Effect of nursing project management on reducing the incidence of perioperative pressure injury during laparoscopic pancreaticoduodenectomy

Objective To explore the effect of nursing project management on reducing the incidence of perioperative pressure injury during laparoscopic pancreaticoduodenectomy. Methods The pressure ulcers conditions of 41 cases undergoing laparoscopic resection of pancreatic duodenal from December 2014 to July 2015 were investigated to find out the causes of the incidence of pressure ulcers, and we made pertinent measures for continuous quality improvement. From August 2015 to March 2016, 45 patients underwent laparoscopic pancreatoduodenectomy received nursing project management nursing care. Two groups of patients in terms of the incidence of pressure ulcers, pressure ulcer risk assessment accuracy and implementation rate of patient skin specification handover were compared. Results The incidences of laparoscopic resection of pancreatic duodenal ulcer decreased from 24.39% before the improvement of the project to 2.22%, the accuracy of nurse on the laparoscopic resection of pancreatic duodenal ulcer risk assessment increased from 75.60% to 95.55%, the implementation rate of patient skin specification handover increased from 82.93% to 97.78%, the differences were statistically significant (P<0.05) . Conclusions The implementation of nursing program can reduce the incidence of pressure injury and improve the quality of nursing in perioperative period of laparoscopic pancreaticoduodenectomy. Key words: Laparoscopy; Pancreatoduodenectomy; Nursing project; Pressure injury