基于加速康复外科理念的妇科日间宫腔镜手术患者出院准备度现状及影响因素分析

Analysis of the current status and influencing factors of discharge preparedness of gynecological day hysteroscopic surgery patients based on the concept of accelerated rehabilitation surgery

目的探讨加速康复外科(ERAS)理念的妇科日间宫腔镜手术患者出院准备度及其影响因素。方法选取本院收治的112例妇科日间宫腔镜手术准备出院患者为研究对象,采用自制一般资料问卷调查、中文版出院准备度评估表(RHDS)对其出院准备度现状进行调查,分析影响妇科日间宫腔镜手术患者出院准备度的因素。结果妇科日间宫腔镜手术患者RHDS总分为(151.48±28.85)分,条目均分为(6.89±2.30)分,其准备度较好。患者年龄、婚姻情况和学历对患者出院准备度有影响(P<0.05)。既往宫腔镜手术史及息肉病史对患者出院准备度无影响(P>0.05)。结论基于ERAS理念的妇科日间宫腔镜手术患者出院准备度处于中等偏上水平。医护人员应更关注患者的个体化出院指导需求,丰富出院指导的形式与内容,更好地促进患者术后快速康复,提高患者出院准备度。

Objective To explore the discharge preparation level and influencing factors of gynecological daytime hysteroscopic surgery patients based on the concept of accelerated rehabilitation surgery(ERAS).Methods 112 patients who were admitted to our hospital for gynecological daytime hysteroscopy surgery and were prepared for discharge were selected as the research subjects.A self-made general information questionnaire survey and a Chinese version of the discharge readiness assessment form(RHDS)were used to investigate the current status of their discharge readiness,and the factors affecting the discharge readiness of gynecological daytime hysteroscopic surgery patients were analyzed.Results The total score of RHDS in patients undergoing gynecological daytime hysteroscopy surgery was(151.48±28.85)points,with an average score of(6.89±2.30)points,indicating good preparation.The age,marital status,and educational background of patients have an impact on their readiness to discharge(P<0.05).The history of previous hysteroscopic surgery and polyp disease had no effect on the patient's readiness for discharge(P>0.05).Conclusion Patients undergoing gynecological daytime hysteroscopy surgery based on the ERAS concept have a discharge readiness level that is above average.Medical staff should pay more attention to the individualized discharge guidance needs of patients,enrich the forms and contents of discharge guidance,better promote rapid postoperative recovery of patients,and improve their readiness for discharge.