BACKGROUND Gastrointestinal(GI)tumors are among the most prevalent malignancies,and surgical intervention remains a primary treatment modality.However,the complexity of GI surgery often leads to prolonged recovery and...BACKGROUND Gastrointestinal(GI)tumors are among the most prevalent malignancies,and surgical intervention remains a primary treatment modality.However,the complexity of GI surgery often leads to prolonged recovery and high postoperative complication rates,which threaten patient safety and functional outcomes.Enhanced recovery after surgery(ERAS)principles have been shown to improve perioperative outcomes through evidence-based,multidisciplinary care pathways.Despite its widespread adoption,there is a paucity of research focusing specifically on optimizing ERAS-guided nursing processes in the post-anesthesia care unit(PACU)and evaluating its impact on perioperative safety in patients undergoing GI tumor surgery.This study aimed to investigate whether an ERASbased PACU nursing protocol could enhance recovery,reduce complications,and improve patient safety in this surgical population.AIM To explore the impact of optimizing the recovery room nursing process based on ERAS on the perioperative safety of patients with GI tumors.METHODS A total of 260 patients with GI tumors who underwent elective surgeries under general anesthesia in our hospital from August 2023 to August 2025 and were then observed in the recovery unit(PACU)were selected.They were randomly divided into the observation group(the PACU nursing process was optimized based on ERAS)and the control group(the conventional PACU nursing process was adopted)by the random number grouping method,with 130 cases in each group.The time of gastric tube removal,urinary catheter removal,defecation time,hospital stay,time of leaving the room after tube removal,retention time in the recovery room,occurrence of complications,satisfaction and readmission rate were compared between the two groups after entering the room.Compare the occurrence of adverse events in the PACU nursing process between the two groups.RESULTS The time of gastric tube removal,urinary catheter removal,defecation time,hospital stay,retention time in the recovery room,total incidence of complications and readmission rate in the observation group were significantly lower than those in the control group,and the satisfaction rate was higher than that in the control group(P<0.05).The occurrence of adverse events in the PACU nursing process in the observation group was lower than that in the control group(P<0.05).CONCLUSION Optimizing the PACU nursing process based on ERAS can effectively accelerate the recovery process of patients undergoing GI tumor surgery,reduce adverse events,improve nursing satisfaction,and at the same time,lower the incidence of adverse events in the PACU nursing process,providing a more refined management basis for clinical practice.展开更多
The load-bearing performance(LBP)of pumpable supports(PPS)is crucial for the stability of longwall pre-driven recovery room(PRR)surrounding rock.However,the unbalanced bearing coefficient(UBC)of the PPS(undertaking un...The load-bearing performance(LBP)of pumpable supports(PPS)is crucial for the stability of longwall pre-driven recovery room(PRR)surrounding rock.However,the unbalanced bearing coefficient(UBC)of the PPS(undertaking unequal load along the mining direction)has not been investigated.A mechanical model of the PRR was established,considering the main roof cantilever beam structure,to derive an assessment formula for the load,the failure criteria,and the UBC of the PPS.Subsequently,the generation mechanisms,and influencing factors of the UBC were revealed.Global sensitivity analysis shows that the main roof hanging length(l_(2))and the spacing between the PPS(r)significantly impact the UBC.A novel design of the PPS and the coupling control technology were proposed and applied to reduce the UBC of the PPS in the adjacent longwall PRR.Monitor results showed no failure of the PPS at the test site,with the UBC(ζ)reduced to 1.1 consistent with the design value(1.15)basically,fully utilizing the collaborative LBP of the PPS.Finally,the maximum roof-to-floor convergence of the PRR was 234 mm,effectively controlling the stability of the surrounding rock of the PRR and ensuring the mining equipment recovery.展开更多
<strong>Background:</strong> Nursing care in the recovery room is oriented to take into account the patient’s condition after surgery intervention with its main purpose of providing direct and continuous ...