摘要
目的 评价眼科白内障日间手术流程管理措施优化后的效果。方法 选取在首都医科大学附属北京同仁医院东区日间手术中心实施白内障超声乳化联合人工晶状体植入术的患者。纳入2021年1月-12月(日间手术流程优化后)的患者,并将2020年1月-12月(日间手术流程优化前)的患者作为对照。将年龄、性别、手术眼别这3个因素作为预测变量进行倾向评分匹配,对匹配成功的患者比较日间手术流程优化前后的按预定时间完成手术比例、遵医嘱使用滴眼药比例和来院次数。结果 共纳入28 306例患者,流程优化前13 284例,流程优化后15 022例。其中男性13 467例,女性14 839例,中位年龄70(60,78)岁。流程优化前患者的年龄差异无统计学意义(P>0.05),性别和手术眼别差异有统计学意义(P<0.05)。经过倾向评分匹配后,共有12 932对患者匹配成功,倾向评分匹配后两组患者的年龄、性别、手术眼别差异无统计学意义(P>0.05)。流程优化后,患者的按预定时间完成手术比例(98.8%vs. 93.3%)和遵医嘱使用滴眼药比例(97.4%vs. 93.0%)高于流程优化前,来院次数>3次的比例(0.7%vs. 1.9%)少于流程优化前(P<0.05)。结论 采用优化的日间手术流程有助于患者按照预定时间完成手术和遵医嘱使用眼部用药,并能减少患者来院次数。
Objective To evaluate the effect of optimizing the management measures of cataract ambulatory surgery. Methods The patients who underwent cataract phacoemulsification combined with intraocular lens implantation in the Ambulatory Surgery Center of East District of Beijing Tongren Hospital affiliated to Capital Medical University were selected. Patients between January and December 2021(after the optimization of ambulatory surgery process) were included, and patients between January and December 2020(before the optimization of ambulatory surgery process) were included as control. The three factors of age, gender and surgical eye type were used as predictive variables for propensity score matching. The proportion of patients who completed the surgery according to the scheduled time, the proportion of eye drops used according to the doctor’s instructions and the number of hospital visits before and after the optimization of the ambulatory surgery process were compared with the patients who successfully matched. Results A total of 28 306 patients were included, including 13 284 before and 15 022 after process optimization. There were 13 467 males and 14 839 females, with a median age of 70(60, 78) years. There was no statistically significant difference in the age of patients before the process optimization(P>0.05), but there was statistically significant difference in gender and surgical eye(P<0.05). After the propensity score matching, a total of 12 932 pairs of patients were matched successfully. After the propensity score matching, there was no statistically significant difference between the two groups in age, gender and surgical eye(P>0.05). After the process optimization, the proportion of p atients who completed surgery on schedule(98.8% vs. 93.3%) and used eyedrops according to the doctor’s instructions (97.4% vs. 93.0%) were higher than that before the process optimization, and the proportion of patients who came to hospital more than 3 times(0.7% vs. 1.9%) was lower than that before the process optimiza
作者
王冠一
刘淑贤
倪如暘
WANG Guanyi;LIU Shuxian;NI Ruyang(Ophthalmology Department,Beijing Tongren Hospital affiliated to Capital Medical University,Beijing 100730,P.R.China;Beijing Key Laboratory of Ophthalmology and Visual Sciences,Beijing 100730,P.R.China;Beijing Geriatric Hospital,Beijing 100095,P.R.China)
出处
《华西医学》
CAS
2023年第2期185-189,共5页
West China Medical Journal
基金
首都医科大学附属北京同仁医院院内基金护理研究专项(2018-YJJ-HLL-007)。
关键词
白内障
日间手术
流程优化
Cataract
ambulatory surgery
process optimization
