Effect of six hand operation nursing applied in microscopic apical surgery.
Yahua Liu, Wei Zhang, Su Jiang and 2 others
PMID 40353731WHAT IT FOUND
Six-hand operation nursing during microscopic apical surgery had shorter operation time, fewer cross-infections, less pain on day 3, lower inflammatory markers, better treatment response, and higher satisfaction than conventional nursing.
Key findings
01Operation duration was 136.58 ± 20.10 minutes in the control group and 105.23 ± 11.34 minutes in the observation group, and cross infection occurred in 6 of 45 control patients and 0 of 45 observation patients.
02On day 3, VAS scores were 2.31 ± 0.56 in the control group and 1.75 ± 0.44 in the observation group, and the overall response rate was 82.22% in control and 97.78% in observation.
03On day 3, TNF-α levels were 23.45 ± 1.64 ng/mL in control and 18.34 ± 1.12 ng/mL in observation, IL-6 levels were 15.94 ± 2.13 ng/mL and 10.25 ± 2.67 ng/mL, and total satisfaction was 71.11% in control and 95.56% in observation.
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How it was doneWhat they foundWhat it means for RNs
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What it does not show
The sample was small, with 45 patients in each group. The follow-up period was not sufficiently long. The paper does not state a primary outcome. Blinding of participants, surgeons, nurses, or outcome assessors is not described. Dropout handling and intention-to-treat analysis are not described. The intervention was a package of nursing roles and tasks, so the effect cannot be attributed to the circulating nurse alone. The study was conducted at one hospital. The criteria for markedly effective, effective, and ineffective are not provided.
Declared interests
Financial support was provided by the Medical Science and Technology Development Foundation, Nanjing Department of Health under Grant GBX22304, and in part by Conselho Nacional de Desenvolvimento Científico e Tecnológico - Brasil (CNPq) process 401923/2024-0. The supplied text does not report other conflicts of interest.
The easy way to misread this
Do not conclude that adding a circulating nurse alone caused the improvements. The observation group received a bundled six-hand nursing model with a circulating nurse, an assistant nurse, and a surgeon, plus preoperative education, intraoperative coordination, and postoperative guidance. The study does not separate the contribution of any single component.