困扰医护人员与患者参与日间手术现状问题的研究进展

Research progress on current situation problems affecting medical staff and patients to participate in daytime surgery

对影响医护人员开展日间手术及困扰患者参与日间手术现状问题进行综述,于医护人员而言,现存问题包括术前评估、术前访视、信息支持、延续服务方面须有待进一步完善,并提出相关指南建议;于患者而言,阐述了日间手术全程中现状问题,包括心理应激反应、就诊流程烦琐化、全程信息感知缺乏、术后疼痛及院后康复的不确定性;以期为后续制订日间手术相关的服务流程设置提供参考与借鉴,并提出日间手术个性化与全程化的医疗照护的展望。

The current situation problems affecting the medical staff to carry out day surgery and annoying the patients to participate in day surgery are reviewed.For the medical staff,the present existing problems including the preoperative assessment,preoperative visit,information support and continuous service need to be further perfected,and the relevant guidelines and suggestions are put forward.For the patients,the current situation problems in the whole course of daytime surgery are elaborated,including the psychological stress reaction,complexity of medical procedures,lack of information perception,postoperative pain and uncertainty of post-hospital rehabilitation;in order to provide reference for the follow-up formulation of service flow settings related to daytime surgery,and put forward the prospect of personalized and full-process medical care for daytime surgery.