Dergiler / Journal of Clinical and Analytical Medicine / 2015 / Cilt: 6 - Sayı: 5
The Impact of Nurse's Experience on Operation Time in Laparoscopic Cholecystectomy
- Sayfa
- 562–564
- DOI
- —
Özet
Amaç: Çalışmamızda hemşire tecrübesinin laparoskopik kolesistektomi ameliyatının süresi üzerine etkisini belirlemeyi amaçladık. Gereç ve Yöntem: Konya Eğitim ve Araştırma Hastanesi genel cerrahi ameliyathanesinde, on yıldan daha fazla laparoskopik ameliyat tecrübesi olan, bir genel cerrahi uzmanının, Ocak 2010-2013 tarihleri arasında yaptığı laparoskopik kolesistektomi vakalarının dosyaları geriye dönük olarak tarandı. Ultrasonografide safra kesesinde taş ve/veya polipi olduğu için ameliyat edilen hastalar çalışmaya alındı. Hastaların yaş, cins, safra kesesi patolojisi, ASA skoru, ameliyatı asiste eden hemşire ve ameliyat süresine ait bilgiler elde edildi. Ameliyatı asiste eden hemşireler, laparoskopik ameliyat tecrübesi 10 yıldan fazla olan tecrübeli dört hemşire (grup 1), 5 yıldan az tecrübesi olan dört hemşire (grup 2) olarak iki gruba ayrıldı. Veriler Excel ortamında kaydedildi, istatistiki hesaplama için SPSS 18.0 programı kullanıldı. P
Abstract
Aim: The objective of the present study is to determine the impact of nurses experience's on operation time in laparoscopic cholecystectomy(LC). Material and Method: Data collected retrospectively in Konya Training and Research Hospital, by reviewing the files of LC cases, between January 2010-2013, operated by general surgeon whom has more than ten years of experience in laparoscopic surgery. Patients who has gallbladder polyps and/or gallstones on ultrasonography were included in the study. Age, sex, gall bladder pathology, ASA score, duration of surgery and surgical nurse who assisted surgery were obtained from hospital automation system. Nurses were divided into two groups, (group 1) having more than 10 years of experience in laparoscopic surgery, (group 2) having less than 5 years experience in laparoscopic surgery. Statistical analysis was performed using SPSS v.18.0. P value less than 0.05 was considered statistically significant. Results: 197 patients included in the study, 38(19%) were male, 159(81%) were female, 17(9%) were above 65 years of age, 180(91%) were under 65 years of age, mean age of patients was 46,7±13,8 years. 104(%53) patients' operation was assisted by experienced nurses while 93(%47) patients' operation was assisted by less experienced nurses. Mean operation time was 51.5 ± 9.0 minutes in the group of experienced nurses and as 73.0 ± 5.6 minutes in the group of less experienced nurses, difference was statistically significant (P 0.05) was not significant. Discussion: Experienced surgical nurses reduce the operation time in (LC) surgery.