摘要
目的 探讨实行日间手术全程管理模式对患者安全、满意度和医疗护理质量的影响.方法 选择2015年1-12月中南大学湘雅医院日间病房最常收治的6种日间手术术式患者为研究对象,将2015年1月1日-6月30日实施日间手术全程管理前收治的498例患者为对照组,2015年7月1日-12月30日实施日间手术全程管理后收治的561例患者为观察组.比较日间手术全程管理应用前后日间手术患者手术取消率、24 h延期出院率、转科发生率、出院后并发症发生率、72 h急诊就诊率、7 d非计划再入院率、随访率及患者出院后满意度的差异.结果 观察组手术取消率（5.2%）低于对照组（11.8%）（P〈0.05）;观察组患者24 h延期出院率（1.8%）、转科发生率（0.4%）、出院后并发症发生率（2.3%）、72 h急诊就诊率（0.2%）和7 d非计划再入院率（0.5%）均低于对照组（4.0%、1.6%、6.2%、1.4%、1.6%）（P〈0.05）;观察组患者随访率97.68%,患者满意度为（98.83±1.05）分,与对照组的92.97%、（94.18±1.36）分相比升高（P〈0.05）.结论 应用日间手术全程管理流程可降低患者24 h延期出院率、转科发生率、出院后并发症发生率、72 h急诊就诊率、7 d非计划再入院率,提高出院患者随访率及满意度,保证患者安全,提高医疗护理质量.
Objective To explore the effects of whole-course management model of day surgery on patient safety, satisfaction and nursing quality. Methods From January to December 2015, we selected patients with the most common six types of surgerys of day room in Xiangya Hospital Central South University as subjects. From 1st January to 30th June 2015, a total of 498 patients admitted before implementing whole-course management of day surgery were chosen in control group. From 1st July to 30th December 2015, a total of 561 patients admitted after that were selected in observation group. The differences in cancellation rate of surgery, delayed discharge rate within 24 h, incidence rate of changing deportment, incidence of complications after leaving hospital, visiting rate in emergency department within 72 h, unplanned readmission rate within 7 d, rate of follow-up and patients＇ satisfaction post discharge before and after implementing whole-course management of day surgery were compared. Results The cancellation rate of surgery of observation group was 5.2%significantly lower than that （11.8%） of control group （P〈0.05）. The delayed discharge rate within 24 h （1.8%）, incidence rate of changing department （0.4%）, incidence of complications after discharge （2.3%）, visiting rate in emergency department within 72 h （0.2%） and unplanned readmission rate within 7 d in observation group （0.5%） were all significantly lower than those （4.0%, 1.6%, 6.2%, 1.4%, 1.6% respectively ）in control group （P〈0.05）. The rate of follow-up and patients＇ satisfaction in observation group were 97.68% and （98.83±1.05） significantly higher than those in the control group [92.97%, （94.18±1.36）] （P〈 0.05）. Conclusions The whole-course management of day surgery can reduce the delayed discharge rate within 24 h, incidence rate of changing department, incidence of complications after discharge, visiting rate in emergency department within 72 h and unplanned readmission rate within 7 d, improve the
作者
莫洋
瞿宏颖
吴思容
刘蔚东
高红梅
Mo Yang;Qu Hongying;Wu Sirong;Liu Weidong;Gao Hongmei(Day Surgery Center, Xiangya Hospital Central South University, Changsha 410008, China;Nursing Department, Xiangya Hospital Central Solith University, Changsha 410008, Chin)
出处
《中华现代护理杂志》
2018年第15期1748-1752,共5页
Chinese Journal of Modern Nursing
关键词
日间手术
全程管理
患者安全
护理质量
满意度
Day surgery
Whole-course management
Patient safety
Quality of health care
Satisfaction
