The impact of operating room nursing pathway on patients undergoing laparoscopic liver and gallbladder surgery
手术室护理路径对肝胆腹腔镜手术患者的影响

摘要

目的 分析手术室护理路径对肝胆腹腔镜手术患者的影响。方法 回顾分析2024年1月至2025年12月60例肝胆腹腔镜手术患者病历资料，其中2024年1月至2024年12月30例肝胆腹腔镜手术患者实施常规护理，设定为对照组；2025年1月至2025年12月30例肝胆腹腔镜手术患者实施手术室护理路径，设定为观察组。对比两组护理效果。结果 （1）临床指标，观察组术中出血量少于对照组，手术时间、住院时间短于对照组（P<0.05）为差异显著，有统计学意义。（2）并发症发生率，观察组低于对照组（P<0.05）为差异显著，有统计学意义。（3）生活质量，观察组各评分高于对照组（P<0.05）为差异显著，有统计学意义。（4）护理满意度，观察组高于对照组（P<0.05）为差异显著，有统计学意义。结论 手术室护理路径对肝胆腹腔镜手术患者的影响明显，可提高手术效果，降低并发症发生率，改善生活水平，获得患者护理满意评价，值得采纳。

Abstract

Objective To analyze the impact of operating room nursing pathway on patients undergoing laparoscopic liver and gallbladder surgery.
Methods A retrospective analysis was conducted on the medical records of 60 patients who underwent laparoscopic liver and gallbladder surgery from January 2024 to December 2025. Among them, 30 patients who underwent laparoscopic liver and gallbladder surgery from January 2024 to December 2024 received routine nursing care and were set as the control group; From January 2025 to December 2025, a nursing pathway was implemented in the operating room for 30 patients undergoing laparoscopic liver and gallbladder surgery, and was set as the observation group. Compare the nursing effects of two groups.
Results (1) Clinical indicators showed that the observation group had less intraoperative bleeding than the control group, and the surgical time and hospital stay were shorter than those of the control group (P<0.05), indicating significant differences and statistical significance. (2) The incidence of complications in the observation group was significantly lower than that in the control group (P<0.05), indicating statistical significance. (3) The difference in quality of life is statistically significant when the scores of the observation group are higher than those of the control group (P<0.05). (4) The nursing satisfaction was significantly higher in the observation group than in the control group (P<0.05), indicating a statistically significant difference.
Conclusion   The nursing pathway in the operating room has a significant impact on patients undergoing laparoscopic liver and gallbladder surgery, which can improve surgical outcomes, reduce the incidence of complications, improve living standards, and obtain patient nursing satisfaction evaluations. It is worth adopting.