摘要
Abstract
Objective To explore the effect of prospective process management in operating room for patients with colon cancer surgery.Methods A total of 110 patients who underwent laparoscopic radical re-section of colon cancer in the hospital from January 2020 to March 2023 were selected.They were divided into the control group and the experimental group using a random number table method,with 55 cases in each group.The patients in the control group were given routine operating room nursing,and the patients in the ex-perimental group were given the prospective process management of the operating room.The negative emo-tions after entry,body temperature at various points during operation,recovery status during the post opera-tive recovery period,incidence of complications during operation and patient satisfaction were recorded and compared between the two groups.Results The scores of anxiety self-rating scale[(28.84±3.41)points]and fear visual analog scale[(4.21±1.39)points]of the experimental group were lower than those of the control group[(35.92±5.16),(6.82±1.44)points],and the differences were statistically significant(P＜0.05).The body temperature of the two groups at the time of incision(T2),30 min after the operation(T3),60 min after the operation(T4)and at the end of the operation(T5)in the experimental group were higher than those in the control group(P＜0.05).The body temperature of the control group at T2,T3,T4 and T5 were signifi-cantly lower than those at anesthesia(T1)(P＜0.05).Anesthesia recovery time[(19.71±6.59)min]and tra-cheal intubation and extubation time[(22.96±5.87)min]in the experimental group were shorter than those in the control group[(22.73±6.17),(26.12±6.05)min].The recovery score of Steward of the experimental group was higher than that of the control group[(4.92±0.62)points vs.(4.46±0.87)points],and the difference was statistically significant(P＜0.05).The incidence of complication during operation of the experi-mental group was lower than that of the control group[3.64％(2/55)vs.14.55％(8/55)],and the total sat-isfaction rate of the experimental group was higher than that of the control group[98.18％(54/55)vs.85.45％(47/55)],the difference was statistically significant(P＜0.05).Conclusion The prospective process management can alleviate the fear and anxiety of the patients with colon cancer,avoid the occurrence of hypo-thermia during operation,shorten the time of anesthesia recovery and tracheal intubation and extubation time,improve the quality of recovery,reduce the incidence of complication,during operation and improve patients'satisfaction with the nursing work.关键词
腹腔镜结肠癌根治术/手术室护理/前瞻性流程化管理/体温/麻醉苏醒Key words
Laparoscopic radical resection of colon cancer/Operating room nursing/Prospective process management/Body temperature/Anesthesia recovery分类
临床医学
