Abstract:
OBJECTIV To observe the risk factors for perioperative infections and complications in cervical cancer patients undergoing laparoscopic radical hysterectomy so as to take nursing interventions.
METHODS A total of 220 patients with cervical cancer who were treated in the hospital from Jan 2013 to Dec 2015 were recruited as the study objects and divided into two groups according to the nursing intervention. The intervention group with 110 cases was treated with individualized, standardized nursing measure, while the control group was treated with routine nursing measures. The incidence of perioperative infections and satisfaction with nursing were compared between the two groups.
RESULTS Of the 220 patients who underwent the laparoscopic radical hysterectomy, 31 had perioperative complications, with the incidence rate 14.1%, including 5 cases of vascular injury, 9 cases of lymphatic cyst, 4 cases of uroschesis, 6 cases of urinary tract injury, 1 case of intestinal injury, 2 cases of deep venous thrombosis, 3 cases of subcutaneous emphysema, and 1 case of incisions bleeding. Totally 19 patients had infections, with the incidence rate of infection 8.6%. The duration of diagnosis of postoperative infection ranged between 3 and 16 days, with the mean duration 9.1 days. The result of bacterial culture indicated that there were 6 strains of
Escherichia coli, 5 strains of
Staphylococcus aureus, 3 strains of
Enterococcus faecalis. The infection rate of the individualized nursing intervention group was 6.4%, lower than 10.9% of the control group. The rate of satisfaction with nursing was 81.3% in the intervention group, significantly higher than 71.8% in the control group
P<0.05); all the patients were cured and discharged after antibiotics dressing and symptomatic treatment.
CONCLUSION The individualized, standardized nursing may raise the satisfaction with nursing among the patients undergoing laparoscopic radical hysterectomy. The prevention and treatment of complications and infection are the important measures to ensure the surgical effect.