Effect of operating room nursing pathway on intraoperative bleeding and postoperative complications in patients undergoing hepatobiliary laparoscopic surgery
手术室护理路径对肝胆腹腔镜手术患者术中出血量及术后并发症的影响

摘要

目的 分析肝胆腹腔镜手术用手术室护理路径的价值。方法 随机均分2023年1月-2024年2月本科接诊肝胆腹腔镜手术病人（n=74）。试验组采取手术室护理路径，对照组行常规护理。对比并发症等指标。结果 关于术中出血量：试验组仅（128.49±12.67）ml，但对照组却达到了（159.31±14.28）ml，比较发现：试验组术中出血量更少（P＜0.05）。并发症：试验组5.41%，对照组21.62%，比较发现：试验组数据更低（P＜0.05）。SDS和SAS评分：干预后，试验组（33.15±4.28）分、（35.02±5.14）分，对照组（45.91±6.34）分、（46.94±6.18）分，比较发现：试验组数据更低（P＜0.05）。满意度：试验组达到97.3%，但对照组却仅有78.38%，比较发现：试验组的数据更高（P＜0.05）。护理质量：试验组达到（99.03±0.64）分，但对照组却仅有（92.04±0.93）分，比较发现：试验组数据更高（P＜0.05）。结论 肝胆腹腔镜手术用手术室护理路径，病人的并发症更少，术中出血量更低，护理质量更好，满意度更高，心态改善更加明显。

Abstract

Objective To analyze the value of the operating room nursing path for hepatobiliary laparoscopic surgery.
Methods Randomized to receive hepatobiliary laparoscopic surgery patients from January 2023 to February 2024 (n=74). The test group took the operating room nursing path, and the control group took routine care. Contrast the complications and other indicators.
Results About intraoperative blood loss: the test group only (128.49 ± 12.67) ml, but the control group reached (159.31 ± 14.28) ml, the comparison found that the intraoperative blood loss in the test group was less (P <0.05). Complications: 5.41% in the test group and 21.62% in the control group: lower data in the test group (P <0.05). SDS and SAS scores: After intervention, the test group (33.15 ± 4.28), (35.02 ± 5.14), and the control group (45.91 ± 6.34), (46.94 ± 6.18), and found that the test group had lower data (P <0.05). Satisfaction: 97.3% in the experimental group, 78.38% in the control group, and higher in the experimental group (P < 0.05). Quality of care: the experimental group achieved (99.03±0.64) points, but the control group only (92.04±0.93) points, and the experimental group data was higher (P < 0.05).
Conclusion   Laparoscopic hepatobiliary surgery with the operating room nursing path, patients have fewer complications, lower intraoperative blood loss, better nursing quality, higher satisfaction, more obvious improvement in mentality.