Application of Operating Room Nursing Intervention to Incision Infection of Patients Undergoing Gastrointestinal Surgery Can Reduce Complications and Improve Gastrointestinal Function

Wang, Ping; Hong, Chen; Qi, Ji

doi:10.3389/fsurg.2022.842309

Cited by 8 publications

(11 citation statements)

References 22 publications

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“…All these have laid a reliable foundation for implementing CNP in TACE for HCC. CNP intervention is a kind of patient-centered targeted nursing service, which has achieved remarkable results in diseases such as children's kidney disease and hip replacement, which can effectively improve their recovery [ 21 , 22 ]. However, the application effect of interventional therapy for HCC is rarely reported.…”

Section: Discussionmentioning

confidence: 99%

Clinical Nursing Paths Benefit Patient Outcomes Undergoing Transcatheter Arterial Chemoembolization for Hepatocellular Carcinoma

Liang

2022

Evidence-Based Complementary and Alternative Medicine

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Objective. The purpose of the study is to investigate patient outcomes of transcatheter arterial chemoembolization (TACE) for hepatocellular carcinoma (HCC) under clinical nursing paths (CNP) and whether the application of CNP can be a protective factor against the recurrence of HCC. Methods. The study comprised of 48 patients who received TACE for HCC under the CNP (assigned into the CNP group) and 41 who received TACE for HCC under the routine care (assigned into the control group). Their treatment safety, pain, and psychology were compared. The nursing satisfaction and quality of life were investigated when patients were discharged from the hospital. A 6-month follow-up was performed to analyze the related factors affecting disease recurrence. Results. In the CNP group, the incidence rate of total adverse reactions, VAS scores, SAS and SDA scores were lower, but conversely, the satisfaction and SF-36 scores were higher than those in the control group ( P < 0.05 ). Logistic regression analysis revealed that advanced TNM stage, larger tumor diameter, greater Child-Pugh classification, and the presence of peripheral blood vessel invasion were independent risk factors of HCC recurrence ( P < 0.05 ). Conclusion. The study demonstrated that CNP intervention can improve the safety and quality of life of patients undergoing TACE for HCC and reduce their negative emotions and pain feelings, which is worthy of clinical application.

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Section: Discussionmentioning

confidence: 99%

Clinical Nursing Paths Benefit Patient Outcomes Undergoing Transcatheter Arterial Chemoembolization for Hepatocellular Carcinoma

Liang

2022

Evidence-Based Complementary and Alternative Medicine

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“…Postoperative wound infections are not resolved by the application of antimicrobials or antibiotic analogues alone, but require the initiation of ongoing, systematic nursing care. Nursing intervention in the operating room requires nurses to communicate with patients and their families in a timely and effective manner during the nursing period to resolve their anxiety about surgery and improve the patients' cooperation in the perioperative period; during the surgical process, strictly control the environment of the operating room, surgical items and surgical personnel, strictly implement the aseptic operation of each link, and the surgeon, anaesthesiologists, visiting nurses, and instrument nurses cooperate with each other and closely monitor the patients' vital signs; send the patient back to the ward with the anaesthesiologist after the operation, and hand over to the ward nurses in time, stressing the postoperative precautions and observing the wound condition during the return visit, so as to reduce the rate of infection of the surgical incision and improve the satisfaction of nursing care 10,20 …”

Section: Discussionmentioning

confidence: 99%

“…At the same time, in the operating room nursing care nursing staff can also clear division of labour, do a good job in the operation of the preparation of various matters and hidden trouble detection work, the development of the surgical process is more promotional, conducive to enhance the effect of the operation, the value of nursing is very high. It has been found that the implementation of effective operating room nursing interventions in clinical practice has a positive effect on improving the prognosis of patients 10 . The impact of operating room nursing care on ovarian cyst surgery has been reported in the literature, but there is no uniform conclusion on the impact of surgical wound infection.…”

Section: Introductionmentioning

confidence: 99%

Effects of operating room nursing intervention on wound infection in patients undergoing ovarian cysts surgery: A meta‐analysis

