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目的探讨专科护士在宫颈癌腔镜手术中的合理配合及器械处理方法。方法选取2014年7月至2016年7月间石家庄市第四医院收治的接受腔镜手术的130例宫颈癌患者,按照就诊时间顺序分为常规护理组(67例)与专科护理组(63例),对比两组宫颈癌腔镜手术配合准确情况、接台手术衔接时间、手术切口愈合率及外科医生对手术室工作的满意度。结果专科护理组体位摆放一次合格率、手术物品一次准备完好率、器械传递准确率、术中使用设备准确率及手术衔接时间分别为95.2%、96.8%、93.7%、95.2%和(21.37±8.55)min,常规护理组分别为80.6%、76.1%、74.6%、77.6%和(41.26±10.96)min,专科护理组均优于常规护理组,差异均有统计学意义(均P<0.05)。专科护理组甲级和乙级的切口愈合率分别为95.2%和4.8%,常规护理组分别为83.6%和16.4%,专科护理组较常规护理组好,差异均有统计学意义(均P<0.05)。专科护理组外科医生对手术室工作满意度为95.2%,常规护理组为79.1%,差异有统计学意义(P<0.05)。结论宫颈癌腔镜手术实施专科护理,通过提高术中的合理配合和加强对腔镜器械的处理,提高了手术配合情况,促进了术后伤口愈合,使外科医生对手术室工作满意度更高。
Objective To investigate the reasonable cooperation of specialist nurses in cervical cancer endoscopic surgery and equipment treatment methods. Methods A total of 130 patients with cervical cancer underwent endoscopic surgery admitted to the Fourth Hospital of Shijiazhuang from July 2014 to July 2016 were divided into routine nursing group (67 cases) and specialist nursing group (63 cases ). The accuracy of endoscopic surgery combined with cervical spine surgery was compared between the two groups. The time of surgical access, the healing rate of surgical incision and the surgeon’s satisfaction with operating room were compared. Results The qualification rate of the specialist nurse group was 95.2%, 96.8%, 93.7%, 95.2% and (21.37 ±)%, respectively, and the accuracy rate of equipment delivery, accuracy of equipment delivery, accuracy of intraoperative equipment and surgical convergence time were 95.2% (P <0.05). The total score of nursing group was higher than that of routine nursing group (8.55) min and 80.6%, 76.1%, 74.6%, 77.6% and 41.26 ± 10.96 min . The healing rates of grade A and grade B in the specialist nursing group were 95.2% and 4.8% respectively, while those in the conventional nursing group were 83.6% and 16.4% respectively. The specialty nursing group was better than the conventional nursing group (all P < 0.05). The surgeons in the specialist nursing group were 95.2% satisfied with the operation room and 79.1% in the routine care group, the difference was statistically significant (P <0.05). Conclusion Cervical laparoscopic surgery for cervical cancer implementation of specialist nursing, by increasing intraoperative reasonable coordination and strengthen the treatment of endoscopic instruments to improve the operation with the situation, and promote postoperative wound healing, surgeons to the satisfaction of the operating room higher .