Application of "pictorial nursing preparation list" in spine endoscopic day surgery

ObjectiveTo explore the application effect of "pictorial nursing preparation list" in day surgery of spinal endoscopy.

MethodsUsing a convenience sampling method, patients who underwent day spinal endoscopic lumbar discectomy from March to May 2021 were selected as the control group, and patients who underwent day spinal endoscopic lumbar discectomy from June to July 2021 were selected as the observation group.The control group used the original "written nursing preparation list" management program, and the observation group used the "pictorial nursing preparation list" management program.The preoperative preparation time from patient admission to the start of surgery (T₁), intraoperative waiting time due to lack of items (T₂), effective operative time (T₃) and postoperative surgeon's satisfaction with care scores were recorded separately for the 2 groups of spinal endoscopic day surgery, and statistical analysis was performed.

ResultsIn the control group, T₁ was (14.70±5.26) min, and the longest steps accounted for were wrong placement of the operating bed, wrong placement of the C-arm machine, and inability to find the marker pen; T₂ was (6.11±2.16) min, and the longest intraoperative steps accounted for were insufficient preparation of local anesthetics, wrong preparation of the surgical patch, and unskilled connection of the light source imaging machine; T₃ was (56.51±8.98) min and postoperative surgeon satisfaction score with nursing was (85.12±4.78) points.After using the "pictorial nursing preparation list", T₁ and T₂ in the observation group (12.53±4.68) min, (4.96±2.04) min were significantly lower than those in the control group (P < 0.05), and the surgeon's satisfaction score was significantly increased compared with the control group (92.41±4.29) points, P < 0.05.

ConclusionsThe "pictorial nursing preparation list" can significantly reduce the "ineffective" time of spinal endoscopic day surgery, standardize the surgical process, improve the efficiency of day surgery table, and can be extended to other endoscopic day surgery processes.