Fast-track surgery nursing intervention in CRC patients with laparotomy and laparoscopic surgery

Abstract

In this study, the application effect of fast-track surgery (FTS) nursing intervention in laparotomy and laparoscopic surgery for colorectal cancer (CRC) is investigated, and the optimal perioperative management strategy for CRC surgery is explored. One hundred thirty CRC patients are included in this study, in which 67 patients undergo laparotomy (Group A) and 63 patients undergo laparoscopic surgery (Group B). These patients were also randomly divided into traditional nursing subgroup (Group A1 [n = 33] and Group B1 [n = 31]) and FTS nursing subgroup (Group A2 [n = 34] and Group B2 [n = 32]). The general data of patients, pre-operative preparation, intra-operative data, postoperative recovery data, and postoperative complications are recorded. Both FTS and laparoscopic surgery can advance the anal exhaust time, and shorten postoperative fasting and water deprivation time, and the hospitalization time without increasing the incidence of complications. FTS has advantages in reducing the indwelling time of gastric tube and throat pain. Simultaneous implementation of FTS and laparoscopic surgery has the best effect on the postoperative recovery of CRC patients.

Perspectiva del personal de enfermería ante la práctica de cirugía segura

“…Asimismo, Mansilla et al,(2022), refieren que el personal de enfermería, debe tener conocimientos acerca de temas relacionados con profilaxis de infección quirúrgica, técnicas quirúrgicas y proceso de esterilización, ya que la atención segura es una prioridad para el bienestar y la calidad de vida del paciente, así como para la viabilidad de una cirugía segura (He et al,2022;Lei et al,2022) Las actividades del personal de enfermería para una cirugía segura incluyen: control ambiental, mantenimiento aséptico, seguimiento y ejecución de protocolos de técnicas asépticas y registro de las actividades realizadas en el quirófano. Los registros de actividad son métricas que ayudan a las enfermeras a medir y evaluar los eventos adversos que afectan a los pacientes y al personal (Hernández,2022) Finalmente, Torres et al, (2022), manifestaron que uno de los retos en el campo de la enfermería es hacer de la seguridad del paciente un elemento esencial de la calidad de la atención, lo que exige la gestión del cuidado, es decir, la aplicación del juicio profesional en la planificación, organización y control de los cuidados quirúrgicos los cuales deben ser inmediatos, oportunos, seguros, integrales, continuos y personalizados.…”

Observation on the effect of intraoperative risk management combined with comfort nursing in gynecological laparoscopic surgery

“…Nurses must be familiar with the nursing process and strengthen risk awareness to effectively prevent occurrence of postoperative DVT. [19,20] APTT, PT, and TT are the main indicators to judge the coagulation state of the body. A long time of APTT, PT, and TT indicates that the body is in a relatively low coagulation state.…”

Observation on the effect of Intraoperative risk Management merged with comfort Nursing in Gynecological Laparoscopic surgery

“…Nurses must be familiar with the nursing process and strengthen risk awareness to effectively prevent occurrence of postoperative DVT [19,20]. APTT, PT and TT are the main indicators to judge the coagulation state of the body.…”