手术室护理安全干预机制在胃癌手术患者中的应用探析

Application of Nursing Safety Intervention Mechanism in Operating Room in Patients Undergoing Gastric Cancer Surgery

目的探讨护理安全干预机制对胃癌患者压疮等并发症发生情况及手术指标的影响。方法选取2021年2月—2022年2月福建医科大学肿瘤临床医学院/福建省肿瘤医院收治的60例胃癌手术患者为研究对象,按照计算机单盲分组法随机分入观察组和对照组,每组各30例。对照组胃癌手术患者采用常规护理干预,观察组胃癌手术患者在护理期间采用手术室护理安全干预机制。比较两组胃癌手术患者各项手术指标(包括手术时间、术中出血量)、手术前后焦虑抑郁不良心理评分改善情况、压疮等并发症发生率及护患纠纷率、两组胃癌手术满意度。结果两组胃癌手术患者术前焦虑抑郁不良心理评分相比差异无统计学意义(P>0.05),术后各项评分均显著下降,差异有统计学意义(P<0.05),且观察组焦虑抑郁不良心理评分下降幅度显著大于对照组,差异有统计学意义(P<0.05);观察组胃癌手术者平均手术时间明显短于对照组胃癌手术者,差异有统计学意义(P<0.05),平均出血量明显低于对照组胃癌手术者,差异有统计学意义(P<0.05),且观察组胃癌手术者压疮等并发症发生率及护患纠纷率明显低于对照组胃癌手术者,差异有统计学意义(P<0.05),满意度明显高于对照组胃癌手术者,差异有统计学意义(P<0.05)。结论手术室护理安全干预机制能有效降低胃癌手术患者压疮等并发症发生率,优化手术指标,提高患者满意度,具有良好的效果。

Objective To explore the effect of nursing safety intervention mechanism on the occurrence of complications such as pressure ulcers and surgical indicators in patients with gastric cancer.Methods From February 2021 to February 2022,a total of 60 patients with gastric cancer surgery admitted to Operation room,School of Clinical Oncology,Fujian Medical University/Fujian Cancer Hospital were selected as the research objects,and were randomly divided into the observation group and the control group according to the computer single-blind grouping method,with 30 cases in each group.The control group was received routine nursing intervention,and the observation group was received operating room nursing safety intervention mechanism during nursing.The surgical indexes(including operation time,intraoperative blood loss),the improvement of psychological scores of anxiety and depression before and after surgery,the incidence of complications such as pressure ulcers and the rate of nurse-patient disputes,and the satisfaction of gastric cancer surgery between the two groups were compared.Results There was no statistically significant difference between the two groups in preoperative anxiety and depression adverse psychological scores(P>0.05),and postoperative scores were significantly decreased,the differences were statistically significant(P<0.05),and the observation group was significantly greater than the control group,the difference was statistically significant(P<0.05).The average operation time of gastric cancer patients in observation group was significantly shorter than that of gastric cancer patients in control group,the difference was statistically significant(P<0.05),the average amount of blood loss was significantly lower than that of gastric cancer patients in control group,the difference was statistically significant(P<0.05),and the incidence of pressure sores and other complications and nurse-patient dispute rate of gastric cancer patients in observation group was significantly lower than that of gastric cancer patients in control group.The difference was statistically significant(P<0.05),and the satisfaction was significantly higher than that in the control group.The difference was statistically significant(P<0.05).Conclusion Nursing safety intervention mechanism in the operating room can effectively reduce the incidence of complications such as pressure ulcers in patients with gastric cancer surgery,optimize surgical indicators,improve patient satisfaction,and have a good effect.