<strong>Background:</strong> Nursing care in the recovery room is oriented to take into account the patient’s condition after surgery intervention with its main purpose of providing direct and continuous patient observation in emergence from general or regional anesthesia. In the absence of professional assistance, patients can develop complications that can lead them into shock or death. This study aims to understand the place of nurses in guiding nursing care in recovery room in two hospitals of Gitega Province by assessing the nurse’s knowledge and attitudes for the promotion of quality nursing care for post-operative patients. <strong>Methods:</strong> A cross sectional study design was used to assess the practice of nurses in managing nursing care in the recovery room in these two hospitals. A purposive sampling method was used to select the 82 nurses working in the recovery room for these two hospitals and Alain Bouchard’s formula was used to calculate the sample size. Data were collected using a self-report method involving questionnaire completion with five components addressing participants identifications, factors related to the work organization, factors related to the work environment, factors related to healthcare system, and nursing interventions in recovery room. <strong>Results:</strong> Findings revealed a significant lack of knowledge among the participants and their attitudes were slightly poor as for most of the variables of factors related to healthcare system as their score was less than 50% and their knowledge for nursing interventions was also poor as most of variable scores were less than 25%. <strong>Conclusions:</strong> The study findings were slightly poor as their scores were less than 50% in most of the variables;therefore, it was recommended that in-service training and workshops should be organized by these healthcare facilities for the purpose of empowering the nurse’s knowledge and practice. Moreover, these institutions should provide and encourage nurses to use nursing guidelines and protocols.展开更多
Objective: to study the effect of applying the anesthesia and nursing integration model in the anesthesia recovery room of hypertension surgery. Methods: 70 patients with hypertension admitted to the anesthesia recove...Objective: to study the effect of applying the anesthesia and nursing integration model in the anesthesia recovery room of hypertension surgery. Methods: 70 patients with hypertension admitted to the anesthesia recovery room of our hospital from January 2020 to December 2021 were selected and randomly divided into two groups, of which 35 patients in the control group received routine nursing management;The observation group of 35 cases used the anesthesia nursing integrated management model, and compared the adverse reactions, anesthesia recovery time and Steward score of the two groups. Results: the incidence of adverse reactions of heart rate abnormality, agitation and hypoxemia in the observation group was lower than that in the control group, and the difference between the groups was statistically significant (P < 0.05). The anesthesia recovery time in the observation group (96.42±5.28) min was shorter than that in the control group (90.33±4.69) min, and the Steward score in the observation group (4.75±0.38) was higher than that in the control group (3.48±0.27), with statistical significance (p < 0.05). Conclusion: in the nursing of anesthesia recovery room for hypertension patients undergoing surgery, the effect of adopting the anesthesia care integrated management model is good, which can reduce the incidence of adverse reactions, shorten the anesthesia recovery time, and improve the Steward score, and have a positive impact on the maintenance of patients' health.展开更多
Objective: to analyze and study the causes of nursing safety hazards in anesthesia recovery room and its countermeasures. Methods: the data of 380 patients in the anesthesia recovery room from March 2019 to March 2020...Objective: to analyze and study the causes of nursing safety hazards in anesthesia recovery room and its countermeasures. Methods: the data of 380 patients in the anesthesia recovery room from March 2019 to March 2020 were collected and analyzed retrospectively, and then the related potential safety hazard, the existing nursing quality control problems and the complaints of patients and their families were found out. Through analysis, the causes of potential safety hazard and the related countermeasures were found out. Results: starting from April 2014, the causes of potential safety hazards in the anesthesia recovery room were rectified to solve the related problems from the source, and then the corresponding nursing quality control and training were carried out in the face of patients complaints, so as to improve the nursing quality and implement targeted measures for some problems in nursing, thus reducing potential safety hazards and the possibility of doctor-patient disputes. Conclusion: through the reasonable treatment of nursing safety hidden trouble in anesthesia recovery room, the division of labor can be made clearer and simpler, the nursing staff can be urged to be more conscientious, the doctor-patient relationship can be improved, the nursing quality can be improved, and the comfort level of patients can be increased.展开更多
