Influence of comprehensive nursing cooperation on complications and quality of life in patients with video laryngoscope-guided orotracheal intubation in lateral decubitus position

Objective: To retrospectively analyze the influence of nursing cooperation on complications and quality of life (QoL) in patients with video laryngoscope-guided orotracheal intubation in a lateral decubitus position (LDP).

Methods: A total of 130 patients with orotracheal intubation under general anesthesia in LDP from January 2020 to December 2021 were included and grouped based on the nursing model they received, with 65 patients receiving routine nursing cooperation during operation being included in a control group (the Con), and 65 patients receiving comprehensive nursing cooperation on the basis of the Con being included in an observation group (the Obs). The effect of the two nursing intervention models on acute pressure ulcer degree, complications, doctor-patient satisfaction, duration and area of pressure injury, nursing costs, and QoL were compared.

Results: The incidence of intraoperative acute pressure injury differed significantly between the Obs (3.08%) and the Con (21.54%) (P<0.05). The Obs also showed lower incidences of complications such as pressure injury, limb swelling, limb numbness and muscle soreness than the Con did (P<0.05). The satisfaction of nurses, patients, anesthesiologists and surgeons in the Obs group were all 100.00%, which was higher than those in the Con (93.85%, 89.23%, 92.31% and 90.77%, respectively). Patients in the Obs had shorter duration of pressure injury, smaller pressure injury area and less nursing cost (P<0.05). After nursing, the scores of social/physical functioning, vitality, role-emotional/physical, mental health, and bodily pain were all better in the Obs than in the Con (P<0.05).

Conclusions: The implementation of comprehensive nursing cooperation for patients with video laryngoscope-guided orotracheal intubation in LDP can reduce the incidence of complications, lower the degree of acute pressure injury, improve doctor-patient satisfaction, and enhance the QoL of patients.