Ma XH, Chen M, Ni XQ. Effect of implementation of operating room nursing path in patients receiving laparoscopic cholecystectomy in a tertiary hospital.
Shijie Huaren Xiaohua Zazhi 2019;
27:1234-1238. [DOI:
10.11569/wcjd.v27.i19.1234]
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Abstract
BACKGROUND
Laparoscopic cholecystectomy (LC) has become a common procedure of biliary surgery, and the success of the operation is not only dependent on the skill of the surgeon, but also closely related to skilled nursing operations.
AIM
To observe the effect of application of the operating room nursing path in patients undergoing LC in a tertiary hospital.
METHODS
Sixty patients who underwent LC at our hospital from December 2016 to June 2019 were selected. According to the operation sequence, the patients were randomly divided into either a control group or an observation group. Both groups were given routine nursing care, and the operating room nursing path was additionally implemented in the observation group. Surgical parameters, postoperative recovery, complications, and potential safety problems were compared between the two groups.
RESULTS
In the observation group, operation time was 46.78 min ± 10.26 min, intraoperative blood loss was 35.36 mL ± 5.63 mL, time to gastrointestinal function recovery was 24.56 h ± 4.39 h, and hospitalization costs were $4573.28 ± $465.2, all of which were significantly lower than those of the control group (P < 0.01). The rate of complications was significantly lower in the observation group than in the control group (3.33% vs 16.67%, P < 0.05). The incidence of safety incidents in operating room was also significantly lower in the observation group than in the control group (0 vs 16.67%, P < 0.05).
CONCLUSION
The implementation of operating room nursing path can ensure the smooth progress of laparoscopic surgery, shorten the operation time, reduce postoperative complications, and decrease potential safety problems in operating room, thereby improving the quality of nursing services.
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