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北京市肛肠医院 手术室, 北京, 100120
Received:23 June 2025,
Revised:2025-08-04,
Accepted:20 August 2025,
Published Online:03 November 2025,
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LIU Rui. Nursing Experience of Bundled Care Model in Laparoscopic Subtotal Colectomy: A Case Study[DB/OL].Clinical archives of integrative medicine, 2025.
LIU Rui. Nursing Experience of Bundled Care Model in Laparoscopic Subtotal Colectomy: A Case Study[DB/OL].Clinical archives of integrative medicine, 2025. DOI: 10.12209/CAIM202506230017.
目的
2
探讨集束化护理模式在腹腔镜下次全结肠切除术中的护理效果及优化路径。
方法
2
选取1例接受腹腔镜下次全结肠切除术的患者,实施集束化护理干预,具体包括:流程标准化:制定术中护理路径图,明确器械传递、体位管理、生命体征监测等关键节点;风险精准防控:针对出血、压疮、低体温及心理应激,制定个性化策略;团队协作强化:通过术前和术中制度减少配合失误。
结果
2
患者接受治疗期间,未出现并发症,手术顺利完成。
结论
2
集束化护理通过系统整合循证措施,显著提升腹腔镜结肠手术的护理效率与安全性,其模块化设计可适配其他复杂术式,具有临床推广价值。
Objective
2
To explore the efficacy and optimized pathway of bundled care model in laparoscopic subtotal colectomy.
Methods
2
One patient who underwent laparoscopic next total colectomy was selected and received bundled care intervention. The specific measures included: standardization of procedures: developing an intraoperative care flowchart, clarifying key nodes such as instrument transfer, body position management, and vital sign monitoring; precise risk prevention and control: formulating personalized strategies for bleeding, pressure ulcers, hypothermia, and psychological stress; strengthening team collaboration: reducing errors in cooperation through preoperative and intraoperative systems.
Results
2
During the treatment period, no complications occurred and the surgery was successfully completed.
Conclusion
2
The bundled care model, through systematic integration of evidence-based measures, significantly improves the nursing efficiency and safety of laparoscopic colon surgery. Its modular design can be adapted to other complex surgical procedures and has clinical promotion value.
中国医师协会肛肠医师分会 . 慢性便秘检查与评估中国专家共识(2024版) [J]. 中华胃肠外科杂志 , 2024 , 27 ( 12 ): 1191 - 1201 .
Chinese Medical Doctor Association - Colorectal Physician Branch . China expert consensus on examination and evaluation of chronic constipation (2024 edition) [J]. Chin J Gastrointest Surg , 2024 , 27 ( 12 ): 1191 - 1201 . (in Chinese)
郭满 , 童卫东 . 慢传输型便秘的手术方式选择: 全结肠切除和次全结肠切除 [J]. 中华胃肠外科杂志 , 2024 , 27 ( 12 ): 1248 - 1253 .
GUO M , TONG W D . Surgical options for slow transit constipation: total colectomy and subtotal colectomy [J]. Chin J Gastrointest Surg , 2024 , 27 ( 12 ): 1248 - 1253 . (in Chinese)
司琪 , 吴锦姬 . 集束化护理的概念分析 [J]. 循证护理 , 2024 , 10 ( 15 ): 2661 - 2665 .
SI Q , WU J J . Bundled nursing: a concept analysis [J]. Chin Evid Based Nurs , 2024 , 10 ( 15 ): 2661 - 2665 . (in Chinese)
杨洋 , 丁志娟 , 段军霞 , 等 . 手术室老年患者压疮护理管理中集束化护理策略的应用效果及对护理质量的影响研究 [J]. 贵州医药 , 2021 , 45 ( 12 ): 1997 - 1998 .
YANG Y , DING Z J , DUAN J X , et al . Study on the Application Effect and Impact on Nursing Quality of the Clustered Nursing Strategy in Pressure Ulcer Care Management for Elderly Patients in the Operating Room [J]. Guizhou Med J , 2021 , 45 ( 12 ): 1997 - 1998 . (in Chinese)
孙萌 , 蒋月超 , 王亮 . 集束化护理联合保温对侧卧手术患者压疮发生率的影响 [J]. 黑龙江中医药 , 2022 , 51 ( 6 ): 274 - 276 .
SUN M , JIANG Y C , WANG L . The impact of bundled care combined with insulation on the incidence of pressure ulcers in patients undergoing lateral position surgery [J]. Heilongjiang J Tradit Chin Med , 2022 , 51 ( 6 ): 274 - 276 . (in Chinese)
张安娜 , 马娟 . 集束化护理干预在经皮肾镜钬激光碎石取石术中的应用效果 [J]. 医学临床研究 , 2023 ( 1 ): 136 - 138 .
