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基于根因分析法的手术室护理在非小细胞肺癌手术患者中的应用效果

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目的:观察基于根因分析法的手术室护理在非小细胞肺癌(NSCLC)手术患者中的应用效果.方法:回顾性分析 2020 年10 月至 2022 年 9 月该院收治的 96 例NSCLC患者的临床资料,按护理方法不同将其分为对照组与观察组各 48 例.对照组采用常规手术室护理,观察组采用基于根因分析法的手术室护理.比较两组手术相关指标水平,手术前后应激反应指标[皮质醇(Cor)、血管紧张素Ⅱ(Ang-Ⅱ)]水平、术中不良事件发生率和护理满意度.结果:观察组引流管拔管时间、恢复自主呼吸时间均短于对照组,差异有统计学意义(P<0.05);两组手术时间比较,差异无统计学意义(P>0.05);术后24 h,两组Cor、Ang-Ⅱ水平均高于术前,但观察组低于对照组,差异有统计学意义(P<0.05);观察组术中不良事件发生率低于对照组,差异有统计学意义(P<0.05);观察组护理满意度为 97.92%,高于对照组的 83.33%,差异有统计学意义(P<0.05).结论:基于根因分析法的手术室护理应用于NSCLC手术患者可提高护理满意度,缩短引流管拔管时间和恢复自主呼吸时间,降低应激反应指标水平和术中不良事件发生率,其效果优于常规手术室护理.
Application effects of operating room nursing based on root cause analysis in patients with non-small cell lung cancer surgery
Objective:To observe application effects of operating room nursing based on root cause analysis in patients with non-small cell lung cancer(NSCLC)surgery.Methods:The clinical data of 96 patients with NSCLC admitted to this hospital from October 2020 to September 2022 were retrospectively analyzed.According to different nursing methods,they were divided into control group and observation group,48 cases in each group.The control group was treated with routine operating room nursing,while the observation group was treated with the operating room nursing based on root cause analysis.The levels of operation-related indexes and stress response indexes[cortisol(Cor),angiotensin II(Ang-II)]before and after the surgery,the incidence of adverse events during the surgery,and the nursing satisfaction were compared between the two groups.Results:The drainage tube extubation time and the recovery time of spontaneous breathing in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the operation time between the two groups(P>0.05).At 24 h after the surgery,the levels of Cor and Ang-II in the two groups were higher than those before the surgery,but those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The incidence of adverse events in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 97.92%,which was higher than 83.33%of the control group,and the difference was statistically significant(P<0.05).Conclusions:The operating room nursing based on root cause analysis in the patients with NSCLC surgery can improve the nursing satisfaction,shorten the drainage tube extubation time and the recovery time of spontaneous breathing,and reduce the levels of stress response indexes and the incidence of intraoperative adverse events.Moreover,it is superior to the routine operating room nursing.

Root cause analysisOperating room nursingNon-small cell lung cancerStress responseAdverse event

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新乡市中心医院 新乡医学院第四临床学院麻醉与围术期医学科,河南 新乡 453000

根因分析法 手术室护理 非小细胞肺癌 应激反应 不良事件

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(9)
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