Objective:To analyze and evaluate the effects of the anesthesia and nursing integration management model in the anesthesia recovery room for patients undergoing hypertension surgery.Methods:A total of 100 patients wit...Objective:To analyze and evaluate the effects of the anesthesia and nursing integration management model in the anesthesia recovery room for patients undergoing hypertension surgery.Methods:A total of 100 patients with hypertension admitted to the hospital from May 2020 to December 2021 were selected and divided into two groups based on different management methods:the control group and the observation group,with 50 patients in each group.The control group received traditional nursing management,while the observation group was managed using the integrated anesthesia and nursing management model.Various indicators,including complications,recovery period metrics,vital signs,nursing satisfaction,and patient emotions,were compared between the two groups to determine the most suitable anesthesia nursing model.Results:Implementation of the integrated anesthesia and nursing management model showed that the mean arterial pressure and blood oxygen saturation levels in the observation group were significantly higher than those in the control group.The nursing satisfaction in the observation group was also markedly improved.Furthermore,the incidence of complications in the observation group was significantly lower than in the control group.Conclusions:The integrated anesthesia and nursing management model in the anesthesia recovery room positively influences patient outcomes.It effectively reduces complications,alleviates patients’psychological and emotional stress,and stabilizes vital signs.Additionally,this model enhances the professional performance of nursing staff,significantly improving the overall quality of nursing care and patient satisfaction.展开更多
Objective: to observe the effect of the application of anesthesia and nursing integrated management model for hypertensive patients in anesthesia recovery room. Methods: the control group received routine management m...Objective: to observe the effect of the application of anesthesia and nursing integrated management model for hypertensive patients in anesthesia recovery room. Methods: the control group received routine management mode, while the observation group received anesthesia and nursing integrated management mode. Results: compared with the control group, the observation group had a relatively low recovery time (p < 0.05), the observation group had a relatively high Steward score (p < 0.05), the observation group had a relatively small number of nursing errors (p < 0.05), the observation group had a relatively small number of complications (p < 0.05), and the observation group had a relatively high satisfaction with nursing satisfaction (p < 0.05). Conclusion: for hypertension surgery, the implementation of anesthesia and nursing integrated management model in the anesthesia recovery room can help patients to complete the control of awakening time, reduce patient Steward score, further reduce the incidence of nursing errors, reduce patient complications, and promote patients' recognition and satisfaction of nursing work.展开更多
基金Supported by 2025 Henan Medical Education Research Project,No.WJLX2025038.
文摘BACKGROUND Gastrointestinal(GI)tumors are among the most prevalent malignancies,and surgical intervention remains a primary treatment modality.However,the complexity of GI surgery often leads to prolonged recovery and high postoperative complication rates,which threaten patient safety and functional outcomes.Enhanced recovery after surgery(ERAS)principles have been shown to improve perioperative outcomes through evidence-based,multidisciplinary care pathways.Despite its widespread adoption,there is a paucity of research focusing specifically on optimizing ERAS-guided nursing processes in the post-anesthesia care unit(PACU)and evaluating its impact on perioperative safety in patients undergoing GI tumor surgery.This study aimed to investigate whether an ERASbased PACU nursing protocol could enhance recovery,reduce complications,and improve patient safety in this surgical population.AIM To explore the impact of optimizing the recovery room nursing process based on ERAS on the perioperative safety of patients with GI tumors.METHODS A total of 260 patients with GI tumors who underwent elective surgeries under general anesthesia in our hospital from August 2023 to August 2025 and were then observed in the recovery unit(PACU)were selected.They were randomly divided into the observation group(the PACU nursing process was optimized based on ERAS)and the control group(the conventional PACU nursing process was adopted)by the random number grouping method,with 130 cases in each group.The time of gastric tube removal,urinary catheter removal,defecation time,hospital stay,time of leaving the room after tube removal,retention time in the recovery room,occurrence of complications,satisfaction and readmission rate were compared between the two groups after entering the room.Compare the occurrence of adverse events in the PACU nursing process between the two groups.RESULTS The time of gastric tube removal,urinary catheter removal,defecation time,hospital stay,retention time in the recovery room,total incidence of complications and readmission rate in the observation group were significantly lower than those in the control group,and the satisfaction rate was higher than that in the control group(P<0.05).The occurrence of adverse events in the PACU nursing process in the observation group was lower than that in the control group(P<0.05).CONCLUSION Optimizing the PACU nursing process based on ERAS can effectively accelerate the recovery process of patients undergoing GI tumor surgery,reduce adverse events,improve nursing satisfaction,and at the same time,lower the incidence of adverse events in the PACU nursing process,providing a more refined management basis for clinical practice.
