论著

医护一体组团合作模式在眼底外科日间手术患者管理的应用研究

Study on the application of integrated medical and nursing group cooperation model in the management of day surgery patients in fundus surgery

:608-616
 
目的:探讨眼底外科医护一体组团合作模式在管理眼底病日间手术患者实践效果。方法:选取2022年1—6月进行日间手术的582例眼底病患者为对照组,2023年1—6月进行日间手术的633例眼底病患者为研究组,对照组实施责任制整体护理,研究组采取实施医护一体组团合作管理模式进行全流程患者管理。使用χ2检验和t检验比较两组患者围术期护理知识健康教育知晓度、满意度、出院24 h内眼科急症就诊率、出院24 h内随访率、护士职业获益感的差异。结果:研究组患者健康教育知晓度高于对照组,组间比较差异具有统计学意义(t=–18.47,P<0.05);研究组患者满意度高于对照组,组间比较差异具有统计学意义(t=–4.005,P<0.05);研究组患者出院24 h内随访率为100%,对照组为98.1%,两组比较差异有统计学意义(χ2=12.073,P<0.05);研究组患者出院24 h内眼科急症就诊率0.94%,对照组为1.89%,组间比较差异无统计学意义(χ2=1.951,P=0.222);实施后护士职业获益感分值高于实施前,组间比较差异具有统计学意义(t=–6.637,P<0.001)。结论:医护一体组团合作管理模式进行眼底外科日间手术患者围术期的全流程管理,改善患者就医感受,提升患者就医体验,提高眼底外专科日间手术患者的依从性,保障患者的安全,提高护士职业获益感。
Objective: To investigate the practical effect of the integrated group cooperation model in managing patients with fundus diseases in day surgery. Methods: 582 patients with fundus disease who underwent day surgery from January to June in 2022 were included as the control group, and 633 patients with fundus disease who underwent day surgery from January to June in 2023 were selected as the study group. The control group implemented the overall responsibility nursing system, while the study group carried out the collaborative management model, integrating medical and nursing for the entire process of patient management. Chi-square test and T-test were used to compare the differences of perioperative nursing knowledge, health education awareness, satisfaction, emergency ophthalmological consultation rate within 24 hours of discharge, follow-up rate within 24 hours of discharge, and nurses' sense of professional benefit between the two groups. Results: The awareness of health education in the study group was higher than that in the control group, and there was significant statistically difference between two groups (t=–18.47, P<0.05). The satisfaction of patients in the study group was higher than that in the control group, and there was significant statistically difference between two groups (t=–4.005, P < 0.05). The follow-up rate within 24 hours after discharge was 100% in the study group and 98.1% in the control group, and the difference was statistically significant (χ2=12.073, P<0.05). The incidence of ophthalmic emergencies within 24 hours of discharge in the study group was 0.94%, while in the control group it was 1.89%. There was no statistically significant difference between the two groups (χ2= 1.951, P=0.222). The perceived benefit score of nurses after implementation was higher than that before implementation, and there was statistically significant between two groups (t=–6.637, P<0.05). Conclusions: The medical and nursing integrated group cooperation management model is used to manage the entire perioperative process of patients undergoing day surgery in fundus surgery. This model can improve patients' medical experience, enhance their compliance with ophthalmic surgery, ensure their safety. At the same time, it can enhance the senses of professional benefits for nurses.
眼科护理

标准操作程序在玻璃体腔内注药术护理中的应用

Application of standard operation procedure in the intravitreal injection

:181-184
 
目的:探讨标准操作程序在玻璃体腔内注药术护理中的应用效果。方法:选择2018年9至12月中山大学中山眼科中心眼底专科门诊504例玻璃体腔内注药术患者作为研究对象,对护理人力资源的整合、患者等待手术时间、患者和家属的满意度、医护人员满意度进行评价。结果:标准操作程序后明确护士岗位职责,护士操作水平和综合能力有效提升,患者手术等待时间由原来的预约2周缩短为2 d。患者和家属的满意度分别由92.0%和91.0%提高到98.5%和97.0%。医护人员满意度的评价由95%提到至98.4%。结论:玻璃体腔内注药术标准操作程序不仅提升了工作效率,更提升了患者和家属、医务人员的满意度,规范化的标准操作程序是玻璃体腔内注药的安全保障。
Objective: To investigate the effect of standard operation procedure in the intravitreal injection. Methods: A total of 504 patients visiting the fundus clinics of our hospital from September to December 2018 were selected in this study. The integration of nursing human resources, patient waiting time, patient and family satisfaction,and medical staff satisfaction were evaluated. Results: The nurses’ job responsibilities were clarified, and the nurses’ operation level and comprehensive ability were improved. The patients’ waiting time for surgery was shortened from 2 weeks to 2 days. Patient and family satisfaction increased from 92.0% and 91.0% to 98.5% and 97.0%, respectively. The evaluation of the satisfaction of medical staff was elevated from 95% to 98.4%.Conclusion: The standard operation procedure of intravitreal injection not only improves the work efficiency, but also significantly increases the satisfaction of patients and their families and medical staffs. Therefore, the standard operation procedure can guarantee the safety of intravitreal injection.
其他期刊
  • 眼科学报

    主管:中华人民共和国教育部
    主办:中山大学
    承办:中山大学中山眼科中心
    主编:林浩添
    主管:中华人民共和国教育部
    主办:中山大学
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  • Eye Science

    主管:中华人民共和国教育部
    主办:中山大学
    承办:中山大学中山眼科中心
    主编:林浩添
    主管:中华人民共和国教育部
    主办:中山大学
    浏览
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