Study on the application effect of personalized nursing in the operating room of laparoscopic cholecystectomy for gallstone

Wang, Ping; Ma, Songcui; Li, Yu

doi:10.23736/s0031-0808.21.04419-0

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…Gallstone in the common bile duct is a common and prevalent disease in hepatobiliary surgery, and its incidence increases with age. Although small gallstones can be spontaneously discharged from the bile duct, the condition can progress to acute obstructive suppurative cholangitis or gallstone pancreatitis, posing a certain threat to patient safety[ 13 , 14 ]. Traditional open choledochotomy for stone extraction is associated with a larger trauma, longer postoperative recovery period, and higher incidence of complications[ 15 ].…”

Section: Discussionmentioning

confidence: 99%

Research on the prognostic value of adjusting intraperitoneal three-dimensional quality evaluation mode in laparoscopic cholecystectomy patients

Zhou,

Chen

2024

World J Gastrointest Surg

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BACKGROUND Benign gallbladder diseases have become a high-prevalence condition not only in China but also worldwide. The main types of benign gallbladder diseases include gallbladder polyps, acute and chronic cholecystitis, and gallstones, with gallstones being the most common, accounting for over 70% of cases. Although the mortality rate of benign gallbladder diseases is low, they carry obvious potential risks. Studies have shown that an increased incidence of benign gallbladder diseases can increase the risk of cardiovascular diseases and gallbladder cancer, resulting in a substantial disease burden on patients and their families. AIM To assess the medical utility of the Configuration-Procedure-Consequence (CPC) three-dimensional quality evaluation model in modulating the prognosis of laparoscopic cholecystectomy patients. METHODS A total of 98 patients who underwent laparoscopic cholecystectomy in our hospital from February 2020 to January 2022 were selected as the subjects. According to the random number table method, they were divided into a study group and a control group, with 49 patients in each group. The control group received routine perioperative care, while the study group had the addition of the CPC three-dimensional quality evaluation. The postoperative recovery-related indicators (time to first flatus, time to oral intake, time to ambulation, hospital stay), stress indicators (cortisol and adrenaline levels), distinctions in anxiety and depression status, and the incidence of perioperative complications were compared. RESULTS The time to first flatus, time to oral intake, time to ambulation, and hospital stay of the study group patients were obviously lower than those of the control group patients, with statistical significance (P < 0.05). On the 1st day after admission, there were no obvious distinctions in cortisol and adrenaline levels in blood samples, as well as in the Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) scores between the study group and the control group (P > 0.05). However, on the 3rd day after surgery, the cortisol and adrenaline levels, as well as SAS and SDS scores of the study group patients, were obviously lower than those of the control group patients (P < 0.05). The study group had 2 cases of incisional infection and 1 case of pulmonary infection, with a total incidence of complications of 6.12% (3/49), which was obviously lower than the 20.41% (10/49) in the control group (P < 0.05). CONCLUSION Implementing the CPC three-dimensional quality evaluation model for patients undergoing laparoscopic cholecystectomy can help accelerate their perioperative recovery process, alleviate perioperative stress symptoms, mitigate anxiety, depression, and other adverse emotions, and to some extent, reduce the incidence of perioperative complications.

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Section: Discussionmentioning

confidence: 99%

Research on the prognostic value of adjusting intraperitoneal three-dimensional quality evaluation mode in laparoscopic cholecystectomy patients

Zhou,

Chen

2024

World J Gastrointest Surg

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“…(3) The 1-day preoperative visit, psychological comfort before entering the operating room, and the implementation of various high-quality nursing measures during the operation can help patients relieve negative emotions and avoid obvious physical and mental stress reactions [10] .…”

Section: Discussionmentioning

confidence: 99%

Application of Nursing Cooperation Path in Operating Room and Analysis of Complication Rate During Laparoscopic Hysterectomy

Shen

2024

JCNR

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Objective: To explore the clinical benefits achieved by implementing the operating room nursing cooperation path for patients undergoing laparoscopic hysterectomy. Methods: 64 laparoscopic hysterectomy cases were divided into groups according to the order of admission. The control group received routine perioperative care. The observation group implemented the nursing cooperation path in the operating room on the same basis as the control group. The two groups’physiological responses, stimulus indicators, anxiety, and complication rates were compared. Results: The heart rate, blood pressure 0.5 hours after surgery, anxiety scores 1 day before and 3 days after surgery, and the total number of complications in the observation group were all lower than those in the control group (P < 0.05). Conclusion: The development of a nursing cooperation path in the operating room can help patients undergoing laparoscopic hysterectomy reduce heart rate, blood pressure, stress responses, and the risk of complications, and is worthy of promotion.

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Study on the application effect of personalized nursing in the operating room of laparoscopic cholecystectomy for gallstone

Cited by 2 publications

References 5 publications

Research on the prognostic value of adjusting intraperitoneal three-dimensional quality evaluation mode in laparoscopic cholecystectomy patients

Research on the prognostic value of adjusting intraperitoneal three-dimensional quality evaluation mode in laparoscopic cholecystectomy patients

Application of Nursing Cooperation Path in Operating Room and Analysis of Complication Rate During Laparoscopic Hysterectomy

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