舒适护理模式在腹腔镜直肠手术中的应用

Application of comfortable nursing mode in laparoscopic rectal surgery

目的:探讨手术室舒适化护理模式在腹腔镜直肠手术中的应用效果。方法:选取吉林大学中日联谊医院2017年1月至2018年1月收治的拟行腹腔镜直肠手术患者138例进行前瞻性研究,随机分为观察组和对照组,各69例。对照组采用常规护理方法,观察组采用舒适化护理模式,分别计算两组手术室护理并发症(骶尾部红肿、侧滑、下肢麻木)的发生率、手术时间、患者术后满意度。结果:与对照组比较,观察组的骶尾部红肿、下肢麻木、侧滑等手术室护理并发症的发生率均显著降低,同时,患者术后满意度明显提高,差异均有统计学意义(均 P<0.05)。在手术时间方面两组比较差异无统计学意义( P>0.05)。 结论:手术室舒适化护理模式能有效减低腹腔镜直肠手术中护理并发症的发生,提高患者的术后满意度,且不延长手术时间。

Objective To explore the application effect of comfortable nursing mode in operating room in laparoscopic rectal surgery.Methods A prospective study was conducted on 138 patients who were admitted to China-Japan Friendship Hospital of Jilin University from January 2017 to January 2018 and were randomly divided into observation group and control group, 69 cases of each group.The control group received conventional nursing methods, and the observation group received comfortable nursing mode. The incidence of nursing complications (sacrococcygeal redness, lateral slippage and lower limb numbness), operation time, and postoperative satisfaction of patients in the two groups were calculated respectively.Results Compared with the control group, the incidence of operating room nursing complications such as sacrococcygeal redness, lower limb numbness and lateral slippage in the observation group was significantly reduced, and the postoperative satisfaction of patients was significantly increased, with statistically significant differences (P<0.05). There was no significant difference in operation time between the two groups(P>0.05).Conclusions Operating room comfort nursing mode can effectively reduce the occurrence of nursing complications in laparoscopic rectal surgery, improve the postoperative satisfaction of patients, and do not prolong the operation time.