Endoscopic sinus surgery: advantages of the four-hands technique of doctor-nurse collaboration

Abstract

Objective To analyze and discuss the clinical effect of the four-hands technique mode of doctor-nurse collaboration in endoscopic sinus surgery. Methods Convenient sampling method was used to select 50 cases of patients with nasal endoscopic surgery who met the inclusion criteria and agreed to participate in this study in the period between January to May in 2016. Designing one side of the nasal cavity of patients with traditional surgery mode, the other side of the nasal cavity to carry out the four-hands mode. The time and amount of bleeding were recorded. Results The time, amount of bleeding of traditional single hand operation side and the other side of four-hands respectively were (39.30±21.96) min, (143.86±15.01) ml and (31.60±19.27) min, (102.98±12.85) ml, with significant differences between the two groups (t=2.096, 14.625, P<0.01). Conclusions The four-hands technique of doctor-nurse collaboration can significantly reduce the time, reduce the amount of bleeding and get a better surgical field, clinical nurse and doctor′s cooperation is more closely and also improve the quality of patient care. Key words: Four-hands technique of doctor-nurse; One-hand operation; Operative coordination; Nurse for endoscopic holder