Analysis of the Role of Nursing Intervention in Operating Room in the Prevention of Incision Infection in Orthopedic Aseptic Surgery

Objective:To explore and analyze the role of nursing in the operating room in the prevention of incision infection in aseptic orthopedic surgery.Methods:68 patients that underwent aseptic orthopedic surgery in our hospital from January 2021 to December 2022.They were divided into a research group(n=34)and a control group(n=34)by the random number table method.The patients in the control group received conventional nursing intervention in the operating room,and the patients in the study group received the optimized and modified nursing intervention in the operating room;then,the related indicators of nursing intervention of the two groups were compared.Results:The incidence of incision infection in the study group was lower than that of the control group(P<0.05);the average duration of surgery and length of stay the study group were lower than those in the control group(P<0.05);the stress response indexes of patients in the study group were lower than those in the control group 24 hours after operation(P<0.05);the degree of satisfaction of the patients in the study group to the services provided by the nursing staff was significantly higher than that of the control group(P<0.05).Conclusion:High-quality nursing intervention in the operating room for aseptic orthopedic surgery patients can significantly reduce the incidence of incision infection,reduce the stress response caused by surgery,shorten the duration of surgery and length of stay,and improve nursing satisfaction,which makes it worthy of popularization.

Intervention effect of encouraging mental and programmed nursing of patients in interventional operating room on their compliance and bad moods

BACKGROUND Patients’lack of correct understanding of cardiovascular disease and interventional therapy is often accompanied by varying degrees of fear,depression and anxiety.Negative emotion will affect the hemodynamic fluctuation of patients undergoing interventional surgery,which is not conducive to the smooth and safe operation of interventional surgery.Therefore,it is very important to implement effective nursing intervention in the operating room.AIM To explore the intervention effect of motivational psychological nursing combined with programmed nursing on compliance and bad mood of patients in interventional operating room.METHODS A total of 98 patients in the interventional operating room of our hospital from October 2019 to March 2021 were randomly divided into study group(n=49)and control group(n=49).The control group took routine nursing.However,the study group took motivational psychological nursing combined with procedural nursing on the basis of the control group.Statistics were made on rehabilitation compliance,Positive and Negative Affect Schedule of bad mood,Simplified Coping Styles Questionnaire score of coping style and satisfaction of intervention between the two groups before and after intervention.RESULTS The rehabilitation compliance of the study group(95.92%)was higher than that of the control group(81.63%)(P<0.05).After intervention,the scores of upset,fear,irritability,tension and fear in the study group were respectively,which were lower than those in the control group(P<0.05).After intervention,the score of positive coping in the study group was higher than that in the control group.However,the score of negative coping in the study group was lower than that in the control group(P<0.05).The intervention satisfaction of the study group(93.88%)was higher than that of the control group(79.59%)(P<0.05).CONCLUSION The intervention of motivational psychological nursing combined with procedural nursing can improve the rehabilitation compliance,and alleviate the bad mood.In addition,it can change their coping style to the disease,and the patients are more satisfied with the nursing work.

Effect of Nursing Intervention in Operating Room for Patients with Gastric Cancer during Anesthesia Recovery Period

Objective: To analyze the effect of nursing intervention in operating room for gastric cancer patients in anesthesia recovery period. Methods: From June 2021 to December 2021, 78 patients who underwent gastric cancer surgery in our hospital were selected for research. Combined with the random number table method, they were divided into the control group (providing routine nursing care in operating room) and the observation group (providing nursing intervention in operating room) with 39 patients in each group respectively. The body temperature of the two groups during operation, during abdominal closure and after operation, the time of leaving anesthesia room, extubation, postoperative wakefulness and hospitalization, degree of satisfaction with nursing work was compared. Results: Compared with the control group, the body temperature in the observation group tended to be more normal during operation, during abdominal closure and after operation (P 0.05). The time of leaving anesthesia room, extubation, postoperative wakefulness and hospitalization in the observation group were shorter than those in the control group (P 0.05). The satisfaction degree of the observation group with nursing work was higher than that of the control group (P 0.05). Conclusion: Nursing intervention in operating room is effective for gastric cancer patients in anesthesia recovery period, which can maintain their perioperative temperature stability, promote their postoperative recovery and enhance their satisfaction with nursing work. It is worth adopting.

