Abstract:

Objective To design a storage device for lymph node specimens of gynecological malignant tumors and to evaluate its application effect. Methods The specimen depository is composed of 3 parts，including storage frame，partition plate and marking plate. 391 patients with gynecological malignant tumor surgeries requiring collection of retroperitoneal lymph nodes were selected in the operating room of a tertiary A hospital in Zhejiang Province from January to December 2022 in accordance with the operation schedule. They were randomly divided into an experimental group（n=196） and a control group（n=195）. Patients in the experimental group used a newly developed storage device，while the control group was with traditional device. The incidence of additional verification specimens by doctors，the average time for disposing of lymph node specimens，and the job satisfaction survey of doctors and nurses were compared. Results Within a period of 12 months after utilizing this easily recognizable specimen storage device，the additional verification rate in the experimental group was 10.62% compared with the rate of 72.48% in the control group. The average time of disposing lymph node specimens was reduced from（8.3±0.9）to（5.2±0.3） minutes. Doctors and nurses in the experimental group reported a higher level of satisfaction for the specimen storage device （P<0.05）. Conclusion Utilizing the newly designed specimen storage device can help medical staff to alleviate their workload，enhance their work efficiency，raise their job satisfaction，and ensure the accuracy of pathological results.

Key words: Gynecology, Tumor, Lymph Node, Specimen, Oncologic Nursing

摘要：

目的 设计妇科恶性肿瘤淋巴结标本存放器（以下简称“标本存放器”）并进行应用。 方法 标本存放器由存放框、分隔板、标记板3个部分组成。2022年1月—12月，便利选取浙江省某三级甲等医院手术室391例需收集腹膜后淋巴结的妇科恶性肿瘤手术患者作为研究对象，随机分为试验组和对照组，试验组196例采用标本存放器收集淋巴结标本，对照组195例采用传统弯盘收集标本。比较两组额外核对标本率、处置淋巴结标本的时间以及医护人员的满意度。 结果 试验组额外核对标本率为10.62%，对照组为72.48%，两组比较，差异具有统计学意义（χ²=1 687.85，P<0.001）。试验组处置淋巴结标本的时间为（5.2±0.3） min，短于对照组的（8.3±0.9） min，两组比较，差异具有统计学意义（t=17.898，P<0.001）。试验组医生及护士对标本存放器的满意度均高于对照组（P<0.05）。 结论 该研究设计的标本存放器可减轻医护人员的工作负荷，提高工作效率，提升工作满意度，保证病理结果的准确性。

关键词: 妇科, 肿瘤, 淋巴结, 标本, 肿瘤护理