基于最佳证据的日间手术术前管理在腹股沟疝患者中的应用效果

Effect of preoperative management of day surgery based on best evidence in patients with inguinal hernia

目的:探讨基于最佳证据的日间手术术前管理在腹股沟疝患者中的应用效果。方法:选择2018年在德阳市人民医院接受日间手术治疗的252例腹股沟疝患者为研究对象,其中1~6月期间的115例患者为对照组接受常规术前管理,7~12月期间的137例患者为试验组接受基于最佳证据的术前管理方案。比较两组患者手术临时取消率、手术等待时间、疾病及手术相关知识知晓度和患者满意度。结果:试验组患者手术临时取消率低于对照组(4.38%vs 11.30),差异具有统计学意义(P<0.05);试验组手术前等待时间较低于对照组[(114.73±23.71) min vs (78.23±26.49) min],且疾病及手术知识知晓度评分(88.15±10.27 vs 75.71±13.29)和满意度评分(96.12±8.03 vs 85.71±14.29)高于对照组,差异均具有统计学意义(P<0.01)。结论:基于最佳证据的日间手术术前管理可以降低腹股沟疝患者手术临时取消率,缩短手术前等待时间,提升患者疾病及手术相关知识水平和满意度,在未来应进一步强化临床实践,以促进日间手术术前管理质量的持续提升。

Objective: To investigate the effect of preoperative management of day surgery based on the best evidence in patients with inguinal hernia. Methods: A total of 252 patients with inguinal hernia who underwent day surgery at Deyang People’s Hospital in 2018 were selected as the subjects of the study. Among them, 115 patients in the control group received routine from January to June, and 137 patients in the experimental group received the preoperative management scheme based on the best evidence from July to December. The temporary cancellation rate of operation, waiting time of operation, awareness of disease and operation-related knowledge, and patient satisfaction were compared between the two groups. Results: The temporary cancellation rate of the patients in the experimental group was lower than that in the control group(4.38% vs 11.30), and the difference was statistically significant(P<0.05). The waiting time before operation in the experimental group was lower thanthat in the control group [(114.73±23.71) min vs(78.23±26.49) min], and the awareness of disease and surgical knowledge(88.15±10.27 vs 75.71±13.29) and the satisfaction of the patients(96.12±8.03 vs 85.71±14.29) in the experimental group were significantly higher than those in the control group(P<0.01). Conclusion: Pre-operative management based on the best evidence can reduce the temporary cancellation rate of inguinal hernia patients,shorten the waiting time before operation, and improve the level of disease and operation-related knowledge and patient satisfaction. In the future, clinical practice should be further strengthened in order to promote the continuous improvement of preoperative management quality of day surgery.