Effect of cluster nursing strategy on prevention of pressure injury during Da Vinci robot assisted gastric volume reduction combined with esophageal hiatal hernia repair

doi:10.3877/cma.j.issn.2095-8765.2022.04.009

Abstract

Abstract:

Objective

To explore the effect of cluster nursing strategy in preventing pressure injury during Da Vinci robot assisted gastric volume reduction combined with esophageal hiatal hernia repair.

Methods

a retrospective analysis was made on the nursing data of 100 patients who underwent Da Vinci robot assisted gastric volume reduction and esophageal hiatus hernia repair in the operating room of our hospital from April 2021 to April 2022. Among them, 50 patients who underwent surgery from April to October 2021 were treated with routine nursing methods as the control group; From December, 2021 to April, 2022, 50 surgical patients were treated with cluster nursing strategy, which was the experimental group. The incidence of surgical stress injury and patient satisfaction were compared between the two groups.

Results

the incidence of pressure injury in the observation group was significantly lower than that in the control group (P＜0.05); The nursing satisfaction of the observation group was significantly higher than that of the control group (P＜0.05).

Conclusion

the implementation of cluster nursing strategy for the prevention of pressure injury in patients with gastric volume reduction and esophageal hiatus hernia repair assisted by Da Vinci robot can effectively reduce the incidence of pressure injury and improve the satisfaction of surgical patients.

Key words: Cluster nursing, Da Vinci robot, Gastric volume reduction combined with esophageal hiatal hernia repair, Prevention of pressure injury

Xiaoxue Yang, Shaoling Li, Yiliang Li, Wen Huang, Junmei Ma, Qian Li. Effect of cluster nursing strategy on prevention of pressure injury during Da Vinci robot assisted gastric volume reduction combined with esophageal hiatal hernia repair[J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2022, 09(04): 215-219.

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https://zhwsgflbdzzz.cma-cmc.com.cn/EN/Y2022/V09/I04/215

Figures/Tables 3

组别	例数	性别		年龄（岁， $x ¯$ ±s）	体质量（kg， $x ¯$ ±s）	体质量指数（kg/m²， $x ¯$ ±s）	手术时间（min， $x ¯$ ±s）
组别	例数	男性	女性	年龄（岁， $x ¯$ ±s）	体质量（kg， $x ¯$ ±s）	体质量指数（kg/m²， $x ¯$ ±s）	手术时间（min， $x ¯$ ±s）
对照组	50	28	22	39.59±11.391	142.70±39.636	36.70±3.747	173.65±12.821
观察组	50	29	21	44.08±12.184	137.16±30.875	37.18±3.333	176.32±12.183
检验值		0.041		-1.908	0.780	-0.677	-1.067
P值		0.840		0.059	0.437	0.500	0.288

组别	例数	性别		年龄（岁， $x ¯$ ±s）	体质量（kg， $x ¯$ ±s）	体质量指数（kg/m²， $x ¯$ ±s）	手术时间（min， $x ¯$ ±s）
组别	例数	男性	女性	年龄（岁， $x ¯$ ±s）	体质量（kg， $x ¯$ ±s）	体质量指数（kg/m²， $x ¯$ ±s）	手术时间（min， $x ¯$ ±s）
对照组	50	28	22	39.59±11.391	142.70±39.636	36.70±3.747	173.65±12.821
观察组	50	29	21	44.08±12.184	137.16±30.875	37.18±3.333	176.32±12.183
检验值		0.041		-1.908	0.780	-0.677	-1.067
P值		0.840		0.059	0.437	0.500	0.288

组别	例数	Ⅰ期压力性损伤（例）	Ⅱ期压力性损伤（例）	Ⅲ~Ⅳ期压力性损伤（例）	总发生率［例（%）］
对照组	50	6	2	0	8（16）
观察组	50	1	0	0	1（2）^a

组别	例数	十分满意（例）	较满意（例）	不满意（例）	总满意发生率［例（%）］
对照组	50	30	5	15	35（70）
观察组	50	40	9	1	49（98）^a

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