Lin,

Huang,

Zhu

et al. 2024

International Wound Journal

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We conducted this study aimed to explore the effect of operating room nursing intervention on wound infection in patients undergoing ovarian cysts surgery. A computer system was used to search PubMed, Web of Science, EMBASE, Cochrane Library, Wanfang, Chinese Biomedical Literature Database, and China National Knowledge Infrastructure databases, from database inception to October 2023, for randomised controlled trials (RCTs) on the application of operating room nursing intervention to ovarian cyst surgery. Literature that met the requirements was independently screened by two researchers, and data were extracted and assessed for literature quality. RevMan 5.4 software was applied for data analysis. Fifteen RCTs involving 1187 patients were finally included. The analyses revealed that, compared with routine nursing, the implementation of operating room nursing intervention had a significant advantage in reducing the incidence of wound infections (1.17% vs. 5.44%, odds ratio [OR]: 0.30, 95% confidence interval [CI]: 0.15–0.58, p = 0.0004) and postoperative complications (6.34% vs. 25.17%, OR: 0.20, 95%CI: 0.13–0.29, p < 0.00001), as well as being able to shorten the operative time (standardised mean difference [SMD]: ‐3.93, 95%CI: −5.67 to −2.20, p < 0.00001), hospital length of stay (SMD: −2.54, 95%CI: −3.19 to −1.89, p < 0.00001) and gastrointestinal recovery time (SMD: −1.61, 95%CI: −2.24 to −0.98, p < 0.00001) in patients undergoing ovarian cysts surgery. This study confirmed by meta‐analysis that the operating room nursing intervention can significantly reduce the incidence of wound infection and complications, shorten the operative time, gastrointestinal recovery time, and hospital length of stay after ovarian cyst surgery.

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“…Standardized postoperative care and follow-up can improve the quality of life of patients. [35,36] In addition, personality, [37] and surgical wound recovery effect [38] can also have an impact on the quality of life of patients. Postoperative complications are also important contributing factors.…”

Section: Discussionmentioning

confidence: 99%

Meta-analysis of the effect of laparoscopic surgery and open surgery on long-term quality of life in patients with colorectal cancer

Cui,

Liu

2023

Medicine

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Objective: To compare the effect of laparoscopic surgery and open surgery on the quality of life of patients with colorectal cancer (CRC) in the growth period after the operation, and to provide a reference for surgical treatment decisions of patients with CRC. Methods: PubMed/MEDLINE, EMBASE, Web of Science, and Cochrane databases were searched through May 7, 2022 for clinical studies comparing the postoperative quality of life in CRC patients who underwent laparoscopic surgery with those who underwent open surgery. Data were extracted from eligible studies following rigorous quality review. All studies included patient numbers, surgery type, follow-up length, and quality of life scores. Results: A total of 6 studies were included, resulting in significantly better physical functioning scores with laparoscopic versus open surgery. (Standardized mean difference = 0.45; 95% CI (0.15, 0.75), P = .003). However, in general health, social functioning, bodily pain, vitality, quality of life index, Global Quality Scale, physical component summary and mental component summary, there was no telling difference between the 2 surgical therapies. Conclusion: Compared with open surgery, laparoscopic surgery has weak advantages. There was no noteworthy difference in the long-term quality of life between the 2 surgical treatments for CRC patients. Whether laparoscopic surgery can bring more improvement to the quality of life of patients with CRC needs more high-quality clinical randomized studies to verify.

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Application of Operating Room Nursing Intervention to Incision Infection of Patients Undergoing Gastrointestinal Surgery Can Reduce Complications and Improve Gastrointestinal Function

Cited by 8 publications

References 22 publications

Clinical Nursing Paths Benefit Patient Outcomes Undergoing Transcatheter Arterial Chemoembolization for Hepatocellular Carcinoma

Clinical Nursing Paths Benefit Patient Outcomes Undergoing Transcatheter Arterial Chemoembolization for Hepatocellular Carcinoma

Effects of operating room nursing intervention on wound infection in patients undergoing ovarian cysts surgery: A meta‐analysis

Meta-analysis of the effect of laparoscopic surgery and open surgery on long-term quality of life in patients with colorectal cancer

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