ZHANG A N , MA J . The application effect of cluster-based nursing intervention in percutaneous nephrolithotomy with holmium laser lithotripsy and stone removal [J]. Medical clinical research , 2023 ( 1 ): 136 - 138 . (in Chinese)
叶建珍 . 综合保温护理对长时间侧卧位手术患者凝血功能及压疮的影响 [J]. 国际护理学杂志 , 2019 , 38 ( 7 ): 968 - 970 .
YE J Z . The influence of comprehensive insulation care on the coagulation function and pressure ulcers of patients undergoing surgery in a long-term lateral position [J]. Int J Nurs , 2019 , 38 ( 7 ): 968 - 970 . (in Chinese)
中华医学会麻醉学分会老年人麻醉与围术期管理学组 , 国家老年麻醉联盟(NAGA) , 国家老年疾病临床医学研究中心(宣武医院) , 等 . 中国成人患者围手术期液体治疗临床实践指南(2025版) [J]. 中华医学杂志 , 2025 , 105 ( 2 ): 128 - 154 .
The Geriatric Anesthesia and Perioperative Management Group of the Chinese Medical Association Anesthesiology Society , the National Alliance for Geriatric Anesthesia (NAGA) , the National Clinical Research Center for Geriatric Diseases (Xuanwu Hospital) , etc . Clinical Practice Guidelines for Perioperative Fluid Therapy in Adult Patients in China (2025 Edition) [J]. Natl Med J China , 2025 , 105 ( 2 ): 128 - 154 . (in Chinese)
段文静 , 王燕 , 宋瑛 , 等 . 斯卡特触发点与CORN评估量表联合应用在脊柱肿瘤患者术中压力性损伤风险评估中的效果 [J]. 中国医药导报 , 2025 , 22 ( 24 ): 78 - 82, 99 .
DUAN W J , WANG Y , SONG Y , et al . Efficacy of combined Scott trigger tool and CORN assessment scale for intraoperative pressure injury risk evaluation in spinal tumor patients [J]. China Med Her , 2025 , 22 ( 24 ): 78 - 82, 99 . (in Chinese)
赵飞 , 彭雪峰 , 刘毅 , 等 . 从“六郁” 理论辨治慢性萎缩性胃炎伴焦虑抑郁状态经验 [J]. 中华中医药杂志 , 2023 , 38 ( 1 ): 211 - 214 .
ZHAO F , PENG X F , LIU Y , et al . Experience in treating chronic atrophic gastritis with anxiety and depression based on the theory of ‘six depression’ [J]. China J Tradit Chin Med Pharm , 2023 , 38 ( 1 ): 211 - 214 . (in Chinese)
朱东林 , 刘红丽 . 集束化护理干预对169例介入手术患者的压疮预防效果 [J]. 武警医学 , 2017 , 28 ( 8 ): 855 - 856 .
ZHU D L , LIU H L . The preventive effect of cluster-based nursing intervention on pressure ulcers in 169 patients undergoing interventional surgeries [J]. Med J Chin People’s Armed Police Force , 2017 , 28 ( 8 ): 855 - 856 . (in Chinese)
徐秀珍 , 王芝静 , 孙杰 , 等 . 集束化护理在神经外科侧卧位手术患者体位安置与压疮防护中的应用 [J]. 现代中西医结合杂志 , 2020 , 29 ( 15 ): 1687 - 1690 .
XU X Z , WANG Z J , SUN J , et al . The application of cluster-based nursing in the positioning and pressure ulcer prevention for patients undergoing lateral position surgeries in neurosurgery [J]. Mod J Integr Tradit Chin West Med , 2020 , 29 ( 15 ): 1687 - 1690 . (in Chinese)
王金玲 , 朱浩 , 楚冬梅 , 等 . 基于卓越服务理念的手术室护理在腹腔镜全结肠系膜切除术中的应用 [J]. 当代护士 , 2024 , 31 ( 22 ): 84 - 87 .
WANG J L , ZHU H , CHU D M , et al . The application of operating room nursing based on the concept of excellent service in laparoscopic total mesocolic excision surgery [J]. Mod Nurse , 2024 , 31 ( 22 ): 84 - 87 . (in Chinese)
洪叶 , 叶芬芳 , 游亚婷 , 等 . 腹腔镜直肠癌手术护理配合标准流程的应用效果 [J]. 医疗装备 , 2024 , 37 ( 12 ): 117 - 120 .
HONG Y , YE F F , YOU Y T , et al . The application effect of the standard process for nursing cooperation in laparoscopic rectal cancer surgery [J]. Chin J Med Device , 2024 , 37 ( 12 ): 117 - 120 . (in Chinese)
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