医护一体化优质护理服务模式在小儿斜视日间手术中的应用

Effects of integrated doctor-nurse quality nursing service model in daytime surgery for pediatric strabismus

目的探讨医护一体化优质护理服务模式在小儿斜视日间手术中的应用效果。方法采取便利抽样法选取深圳市眼科医院在全麻下行双眼斜视矫正术的日间手术患者2 880例,将2018年1—6月1 470例患者作为对照组,2018年7—12月1 410例患者作为观察组。对照组给予常规的护理,观察组实施医护一体化优质护理服务,比较两组患者满意度,术后感染发生率及术后复视导致意外伤事故的发生情况。结果干预后观察组满意度得分为(99.17±0.52)分,高于对照组的(93.38±1.91)分,差异有统计学意义(t=109.446,P<0.01)。观察组术后感染发生率为0.21%,低于对照组的1.36%,差异有统计学意义(χ^2=11.97,P<0.01)。观察组无术后复视导致意外伤发生,对照组术后复视导致割伤手指1例,差异无统计学意义(P>0.05)。结论医护一体化优质护理服务模式在小儿斜视日间手术中的应用,效果显著,对日间手术患者的护理具有借鉴意义。

Objective To explore the integrated doctor-nurse quality nursing service model in daytime surgery for pediatric strabismus. Methods Totally 2 880 patients receiving daytime surgery for binocular strabismus correction under general anesthesia in Shenzhen Ophthalmology Hospital were selected using convenient sampling. Totally 1 470 patients admitted from January to June 2018 were included into the control group, while another 1 410 patients admitted between July and December 2018 were enrolled in the observation group. Patients in the control group received conventional nursing care, whereas patients in the observation group received integrated doctor-nurse nursing services. Patient's satisfaction, incidence rate of postoperative infection and accidental injury while restoring vision were compared between the two groups. Results Patient's satisfaction scored (99.17±0.52) after intervention in the observation group, higher than that in the control group, which was (93.38±1.91), and there was statistically significant difference between the two groups (t=109.446;P<0.01). The incidence rate of postoperative infection in the observation group was 0.21%, lower than that in the control group, which was 1.36%, and there was no statistically significant difference between the two groups (χ^2=11.97;P<0.01).There was no accidental injury caused while restoring vision in the observation group, while 1 patient's finger was cut when restoring vision, and there was statistically significant difference between the two groups (P>0.05). Conclusions The integrated doctor-nurse quality nursing service model was significantly effective in daytime surgery for pediatric strabismus, which offers a reference for nursing care for patients receiving daytime surgery.