基金financial support provided by the Xinjiang Uygur Autonomous Region Key R&D Project Task Special-Department and Department Linkage Project(No.2022B01051)Major Project of Regional Joint Foundation of China(No.U21A20107)+1 种基金Hunan Provincial Natural Science Foundation of China(No.2024JJ4021)the Xinjiang Uygur Autonomous Region Tianchi Introduction Plan(No.2024XGYTCYC03)。
文摘The load-bearing performance(LBP)of pumpable supports(PPS)is crucial for the stability of longwall pre-driven recovery room(PRR)surrounding rock.However,the unbalanced bearing coefficient(UBC)of the PPS(undertaking unequal load along the mining direction)has not been investigated.A mechanical model of the PRR was established,considering the main roof cantilever beam structure,to derive an assessment formula for the load,the failure criteria,and the UBC of the PPS.Subsequently,the generation mechanisms,and influencing factors of the UBC were revealed.Global sensitivity analysis shows that the main roof hanging length(l_(2))and the spacing between the PPS(r)significantly impact the UBC.A novel design of the PPS and the coupling control technology were proposed and applied to reduce the UBC of the PPS in the adjacent longwall PRR.Monitor results showed no failure of the PPS at the test site,with the UBC(ζ)reduced to 1.1 consistent with the design value(1.15)basically,fully utilizing the collaborative LBP of the PPS.Finally,the maximum roof-to-floor convergence of the PRR was 234 mm,effectively controlling the stability of the surrounding rock of the PRR and ensuring the mining equipment recovery.
文摘<strong>Background:</strong> Nursing care in the recovery room is oriented to take into account the patient’s condition after surgery intervention with its main purpose of providing direct and continuous patient observation in emergence from general or regional anesthesia. In the absence of professional assistance, patients can develop complications that can lead them into shock or death. This study aims to understand the place of nurses in guiding nursing care in recovery room in two hospitals of Gitega Province by assessing the nurse’s knowledge and attitudes for the promotion of quality nursing care for post-operative patients. <strong>Methods:</strong> A cross sectional study design was used to assess the practice of nurses in managing nursing care in the recovery room in these two hospitals. A purposive sampling method was used to select the 82 nurses working in the recovery room for these two hospitals and Alain Bouchard’s formula was used to calculate the sample size. Data were collected using a self-report method involving questionnaire completion with five components addressing participants identifications, factors related to the work organization, factors related to the work environment, factors related to healthcare system, and nursing interventions in recovery room. <strong>Results:</strong> Findings revealed a significant lack of knowledge among the participants and their attitudes were slightly poor as for most of the variables of factors related to healthcare system as their score was less than 50% and their knowledge for nursing interventions was also poor as most of variable scores were less than 25%. <strong>Conclusions:</strong> The study findings were slightly poor as their scores were less than 50% in most of the variables;therefore, it was recommended that in-service training and workshops should be organized by these healthcare facilities for the purpose of empowering the nurse’s knowledge and practice. Moreover, these institutions should provide and encourage nurses to use nursing guidelines and protocols.
