Clinical effect of holistic nursing intervention in the operating room during laparoscopic resection of patients with primary liver cancer
原发性肝癌患者腹腔镜手术切除治疗期间行手术室整体式护理干预的临床效果

摘要

目的 研究围绕原发性肝癌并接受腹腔镜手术切除治疗的患者展开，分析围术期手术室整体式护理干预的临床应用效果。方法 择选2024年1月-6月100例我院原发性肝癌并接受腹腔镜手术切除治疗的患者，符合研究标准且院内授权后将其入组，其中50例纳入参照组并给予常规护理，另外50例纳入研究组给予手术室整体式护理，观察护理成效，对比护理效果，针对性统计两组临床数据，包括：手术时间、出血量、术后恢复相关指标（下床活动时间、术后进食时间、术后排气时间、住院时间）、并发症发生率、护理满意度。结果 与参照组对比，手术时间、出血量、术后恢复相关指标各项数据均见研究组较少，且研究组并发症较低、护理满意度较高，两组数据对比有统计学意义，组间差异明显（P＜0.05）。结论 原发性肝癌患者腹腔镜手术切除治疗期间行手术室整体式护理干预后，患者手术时间缩短，减少术中出血量，更利于患者术后恢复，尽早康复出院，同时提高临床安全性降低并发症的发生，让患者切实感到满意，具有应用价值，建议推广。

Abstract

Objective The study was conducted on patients with primary liver cancer who underwent laparoscopic resection to analyze the clinical application effect of holistic nursing intervention in the perioperative operating room.
Methods 100 patients with primary liver cancer who underwent laparoscopic resection in our hospital from January to June 2024 were selected. They met the research criteria and were enrolled after authorization by the hospital. Among them, 50 cases were included in the reference group and given routine care, and the other 50 cases were included in the study group and given holistic nursing in the operating room. The nursing effect was observed and compared. The clinical data of the two groups were statistically analyzed, including: operation time, blood loss, postoperative recovery-related indicators (time to get out of bed, time to eat after surgery, time to pass gas after surgery, length of hospital stay), complication rate, and nursing satisfaction.
Results Compared with the reference group, the operation time, bleeding volume, and postoperative recovery-related indicators were all lower in the study group, and the study group had lower complications and higher nursing satisfaction. The data comparison between the two groups was statistically significant, and the difference between the two groups was significant (P < 0.05).
Conclusion   After laparoscopic resection of primary liver cancer patients, the operation time of patients was shortened, the intraoperative bleeding was reduced, and it was more conducive to the postoperative recovery of patients, and they were discharged from the hospital as soon as possible. At the same time, the clinical safety was improved and the occurrence of complications was reduced, which made the patients feel satisfied. It has application value and is recommended for promotion.