手术室护理在腹腔镜直肠癌术中低体温护理的应用对手术安全性的影响

Effect of Operation Room Nursing on the Safety of Laparoscopic Rectal Cancer Operation

目的分析手术室护理应用于腹腔镜直肠癌术患者的效果,并探究其对术中低体温护理及手术安全性的影响。方法样本的抽取时间节点为2022年1月至2023年1月,样本来源为入院开展腹腔镜直肠癌手术治疗的64例患者。以红蓝球法将患者分为两组,即对照组(32例,采用常规护理)、观察组(32例,采用手术室护理)。比较两组鼻咽温度(麻醉时、术中、术毕)、临床指标(手术时间、肠道恢复时间、住院时间)、心理状态(焦虑、抑郁)、并发症(躁动、低体温、寒战等)、满意度(不满意、尚满意、满意)。结果麻醉时,两组患者鼻咽温度无差异P>0.05;术中、术毕,观察组鼻咽温度[(36.12±0.36)℃、(36.25±0.41)℃]与对照组[(34.78±0.35)℃、(34.36±0.43)℃]相比变化幅度较小(P<0.05)。观察组手术时间(315.25±31.34)min、肠道恢复时间(18.23±2.36)h、住院时间(9.57±1.44)d低于对照组的(328.62±31.29)min、肠道恢复时间(27.81±2.74)h、住院时间(16.35±1.69)d,P<0.05。两组护理前心理状态评分对比无统计学差异(P>0.05);护理后,观察组SAS(30.23±3.18)分、SDS(31.18±3.26)分低于对照组(40.58±3.24)分、(40.27±3.33)分,P<0.05。观察组并发症发生率为0,低于对照组的12.50%,P<0.05。观察组满意度为96.88%,高于对照组(81.25%),比较结果为P<0.05。结论手术室护理用在腹腔镜直肠癌术患者中效果较为显著,且在术中低体温护理、手术安全性方面均有积极的影响。

Objective To analyze the effect of operating room nursing in laparoscopic rectal cancer patients,and to explore the effect on intraoperative hypothermia nursing and surgical safety.Methods The study sampled 64 patients who underwent laparoscopic rectal cancer surgery in hospitals from January 2022 to January 2023.Patients were divided into two groups using the red and blue ball method,namely the control group(32 cases,receiving routine nursing)and the observation group(32 cases,receiving operating room nursing).Compare two groups of nasopharyngeal temperature at different times(during anesthesia,during surgery,and after surgery),clinical indicators(surgery time,intestinal recovery time,hospital stay),psychological status(anxiety,depression),complications(restlessness,hypothermia,chills,etc.),and satisfaction(dissatisfaction,still satisfied,satisfied).Results During anesthesia,there was no difference in nasopharyngeal temperature between the two groups of patients(P>0.05);during and after surgery,the changes in nasopharyngeal temperature in the observation group[(36.12±0.36)℃,(36.25±0.41)℃]were relatively small change amplitude compared to the control group[(34.78±0.35)℃,(34.36±0.43)℃](P<0.05).The observation group had lower surgical time(315.25±31.34)min,intestinal recovery time(18.23±2.36)h,and hospital stay(9.57±1.44)d compared to the control group(328.62±31.29)min,(27.81±2.74)h,and(16.35±1.69)d,with P<0.05.There was no statistically significant difference in the pre nursing psychological state scores between the two groups(P>0.05);after nursing,the SAS(30.23±3.18)and SDS(31.18±3.26)scores in the observation group were lower than those in the control group(40.58±3.24)and(40.27±3.33),with P<0.05.The incidence of complications in the observation group was 0,lower than the control group's 12.50%,P<0.05.The satisfaction rate in the observation group was 96.88%,higher than that in the control group(81.25%),P<0.05.Conclusions The operating room nursing effect is significant in patients with laparoscopic rectal cancer,and has a positive impact on intraoperative hypothermia care and surgical safety.