Imaging for Minimally Invasive Surgery

The successful outcome of any minimally invasive procedure is highly dependent on the imaging chain, as the medical team has to rely on indirect visualization of the surgical field during the entire procedure. During the last decade, the quality of the images obtainable pre- and intraoperatively has evolved significantly. In addition to the introduction of intra-operative image acquisition techniques such as ultrasound, X-ray, CT or MR, optical imaging technology as well as the corresponding processing units have undergone a rapid development. The article will review the activity related to minimally invasive procedures at the Operating Rooms of the Future (FOR) at St. Olavs Hospital, University Hospital of Trondheim, Norway. The imaging related demands of several surgical fields are introduced and the evolution of the imaging and visualization techniques at FOR will be presented. Subsequently, ongoing research projects in a dedicated visualization laboratory will be discussed and the advantages of updating the imaging equipment continuously in order to keep up with the latest developments in the field will be presented. It will be shown that the quality of the image acquisition and display can be significantly improved when compared to today’s standard. In addition to increasing the surgeon’s confidence, better imaging will lead to increased patient safety as well as more efficient interventions.

手术室针对性护理在血管外科介入手术预防老年患者迷走神经反射的应用效果

探讨手术室针对性护理在血管外科介入手术中预防老年患者迷走神经反射的应用效果。将接受血管外科介入手术的500例≥65岁的患者按照住院先后顺序分为对照组和观察组。对照组采用围术期常规护理,观察组在对照组的基础上采用手术室针对性护理,比较两组患者术中迷走神经反射的发生率。对比分析结果显示,观察组术中迷走神经反射发生率显著低于对照组(P<0.05);观察组术后疼痛程度、抑郁焦虑情绪、术后护理满意度均显著优于对照组(P<0.05),说明采用手术室针对性护理可降低血管外科介入手术老年患者迷走神经反射发生率,减轻其生理应激反应,缓解患者的不良心理状态。

手术室整体干预模式对肝癌介入手术患者负性情绪、并发症、生活质量及护理满意度的影响

目的探讨手术室整体干预模式对肝癌介入手术患者的负性情绪、并发症发生情况、生活质量及护理满意度的影响。方法依据干预模式的不同将120例接受介入手术的肝癌患者分为对照组(n=56)和观察组(n=64)。对照组患者围手术期给予手术室常规干预模式,观察组患者围手术期给予手术室整体干预模式。比较两组患者的负性情绪[焦虑自评量表(SAS)和抑郁自评量表(SDS)]、生活质量[欧洲癌症研究与治疗组织生命质量测定量表(EORTC QLQ-C30)]、并发症发生情况及护理满意度[纽卡斯尔护理满意度量表(NSNS)]。结果术后,两组患者的SAS、SDS评分均明显低于本组术前,观察组患者的SAS、SDS评分均明显低于对照组,差异均有统计学意义(P﹤0.01);观察组患者术后并发症总发生率为17.19%,低于对照组患者的35.71%,差异有统计学意义(P﹤0.05);术后,两组患者的EORTC QLQ-C30评分均明显高于本组术前,观察组患者的EORTC QOL-C30评分明显高于对照组,差异均有统计学意义(P﹤0.01)。出院时,观察组患者的护理满意度为98.44%,高于对照组患者的85.71%,差异有统计学意义(P﹤0.05)。结论手术室整体干预模式能明显减轻肝癌介入手术患者的焦虑、抑郁情绪,降低术后并发症发生率,提高患者的生活质量及护理满意度。

激励式信念干预用于卵巢癌根治术患者手术室护理中的效果观察

目的观察激励式信念干预用于卵巢癌根治术患者手术室护理的效果。方法86例行卵巢癌根治术的患者随机分为两组,常规护理组给予常规护理,研究组在常规护理基础上给予激励式信念干预,比较两组的负面情绪、应激反应以及并发症结果麻醉前,研究组的HADS-A、HADS-D评分均低于常规护理组(P<0.05)。术中,研究组的心率、收缩压均低于常规护理组(P<0.05)。研究组的并发症总发生率为2.33%,低于常规护理组的13.95%(P<0.05)。结论激励式信念干预应用于卵巢癌根治术患者手术室护理中,可减轻其负面情绪,稳定术中生命体征,减少术后并发症。

