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.
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
    浏览
  • 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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