关键点质控在腹腔镜下结直肠癌根治术患者中的应用效果

Application effect of key point quality control in patients undergoing colorectal cancer radical resection under laparoscope

目的研究关键点质控在腹腔镜下结直肠癌根治术患者中的运用效果。方法选取2018年9月至2019年9月医院104例结直肠癌患者为研究对象,所有患者均采用腹腔镜下根治手术,根据入院顺序及组间具有可比性的原则,将患者分为常规组(46例)与关键点质控组(58例)。术中分别进行常规护理以及关键点质控护理。比较两组患者术中急性压疮危险评估量表、Caprini深静脉血栓风险评估量表以及最低鼻咽温度;术后评价患者满意度。结果关键点质控组术中急性压疮危险评分、Caprini评分均明显低于常规组,最低鼻咽温度高于常规组,差异具有统计学意义(P<0.05);关键点质控组患者满意度评分显著高于常规组,差异具有统计学意义(P<0.05)。结论术中关键点质控能够有效弥补腹腔镜下结直肠癌根治术中压疮、深静脉血栓、低体温等护理质量缺陷点,能够提高医护配合度,提升患者满意度。

Objective To study the effect of application effect of key point quality control in patients undergoing colorectal cancer radical resection under laparoscope.Methods To select 104 cases of patients with colorectal cancer in hospital from September 2018 to September 2019 as the study objects,and all patients underwent colorectal cancer radical resection under laparoscope.According to the order of admission and the principle of comparability between groups,the patients were divided into a conventional group(46 cases)and a key point quality control group(58 cases).During the operation,routine nursing and key point quality control nursing were performed respectively to compare"Acute Pressure Sores Risk Assessment Scale","Caprini Deep Vein Thrombosis Risk Assessment Scale"and minimum nasopharyngeal temperature between the two groups of patients,and patient’s satisfaction was evaluated after operation.Results The intraoperative acute pressure sores risk score and Caprini score in the key point quality control group were significantly lower than those of the conventional group,the lowest nasopharyngeal temperature was higher than that of the conventional group,and the differences were statistically significant(P<0.05).The satisfaction score of patients in the key point quality control group was significantly higher than that in the conventional group,and the difference was statistically significant(P<0.05).Conclusion The quality control of key points during the operation can effectively make up for the defects of nursing quality such as pressure ulcer,deep vein thrombosis and hypothermia during laparoscopic radical resection of colorectal cancer,which can improve the coordination of medical care and patient's satisfaction.