层级管理对手术室护理人员工作积极性及职业认同感的影响

目的探讨层级管理模式对手术室护理人员工作积极性及职业认同感的影响。方法将2021年10月—2022年12月的80名中国人民解放军联勤保障部队天津康复疗养中心手术室护理人员根据随机数字表法分为2组,各40名。对照组进行常规手术室管理干预,观察组采用层级管理模式进行干预。比较2组管理干预前后的工作积极性(工作积极性量表)、职业认同感(职业认同感量表)及工作满意度(明尼苏达满意度量表)。结果管理干预前2组护理人员的工作积极性量表、职业认同感量表及明尼苏达满意度量表评分比较,差异无统计学意义(P>0.05);管理干预后2组护理人员的工作积极性量表、职业认同感量表及明尼苏达满意度量表评分均显著升高,且观察组护理人员的3个量表评分均显著高于对照组,差异有统计学意义(P<0.05)。结论层级管理模式可显著改善手术室护理人员的工作积极性及职业认同感,护理人员的工作满意度相对更高,因此层级管理模式在手术室护理人员中的应用价值较高。

手术室护理路径在冠心病患者PCI围术期的应用

目的探讨手术室护理路径在冠心病患者经皮冠状动脉介入治疗(PCI)围术期的应用效果。方法选择2020年6月至2023年6月于新乡医学院第一附属医院接受PCI治疗的160例冠心病患者作为研究对象,按随机数表法分为观察组和对照组各80例。对照组患者采用常规护理,观察组患者采用手术室护理路径。比较两组患者的围术期情况以及术前、术后30 min的呼吸频率(RR)、心率(HR)、平均动脉压(MAP)和术前、术后1 d的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分,并比较两组患者的术后并发症发生率。结果观察组患者的住院时间为(11.46±2.71)d,明显短于对照组的(12.67±2.54)d,差异有统计学意义(P<0.05);术后30 min,观察组患者RR、HR、MAP分别为(20.01±1.83)次/min、(78.47±6.19)次/min、(96.42±6.41)mm Hg,明显低于对照组的(21.74±2.01)次/min、(83.33±7.10)次/min、(101.03±7.24)mmHg,差异均有统计学意义(P<0.05);术后1 d,观察组患者的SDS、SAS评分分别为(44.28±5.71)分、(43.72±4.83)分,明显低于对照组的(49.50±6.13)分、(47.06±5.27)分,差异均有统计学意义(P<0.05);观察组患者的术后并发症总发生率为5.00%,明显低于对照组的15.00%,差异有统计学意义(P<0.05)。结论冠心病患者PCI围术期介入手术室护理路径的应用效果明显,值得临床推广应用。

团体沙盘游戏干预对手术室护理人员职业压力和心理健康的影响

目的探讨团体沙盘游戏干预在手术室护理人员中的应用效果。方法选取2021年8月至2022年8月宜春市人民医院90名手术室护理人员作为研究对象,采用随机数字表法将其分为对照组(45例)和观察组(45例)。对照组采取常规心理干预,观察组在对照组基础上加用团体沙盘游戏干预,两组均持续干预3个月。比较两组干预前和干预3个月后的职业压力、心理健康以及工作质量。结果观察组干预后职业压力各项评分均低于对照组,差异有统计学意义(P<0.05);观察组干预后症状自评量表(SCL-90)各项评分均低于对照组,差异有统计学意义(P<0.05);观察组工作质量各项评分均高于对照组,差异有统计学意义(P<0.05)。结论团体沙盘游戏干预可减轻手术室护理人员职业压力,促进护理人员保持心理健康,以更加积极的心态应对工作,有助于提升工作质量。

手术室护理结合疼痛干预对创伤骨折患者术后恢复及睡眠质量的影响

目的:探究在创伤骨折患者手术中应用手术室干预联合疼痛干预的效果,分析该护理模式对患者睡眠质量的影响。方法:选取2023年2月至2024年2月厦门大学附属第一医院杏林分院收治的创伤骨折患者72例作为研究对象,按照随机信封法分为对照组和观察组,每组36例。对照组接受常规手术室干预,观察组接受手术室干预+疼痛干预模式。对比指标:术后指标恢复时间、术后不同时点疼痛度评分、睡眠质量评分以及术后并发症发生率。结果:同对照组相比,观察组术后首次下床活动天数、住院天数、骨折愈合周数均更短(P<0.05);对比术后第1天、第3天、第7天疼痛度评分和睡眠质量评分,观察组明显比对照组低(P<0.05);同对照组(25.00%)比较,观察组术后并发症发生率(5.56%)更低(P<0.05)。结论:对创伤骨折患者运用手术室干预与疼痛干预联合护理模式,可缩短患者术后骨折恢复时间,提升睡眠质量,降低术后疼痛感,控制并发症发生,使患者获得舒适护理体验。

