术前眼科手术患者院前管理模式的效果评价

The effects of applying pre-hospital management model among patients before eye surgery

目的 :探讨院前管理模式在术前眼科手术患者中的应用效果。方法 :采用方便抽样法选择北京市某三级甲等医院眼科2011年10月至2012年3月实施院前管理模式前的眼科住院手术患者300例为对照组,2012年4-9月实施院前管理模式后的眼科住院手术患者300例为观察组。对照组采用常规住院手术管理模式,观察组在此基础上应用院前管理模式。结果 :实施院前管理模式后,观察组患者的住院手术相关知识知晓度、患者对住院手术的自我准备度均高于对照组(P<0.01)。病房退住院率由3.77%下降至2.78%。术前平均住院日比开展前缩短0.1天。结论 :运用院前管理模式为眼科住院手术患者提供术前护理,有利于提高患者在等待住院期间的自我用药、自我照护的依从性以及手术适应能力和配合治疗能力。

Objective： To explore the effects of applying pre-hospital management model among patients before eye surgery. Methods： The patients were recruited by the convenience sampling method. The control group consisted of 300 patients from a tertiary hospital in Beijing who received the traditional care from October 2011 to March 2012. From April to September 2012, another 300 patients from the same hospital were recruited as the experiment group and cared by pre-hospital management model. The control group received the conventional hospital operation management, while the experimental group received the pre-hospital management model besides the traditional care. Results： After the application of pre-hospital management model, the surgical knowledge and self-appraisal on the hospitalized operation in the experimental group were significantly better than those in the control group（P〈0.01）. The rate of the cancelled operation was reduced from 3.77% to 2.78%. The average pre-operative hospitalized length were shortened by 0.1 day. Conclusions： The pre-hospital management model could provide continuous care to the pre-surgical patients before their hospitalization. This model is able to improve the patients＇ compliance of self-medication and self-care as well as the adaptation and cooperation to the surgery and treatment during the operational waiting period.