肠癌根治术中护理关键点质控的效果评价

Effects of Quality Control of Nursing Key Points in Laparoscopic Radical Resection of Sigmoid Colon, Rectal Cancer

目的评价腔镜乙状结肠癌、直肠癌根治术中护理关键点质控的效果。方法回顾分析46例腔镜乙状结肠癌、直肠癌根治术患者(对照组)的术中护理质量缺陷点,包括低体温、压疮、器械管理及配合不佳;对进行相同手术的58例患者(观察组)的术中护理进行改进。比较两组患者的手术时间、体温降低、压疮、下肢深静脉血栓发生率及患者和手术医生的满意率。结果观察组较对照组手术时间明显缩短(P<0.01)、体温更为平稳(P<0.01),无压疮(P<0.01)和深静脉血栓(P<0.05),观察组的患者和手术医生的满意率均明显高于对照组(P<0.01)。结论对腔镜乙状结肠癌、直肠癌根治术中进行护理关键点的质量控制,可缩短手术时间,减少低体温、压疮及深静脉血栓的发生率,提高手术护理的质量。

Objective To study the effects of quality control of nursing key points in laparoscopic radical resection of sigmoid colon, rectal cancer. Methods A retrospective analysis of intraoperative nursing quality defects was conducted in 46 cases of patients with laparoscopic radical resection of sigmoid colon, rectal cancer（control groups）. The quality defects included low temperature, pressure sores, equipment management and poor cooperation. The pertinence nursing improvement was performed for 58 cases of patients with the same operation（observation group）. The operation time, incidence of low temperature, pressure sores and DVT in two groups were compared and the satisfaction of patients and doctors with the operation were investigated. Results The operation time in observation group was significantly shorter than that in control group（P〈0.01） and the temperature in observation group was more stable than that in control group（P〈0.01）. There were no pressure sores and DVT in observation group. The satisfaction rates of the patients and doctors in observation group with the operation were significantly higher than those in control group（P〈 0.01）. Conclusion The pertinence intraoperative nursing improvement of quality defects can shorten operation time, reduce the incidence of low temperature, pressure sores and DVT, and improve the quality of nursing quality in patients with laparoscopic radical resection of sigmoid colon, rectal cancer.