扁平化责任制护理对微创介入治疗子宫肌瘤患者术后并发症及康复效果的影响

目的探讨扁平化责任制护理对微创介入治疗子宫肌瘤患者术后并发症及康复效果的影响。方法选取2020年5月至2021年3月收治子宫肌瘤患者90例,均接受微创介入导管栓塞子宫动脉术治疗,随机数字法下,常规护理患者45例纳为对照组,扁平化责任制护理患者45例纳为研究组,对2组所得护理结局对比分析。结果研究组患者肠蠕动时间、肛门排气时间均显著小于对照组(P<0.05)。与对照组相比,研究组干预后1个月尿潴留发生率明显更低(P<0.05)。研究组并发症发生率低于对照组(P<0.05)。2组护理前生活质量评分,差异无统计学意义(P>0.05),护理后研究组生活质量评分显著优于对照组(P<0.05)。结论微创介入导管栓塞子宫肌瘤患者治疗期间,辅助扁平化责任制护理,可促进术后患者消化功能恢复,改善患者排尿情况,提升患者生活质量,减少并发症发生可能性,临床护理效果较为明显。

经导管行二尖瓣夹合术的围手术期护理

目的回顾性分析经导管行二尖瓣夹合术(TEER)的围手术期护理要点。方法收集5例行TEER手术治疗的患者的临床资料,总结护理经验,包括术前准备、手术室环境准备、术中介入配合、并发症观察和术后护理等。结果5例患者均顺利完成手术,手术时长为120~180 min,术中失血量平均约为50 mL。结论TEER具有创伤小、出血少、预后快等优势,做好围手术期护理配合,有助于手术顺利完成。

心理干预与多方位体温护理对手术室骨折患者的干预价值研究

目的分析对手术室骨折患者实施心理干预+多方位体温护理的效果,探讨其应用价值和意义。方法随机选择2022年2月—2023年2月南京市高淳区人民医院收治的行手术治疗的骨折患者120例为研究对象。按照计算机法分为对照组和观察组,各60例。对照组实施基础性手术室护理,观察组在其中融入心理干预+多方位体温护理。比较两组并发症发生率、心理状态评分、临床指标、护理满意度、疼痛评分。结果观察组术后并发症发生率为3.33%,低于对照组的16.67%,差异有统计学意义(χ^(2)=4.537,P<0.05)。护理后,观察组患者焦虑、抑郁情绪评分低于对照组,术后6、12、24、48 h疼痛评分均低于对照组,差异有统计学意义(P均<0.05)。观察组手术中及手术结束时平均体温、护理满意度均优于对照组,差异有统计学意义(P均<0.05)。结论心理干预与多方位体温护理配合可提高骨折患者手术室护理质量,能够维持其体温水平稳定,降低出血量和术后疼痛,有助于减轻患者心理、生理应激,控制并发症发生风险,患者满意度理想。

医护一体化护理干预在早期微创钻孔引流术治疗硬膜下血肿中的应用

目的探讨医护一体化护理干预对早期微创钻孔引流术治疗硬膜下血肿的意义。方法随机选取2020年6月—2023年6月于扬州大学医学院附属兴化市人民医院就诊的硬膜下血肿接受微创钻孔引流术治疗的患者60例,利用随机数表法分为对照组和观察组,每组30例。对照组采取常规护理干预,观察组采取医护一体化护理干预。对比两组患者负面情绪和护理满意率。结果护理后,两组患者负面情绪分数均降低,且观察组各项评分均低于对照组,差异有统计学意义(P<0.05)。护理后观察组患者满意率为96.67%,显著高于对照组的76.67%,差异有统计学意义(χ^(2)=5.192,P<0.05)。结论医护一体化护理干预对改善微创钻孔引流术治疗硬膜下血肿患者的负面情绪效果显著,可促进患者术后恢复,安全性更高。

手术室护理干预在胃肠道手术患者中的应用效果

目的:分析手术室护理干预在胃肠道手术患者中的应用效果。方法:选取2018年1月—2021年1月于锦州医科大学附属第一医院行胃肠道手术治疗的100例患者作为研究对象,随机分为研究组(实施手术室护理干预)和参照组(实施常规护理),每组50例。比较两组护理效果。结果:研究组护理总满意度高于参照组(P<0.05)。研究组抗生素应用时间、住院时间短于参照组,肠道功能恢复正常时间、切口愈合时间早于参照组(P<0.05)。护理前,两组生理职能、精神状态、情感职能、社会功能评分比较,差异无统计学意义(P>0.05);护理后,两组生理职能、精神状态、情感职能、社会功能评分高于护理前,且研究组高于参照组(P<0.05)。研究组切口总愈合率较参照组高(P<0.05)。结论:手术室护理干预在胃肠道手术患者中的应用效果较好,能够促进患者切口愈合,缩短住院时间,提高生活质量与护理满意度。

