Effect of an operating-room risk nursing protocol on patients undergoing laparoscopic surgery

Su Zhuoqiong; Wang Jia; Peng Wei; Guo Huimin; Tang Huimin; Tong Yao; Yi Mali

doi:10.11986/j.issn.1673-873X.2025.09.19

Abstract：Objective To explore the effect of an operating-room risk nursing protocol in patients undergoing laparoscopic surgery,with the aim of providing a reference for clinical practice.Methods Laparoscopic surgery patients admitted to the Second Affiliated Hospital of Air Force Medical University from March 2023 to February 2024 were enrolled as the control group(n=113)and received routine operating-room nursing.Patients admitted from March 2024 to February 2025 were enrolled as the experimental group(n=113)and received the operating-room risk nursing protocol in addition to routine nursing.Surgical parameters,intraoperative risk events,and degree of satisfaction with nursing were compared between the two groups.Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),and 36-Item Short-Form Health Survey(SF-36)scores were compared before nursing and after nursing(at discharge).Results Body temperature at 30 minutes in-to surgery was higher in the experimental group than in the control group;surgery duration,anesthesia awakening time,time to recovery of gastrointestinal peristalsis,and length of hospital stay were all shorter in the experimental group than in the control group;postoperative pain as measured by the Visual Analogue Scale(VAS)was lower in the experimental group than in the control group;all these differences were statistically significant(P＜0.05).There were no significant between-group differences in SAS and SDS scores before nursing(P＞0.05).After nursing,SAS and SDS scores decreased in both groups,and the decreases were significantly greater in the experimental group than in the control group(P＜0.05).The in-cidence of intraoperative risk events in the experimental group was significantly lower than that in the control group(12.39％vs.31.86％;P＜0.05).There were no significant pre-nursing differences between groups across the eight di-mensions(physical functioning,role physical,social functioning,bodily pain,role emotional,mental health,vitality,gen-eral health)of SF-36(P＞0.05).After nursing,scores on all eight dimensions of SF-36 increased in both groups compared with before nursing,and were significantly higher in the experimental group than in the control group(P＜0.05).The o-verall degree of satisfaction with nursing was significantly higher in the experimental group than in the control group(P＜0.05).Conclusion Application of an operating-room risk nursing protocol in patients undergoing laparoscopic surgery can effectively improve surgical efficiency and promote postoperative recovery,reduce negative emotions,decrease the incidence of risk events,and raise quality of life and degree of satisfaction with nursing,warranting clinical promotion and application.