基于层次分析法的日间手术安全管理指标体系构建及实证

Construction and empirical evidence of day surgery safety management index system based on analytic hierarchy process

目的 构建基于层次分析法的日间手术安全管理指标体系,为保证患者手术结局提供依据。方法选取2022年1月—2023年3月医院收治的日间手术患者176例为研究对象,按照组间基线资料均衡可比的原则将患者分为观察组和对照组,各88例。对照组予以常规安全管理模式干预,观察组在对照组基础上构建基于层次分析法的护理安全管理指标体系,成立专家协调小组,制订专家咨询问卷,选择函询专家,确定指标权重,综合评估日间手术患者管理的优先级和可能的干预措施,制定最合适的管理方案。比较两组患者手术指标、术后疼痛评分、术后并发症发生情况、家属满意程度的差异性。结果 与对照组相比,观察组手术等待时间、苏醒时间、麻醉恢复室停留时间、术后下床活动时间均缩短(P<0.05)。重复测量方差分析结果显示,与术后30 min相比,两组术后2 h、6 h、12 h疼痛评分均降低(P<0.05),术后30 min、术后2 h、术后6 h时观察组疼痛评分均低于对照组,差异有统计学意义(P<0.05)。观察组术后并发症总发生率较对照组低,经比较差异有统计学意义(P<0.05)。观察组的满意程度高于对照组,经比较差异有统计学意义(P<0.05)。结论 基于层次分析法的护理安全管理指标体系应用于日间手术患者中,可以帮助护理团队评估和分析相关影响因素,及时采取相应的措施,从而减少术后并发症发生风险,有效缓解术后疼痛程度,同时向患者提供安全和高质量的护理服务,提高了家属对护理团队的信任和满意程度,促进了患者术后恢复。

Objective To construct a safety management index system for day surgery based on the analytic hierarchy process,so as to provide a basis for ensuring patient surgical outcomes.Methods A total of 176 day surgery patients admitted to the hospital from January 2022 to March 2023 were selected.They were divided into a control group and an observation group,with 88 cases in each group,based on the principle of balanced and comparable baseline data between groups.The control group implemented routine safety management model intervention,while he observation group constructed a nursing safety management index system based on the hierarchical analysis process in addition to the control group.This involved establishing an expert coordination group,formulating an expert consultation questionnaire,selecting experts for correspondence,determining the weight of indexes,and comprehensively evaluating the priorities and possible interventions for the day surgery patient management to develop the most appropriate management plan.The differences in the surgical indicators,postoperative pain scores,occurrence of postoperative complications,and family satisfaction were compared between the two groups.Results The surgical waiting time,awakening time,stay time in the post-anesthesia care unit,and postoperative off-bed activity time of the observation group were all shorter than those in the control group(P<0.05).The results of the repeated-measures analysis of variance showed that pain scores were lower in both groups at 2 h,6 h,and 12 h post-op compared with 30 min post-op(P<0.05),and pain scores at 30 min post-op,2 h post-op,and 6 h post-op in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The total incidence of postoperative complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).The satisfaction in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion The application of a nursing safety management index system based on the analytic hierarchy process in day surgery patients can help the nursing team evaluate and analyze relevant influencing factors.This enables them to take timely measures to reduce the risk of postoperative complications,effectively alleviate postoperative pain,and provide safe and high-quality nursing services to patients.Moreover,it enhances the trust and satisfaction of family members with the nursing team,and facilitates patients'postoperative recovery.