文摘Objective: to study the effect of applying the anesthesia and nursing integration model in the anesthesia recovery room of hypertension surgery. Methods: 70 patients with hypertension admitted to the anesthesia recovery room of our hospital from January 2020 to December 2021 were selected and randomly divided into two groups, of which 35 patients in the control group received routine nursing management;The observation group of 35 cases used the anesthesia nursing integrated management model, and compared the adverse reactions, anesthesia recovery time and Steward score of the two groups. Results: the incidence of adverse reactions of heart rate abnormality, agitation and hypoxemia in the observation group was lower than that in the control group, and the difference between the groups was statistically significant (P < 0.05). The anesthesia recovery time in the observation group (96.42±5.28) min was shorter than that in the control group (90.33±4.69) min, and the Steward score in the observation group (4.75±0.38) was higher than that in the control group (3.48±0.27), with statistical significance (p < 0.05). Conclusion: in the nursing of anesthesia recovery room for hypertension patients undergoing surgery, the effect of adopting the anesthesia care integrated management model is good, which can reduce the incidence of adverse reactions, shorten the anesthesia recovery time, and improve the Steward score, and have a positive impact on the maintenance of patients' health.
文摘Objective: to analyze and study the causes of nursing safety hazards in anesthesia recovery room and its countermeasures. Methods: the data of 380 patients in the anesthesia recovery room from March 2019 to March 2020 were collected and analyzed retrospectively, and then the related potential safety hazard, the existing nursing quality control problems and the complaints of patients and their families were found out. Through analysis, the causes of potential safety hazard and the related countermeasures were found out. Results: starting from April 2014, the causes of potential safety hazards in the anesthesia recovery room were rectified to solve the related problems from the source, and then the corresponding nursing quality control and training were carried out in the face of patients complaints, so as to improve the nursing quality and implement targeted measures for some problems in nursing, thus reducing potential safety hazards and the possibility of doctor-patient disputes. Conclusion: through the reasonable treatment of nursing safety hidden trouble in anesthesia recovery room, the division of labor can be made clearer and simpler, the nursing staff can be urged to be more conscientious, the doctor-patient relationship can be improved, the nursing quality can be improved, and the comfort level of patients can be increased.
文摘Objective:To analyze and evaluate the effects of the anesthesia and nursing integration management model in the anesthesia recovery room for patients undergoing hypertension surgery.Methods:A total of 100 patients with hypertension admitted to the hospital from May 2020 to December 2021 were selected and divided into two groups based on different management methods:the control group and the observation group,with 50 patients in each group.The control group received traditional nursing management,while the observation group was managed using the integrated anesthesia and nursing management model.Various indicators,including complications,recovery period metrics,vital signs,nursing satisfaction,and patient emotions,were compared between the two groups to determine the most suitable anesthesia nursing model.Results:Implementation of the integrated anesthesia and nursing management model showed that the mean arterial pressure and blood oxygen saturation levels in the observation group were significantly higher than those in the control group.The nursing satisfaction in the observation group was also markedly improved.Furthermore,the incidence of complications in the observation group was significantly lower than in the control group.Conclusions:The integrated anesthesia and nursing management model in the anesthesia recovery room positively influences patient outcomes.It effectively reduces complications,alleviates patients’psychological and emotional stress,and stabilizes vital signs.Additionally,this model enhances the professional performance of nursing staff,significantly improving the overall quality of nursing care and patient satisfaction.
文摘Objective: to observe the effect of the application of anesthesia and nursing integrated management model for hypertensive patients in anesthesia recovery room. Methods: the control group received routine management mode, while the observation group received anesthesia and nursing integrated management mode. Results: compared with the control group, the observation group had a relatively low recovery time (p < 0.05), the observation group had a relatively high Steward score (p < 0.05), the observation group had a relatively small number of nursing errors (p < 0.05), the observation group had a relatively small number of complications (p < 0.05), and the observation group had a relatively high satisfaction with nursing satisfaction (p < 0.05). Conclusion: for hypertension surgery, the implementation of anesthesia and nursing integrated management model in the anesthesia recovery room can help patients to complete the control of awakening time, reduce patient Steward score, further reduce the incidence of nursing errors, reduce patient complications, and promote patients' recognition and satisfaction of nursing work.