微创手术室腹腔镜卵巢切除术护理干预的应用价值分析

目的分析腹腔镜卵巢切除术患者采用微创手术室护理干预的临床价值。方法选取70例择期行腹腔镜卵巢切除术患者,根据随机数字表法分为对照组与观察组,每组35例。对照组应用常规手术室护理干预,观察组应用微创手术室护理干预,比较两组护理效果。结果与对照组对比,观察组手术时间、术后下床活动时间、排气时间及住院时间均较短,术中失血量较少(P<0.05)。观察组手术并发症发生率5.71%低于对照组的22.86%(P<0.05)。与对照组对比,观察组微创手术室护理满意度较高(P<0.05)。结论对腹腔镜卵巢切除术患者采用微创手术室护理干预可提升手术质量,预防并发症,并可促进和谐护患关系。

基于循证理论的手术室护理流程优化在急性心肌梗死介入术中的应用价值

目的分析基于循证理论的手术室护理流程优化在急性心肌梗死介入术中的应用价值。方法选择2020年1月至2021年12月我院收治的100例急性心肌梗死介入术患者进行研究,根据入院时间将其分为对照组和观察组,每组50例。对照组接受常规手术室护理,观察组则在对照组基础上加施基于循证理论的手术室护理流程优化。比较两组的干预效果。结果观察组的TIMI心肌灌注分级(TMPG)情况显著优于对照组(P<0.05)。出手术室时,观察组的N-末端脑钠肽前体(NT-proBNP)、心肌肌钙蛋白I(cTnI)水平均低于对照组(P<0.05)。术后24 h,观察组的促肾上腺皮质激素(ACTH)、促肾上腺皮质激素释放激素(CRH)水平均低于对照组(P<0.05)。观察组的护理缺陷总发生率、不良事件总发生率、ICU入住率均低于对照组(P<0.05)。结论基于循证理论的手术室护理流程优化可提高急性心肌梗死介入术患者的心肌灌注效果,缓解心肌损伤及应激反应,降低护理缺陷发生率、不良事件发生率以及ICU入住率,值得推广。

精细化管理对乳房病损微创旋切术患者手术室护理质量及手术效率的影响

目的观察分析精细化管理对乳房病损微创旋切术患者手术室护理质量及手术效率的影响。方法选取2022年1月至2023年12月于医院行乳房病损微创旋切手术治疗的80例乳腺纤维腺瘤患者,随机分为两组,对照组采取常规管理,观察组采取精细化管理。比较两组手术室护理质量、手术效率及护理满意度。结果观察组器械准备质量、麻醉消毒质量、无菌管理质量及护理配合质量评分均高于对照组,差异有统计学意义(P<0.05)。观察组术前准备时间、患者转运时间及手术用时均短于对照组,差异有统计学意义(P<0.05)。观察组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论精细化管理有助于改善乳房病损微创旋切术患者手术室护理质量,提高手术效率,提升护理满意度。

舒适护理在微创手术患者手术室护理中的应用效果研究

深入分析舒适护理在微创手术患者手术室护理中的应用效果。选取2021年1月-2022年1月于贵州省从江县人民医院接受微创手术的100例患者为研究对象,将患者随机分为常规组与舒适护理组,每组各50例。常规组实施常规护理,舒适护理组在常规护理的基础上实施舒适护理,比较两组患者的血压、心率、SAS与SDS评分、护理满意度。研究结果显示,护理后,舒适护理组患者的收缩压、舒张压、心率等指标均优于常规组,组间数据差异具有统计学意义(P<0.05);护理后,舒适护理组患者的SAS和SDS评分均低于常规组,差异具有统计学意义(P<0.05);护理后,舒适护理组患者的护理总满意率高于常规组,组间数据差异具有统计学意义(P<0.05)。研究发现,舒适护理在微创手术患者手术室护理中的应用效果较好,可稳定患者的血压、心率,改善患者的心理状态,提高患者的护理总满意率,具有较高的临床应用价值。