The significance of nursing with 4R crisis management theory in patients undergoing primary liver cancer resection surgery
4R危机管理理论的护理在原发性肝癌切除术患者中的意义

摘要

目的 对于4R危机管理理论的护理在原发性肝癌切除术患者中的意义进行探讨。方法 选择我院2024年1月-2025年1月所接收的60例原发性肝癌切除术患者为研究对象，随机数字法分为观察组（4R危机管理理论护理）与对照组（常规护理），将两组手术实施情况与护理质量进行比较。结果 1.观察组手术效果[手术时间（32.05±6.31）min，术中出血量（5.32±2.45）ml，首次排气时间（15.81±3.47）h，住院时间（2.83±1.53）d]优于对照组（P<0.05）；2.观察组护理质量[操作技能（8.94±0.73）分，服务态度（8.78±0.65）分，责任心（8.95±0.71）分，应急能力（9.03±0.95）分]优于对照组（P<0.05）。结论 原发性肝癌切除术患者护理中，基于4R危机管理理论的护理实施效果明显，值得广泛推广与应用。

Abstract

Objective To explore the significance of nursing with the 4R crisis management theory in patients undergoing primary liver cancer resection surgery.
Methods Sixty patients with primary liver cancer who underwent resection surgery in our hospital from January 2024 to January 2025 were selected as the research subjects. They were randomly divided into an observation group (4R crisis management theory nursing) and a control group (routine nursing) using a random number method. The implementation of surgery and nursing quality were compared between the two groups.
Results 1. The surgical effect of the observation group [surgery time (32.05±6.31) minutes, intraoperative blood loss (5.32±2.45) ml, first exhaust time (15.81±3.47) hours, hospital stay (2.83±1.53) days] was better than that of the control group (P<0.05); 2. The nursing quality of the observation group [operating skills score (8.94±0.73), service attitude score (8.78±0.65), sense of responsibility score (8.95±0.71), emergency response ability score (9.03±0.95)] was better than that of the control group (P<0.05).
Conclusion   In the nursing of patients undergoing primary liver cancer resection, the nursing implementation based on the 4R crisis management theory has shown significant effects and is worthy of wide promotion and application.