Effect of preoperative simulation training on surgical indicators and postoperative infection in patients undergoing intestinal obstruction surgery

Abstract

Objective To explore the effect of preoperative simulation training on surgical indicators and postoperative infection in patients with intestinal obstruction. Methods From November 2015 to November 2016, 66 patients with intestinal obstruction who received routine nursing in the Second People's Hospital of Wuxi were selected as control group.From December 2016 to December 2017, 66 patients with intestinal obstruction surgery who received preoperative simulation training in our hospital were selected.as observation group.The surgical indicators and postoperative infections were compared between the two groups. Results The incision pain time, first exhaust time, land time and the hospitalization time in the observation group were (2.19±1.08)d, (1.53±0.72)d, (5.21±0.98)d, (9.75±1.49)d, respectively, which were shorter than those in the control group (all P<0.05). The CRP levels at postoperative 1 d, 3 d and 6 d in the observation group were (6.36±1.57)mg/L, (7.36±1.21)mg/L, (6.38±1.19)mg/L, respectively, the PCT levels were (0.46±0.14)ng/mL, (0.60±0.11)ng/mL, (0.38±0.06)ng/mL, respectively, which were all lower than those in the control group, the differences were statistically significant (all P<0.05). Conclusion Preoperative simulation training for patients with intestinal obstruction surgery can effectively optimize the surgical indicators and improve postoperative infection, and it is worthy of popularizing and applying. Key words: Intestinal obstruction; Simulated training; Operative index; Infection; Pain; Length of stay; C-reactive protein; Procalcitonin