Abstract:

Objective

To analyze the application effect of cluster nursing intervention in the prevention of stress injury during Bariatric metabolic surgery, and to provide clinical basis for the protection of stress injury during this kind of surgery.

Methods

A total of 89 patients who underwent laparoscopic sleeve gastrectomy or laparoscopic gastric bypass in our hospital from January 2020 to December 2021 were randomly divided into control group（n = 44） and cluster nursing group（n = 45）. The control group received routine postural health education, while the cluster nursing group received cluster nursing intervention. The incidence of intraoperative stress injury, perioperative comfort and doctor satisfaction were compared between the two groups.

Results

The incidence of stress injury in control group was higher than that in cluster nursing group, the difference was statistically significant （P=0.003）. The perioperative comfort of cluster nursing group was higher than that of control group, the difference was statistically significant（P=0.001）. The satisfaction of doctors in cluster nursing group was higher than that in control group, and the difference was statistically significant （P=0.024）.

Conclusion

Cluster nursing intervention can reduce the incidence of stress injury in this kind of surgery, improve patients' body comfort and enhance doctors'satisfaction, and the implementation of cluster nursing intervention has a positive preventive effect on the occurrence of stress injury in weight-loss metabolic surgery.

Key words: Bariatric metabolic surgery, Bunching, Intraoperative stress injury