Application of preoperative pipeline simulation training on holistic nursing in Department of Surgical Geriatrics

Objective To explore the training method early, in order to make elderly to adopt the pipeline and reduce the incidence of postoperative unplanned extubation (UEX). Methods A total of 216 patients who would have general anesthesia operation during July 2013 to July 2014 were divided into control group (n=106) and experimental group (n=110). The elderly underwent routine education method and postoperative key points in the control group while elderly received preoperative pipeline simulation training according to all postoperative pipeline, its position of skin by patients touching each pipeline position, texture, pull strength of pipeline guided by nurses and was familiar with pipeline′s running position, effects and adverse effects in the experimental group. We compared the recognition of postoperative pipeline, the incidence rate of UEX, complications and nursing satisfaction. Results The pipeline recognition of experimental group was higher than that of control group, and the incidence rate declined 8.5%, complications dropped off 11.28% and nursing satisfaction climbed 17.81% in the control group. Conclusions The application of preoperative simulation training for pipeline greatly improves patient recognition of the pipe, the awareness of pipeline protection, which will help nurses educate patients targeted and carry out perioperative health education. This method has a broad prospects for elderly community. Key words: Elderly; Perioperative nursing; Unplanned extubation; Pipeline simulation training; Satisfaction