Perioperative application of ″5-precision and 1-development″ nursing mode in laparoscopic surgery for low rectal cancer without abdominal incision

Abstract

Objective To investigate the clinical outcome of ″5-precision and 1-development″ nursing mode in laparoscopic surgery for low rectal cancer without abdominal incision. Methods From January 2010 to December 2017, 216 patients underwent laparoscopic surgery for low rectal cancer without abdominal incision were divided into experimental group with ″5-precision and 1-development″ nursing mode. From 2002 to 2009, 212 patients underwent conventional surgery for low rectal cancer were divided into control group with usual nursing, two groups of clinical nursing data were analysed. The complication rate were compared by using chi square test. Results Comparing the incidence of complications between the observation group and the control group, there were 29 cases of complications in the observation group and 64 cases in the control group. There was significant difference between the two groups (χ2=17.677, P<0.001). The incidence of adverse events related to catheter nursing after operation was compared between the observation group and the control group: retrograde infection of urinary catheter, retention of urine and removal of urinary catheter were 7 cases and 13 cases respectively; abdominal drainage tube falling off and abnormal drainage events were 5 cases and 8 cases respectively; fever and abscission caused by venous nutrition catheter infection were 3 cases and 6 cases respectively. There were significant differences between the two groups (χ2=4.055, P=0.044). Conclusion Compared with conventional nursing mode, ″5-precision and 1-development″ nursing mode in laparoscopic surgery for low rectal cancer without abdominal incision could decrease rates of complications and nursing adverse events, and could promote patients′ recovery with better nursing quality. Key words: Nursing; Laparoscopy; Rectal cancer surgery; Tumor; Perioperative period