强化手术隔离技术管理对腹腔镜恶性肿瘤术中护理质量的影响

Effect of strengthening the management of surgical isolation technology on the quality of nursing during laparoscopic surgery for malignant tumors

目的探讨强化手术隔离技术管理对腹腔镜恶性肿瘤术中护理质量的影响。方法采用便利抽样法选取2021年1—12月在淮安市第一人民医院接受腹腔镜恶性肿瘤切除术的患者作为研究对象,于2021年7月开始实施强化手术隔离技术管理,将管理改进前收治的49例患者设为对照组,管理改进后收治的51例患者设为观察组。比较两组患者的手术指标、手术隔离相关并发症发生情况、护理质量及术后1年内预后情况。选取20名手术护士,管理改进前后进行手术隔离技术相关笔试和实操考核,比较考核结果。结果两组患者的手术时间、术中出血量及淋巴结清扫数比较,差异无统计学意义(P>0.05)。观察组的手术隔离技术相关并发症发生率为5.88%(3/51),低于对照组的32.65%(16/49)(P<0.05)。观察组的手术质量评分高于对照组(P<0.05)。术后1年内,两组患者的病情进展及淋巴结转移发生率比较,差异无统计学意义(P>0.05)。管理改进后,手术室护士的笔试及实操考核分数均高于管理改进前(P<0.05)。结论在腹腔镜肿瘤切除术中应用强化手术隔离技术,可进一步提高手术安全性及手术室护理质量。

Objective To explore the effect of strengthening the management of surgical isolation technology on the quality of nursing during laparoscopic surgery for malignant tumors.Methods From January to December 2021,patients who received laparoscopic resection of malignant tumors in Huai'an First People's Hospital were selected as the research object by convenience sampling.In July 2021,the management of surgical isolation technology was strengthened.A total of 49 patients admitted before the management improvement were selected in the control group,and 51 patients admitted after the management improvement were selected in the observation group.The operation indexes,complications related to surgical isolation,nursing quality and prognosis within one year after operation were compared between the two groups.Before and after the management improvement,20 surgical nurses were selected to take written examination and carry out practice assessment on surgical isolation technology,and the assessment results were compared.Results There was no significant difference between the two groups in operation time,intraoperative bleeding and lymph node clearance(P>0.05).The incidence of surgical isolation related complications in the observation group was 5.88%(3/51),lower than 32.65%(16/49)in the control group,and the difference was statistical(P<0.05).The operation quality score of the observation group was higher than that of the control group with a statistical difference(P<0.05).There was no significant difference in disease progression and incidence of lymph node metastasis between the two groups within one year after operation(P>0.05).After the management improvement,the scores of note examination and practical operation examination of nurses in Operating Room were higher than those before the management improvement,and the differences were statistically significant(P<0.05).Conclusions The application of strengthening surgical isolation technology in laparoscopic surgery for malignant tumors can further improve the safety of operation and the quality of nursing in the Operating Room.