Study of zero defect theory in breast reconstruction of inferior abdominal artery perforator flap
Objective:To explore and summarize the optimization model of perioperative coordination process of DIEP breast reconstruction surgery in order to guide clinical work.Methods:Using zero-defect management theory,A total of 48 patients with breast cancer who selected DIEP breast reconstruction surgery in our hospital from April 2019 to January 2022 were enrolled and divided into observation group(n=26)and control group(n=22).Patients in both groups were routinely given breast cancer surgery with process nursing.On this basis,the observation group established the zero-defect theory nursing group,and applied the zero-defect theory model to optimize the perioperative nursing process of patients.The amount of intraoperative blood loss,operation time,time of hospital stay,postoperative complications and incidence of nursing defect events were observed and compared between the two groups.Results:Compared with the control group,the observation group had significantly reduced the amount of intraoperative blood loss(P＜0.001),not decreased operation time(P=0.153)and the time of hospital stay was significantly shortened(P＜0.001).In terms of postoperative complications,the incidence of complications in the observation group(19.2％)was lower than that in the control group(27.3％),but the difference was not statistically significant(P=0.732).The incidence of nursing defect events was notsignificantly lower in the observation group than in the control group(All P＞0.05).Conclusion:This indicates that the zero-defect theory model in the context of accelerated rehabilitation surgery has positive significance in perioperative nursing of DIEP breast reconstruction.
breast cancerdeep inferior epigastric arteryperforatorzero defect management theorynursing defect e-vent
万方数据
维普
