首页|6S护理管理对预防腹腔镜直肠癌根治术患者围手术期低体温的效果

6S护理管理对预防腹腔镜直肠癌根治术患者围手术期低体温的效果

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目的 观察6S护理管理预防腹腔镜直肠癌根治术患者围手术期低体温的效果.方法 选取2020年1月-2023年1月上饶东信第五医院拟行腹腔镜直肠癌根治术的患者78例,按组间基线资料具有可比性的原则分为对照组和观察组各39例,两组均采用腹腔镜直肠癌根治术治疗.对照组接受常规护理,观察组采用6S护理管理干预.比较两组术中及术后恢复情况、围术期体温情况、干预前后舒适度、生活质量及干预期间并发症发生率.结果 采用6S护理管理干预后,观察组患者下床活动时间、首次肛门排气时间、住院时间均短于对照组,差异有统计学意义(P<0.05),两组患者术中出血量及手术时间比较差异无统计学意义(P>0.05).观察组患者低体温发生率为5.13%,低于对照组的23.08%,差异有统计学意义(P<0.05).采用6S护理管理干预后,观察组患者中文版舒适状况量表(GCQ)中生理、心理精神、环境评分高于对照组差异有统计学意义(P<0.05),两组社会文化评分比较差异无统计学意义(P>0.05);观察组癌症患者生命质量测定表(QLQ-C30)中身体功能、情感功能评分高于对照组,差异有统计学意义(P<0.05),两组角色功能、认知功能与社会功能评分比较差异无统计学意义(P>0.05).观察组患者寒战、心律失常、发热、切口感染及术后躁动等并发症总发生率低于对照组,差异有统计学意义(P<0.05).结论 6S管理对腹腔镜直肠癌根治术患者可改善患者术中及术后体温,预防围手术期低体温,减少低体温的发生率,缩短住院时间,提高患者生理、心理精神及环境方面舒适度,增加身体功能、情感功能维度评分.
Effect of 6S nursing management on preventing perioperative hypothermia in patients undergoing laparoscopic radical resection of rectal cancer
Objective To observe the effect of 6S nursing management on preventing perioperative hypothermia in patients undergoing laparoscopic radical resection of rectal cancer.Methods A total of 78 patients scheduled for laparoscopic radical resection of rectal cancer at Shangrao Dongxin Fifth Hospital from January 2020 to January 2023 were selected.Following the principle of comparability of baseline data between groups,they were divided into a control group and an observation group,with 39 cases each.Both groups were treated with laparoscopic radical resection of rectal cancer.The control group implemented routine nursing care,and the observation group implemented 6S nursing management intervention.The differences in the intraoperative and postoperative recovery,perioperative temperature,comfort before and after intervention,quality of life,and incidence of complications during the intervention were compared between the two groups.Results After 6S nursing management intervention,the time of getting out of bed,time of first anal exhaust,and hospitalization time of patients in the observation group were shorter than those in the control group,the differences were statistically significant(P<0.05),and there was no statistically significant difference in intraoperative blood loss and operation time between the two groups of patients(P>0.05).The incidence of hypothermia of patients in the observation group was 5.13%,lower than that in the control group,which was 23.08%,the difference was statistically significant(P<0.05).After 6S nursing management intervention,the physical,psychological,and environmental scores of the Chinese version-General Comfort Questionnaire(GCQ)in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05),and there was no statistically significant difference in the social-cultural scores between the two groups(P>0.05);the physical function and emotional function scores of the cancer Quality of Life Questionnaire(QLQ-C30)in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05),and there was no statistically significant difference in the role function,cognitive function and social function scores between the two groups(P>0.05).The overall incidence of complications such as shivering,arrhythmia,fever,wound infection,and postoperative agitation in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion 6S management can improve the intraoperative and postoperative temperature of patients undergoing laparoscopic radical resection of rectal cancer,prevent perioperative hypothermia,reduce the incidence of hypothermia,shorten the length of hospital stay,enhance patients'physical,psychological,and environmental comfort,and increase scores in dimensions of physical function and emotional function.

Rectal cancerLaparoscopic radical resection of rectal cancerPerioperative hypothermia6s managementComfort

徐晓慧、徐月圆、黄丽君、罗红梅、柯玉星

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上饶东信第五医院(江西省上饶市,334000)

南昌市第一医院(南昌大学第三附属医院)(江西省南昌市,330000)

直肠癌 腹腔镜直肠癌根治术 围手术期低体温 6S管理 舒适度

江西省卫生健康委科技项目

202140010

2024

护理实践与研究
河北省儿童医院

护理实践与研究

影响因子:1.354
ISSN:1672-9676
年,卷(期):2024.21(5)
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