加速康复外科在日间病房集中式与分散式管理模式中的对照研究

A controlled study of accelerated rehabilitation surgery in the centralized and decentralized management mode of daytime wards

目的探讨加速康复外科理念应用于日间病房集中式与分散式管理模式的效果,为日间手术在临床管理模式的选择提供依据。方法选取泰安市某三甲医院2020年10月—2021年12月集中式管理模式下的日间手术患者200例为对照组,2022年1月—2022年11月分散式管理模式下的日间手术患者200例为观察组,采用历史对照研究,比较两组患者的术后首次进食时间、术后首次下床活动时间、平均住院时数、疼痛评分、术后并发症发生率、非计划再入院率、满意度。结果观察组患者术后首次下床时间、术后首次进食时间均早于对照组;平均住院时数、术后疼痛评分、术后并发症发生率均低于对照组;满意度高于对照组,差异均具有统计学意义(均P<0.05),非计划再入院率与对照组比较,差异无统计学意义(P>0.05)。结论加速康复外科理念应用于分散式日间病房管理模式可明显缩短患者住院时数,促进患者术后快速恢复、提高患者的舒适度,有利于充分发挥护理的专业性,提高护理质量,值得在临床推广应用。

Objective:To explore the effect of the concept of accelerate rehabilitation surgery in the decentralized management mode of day ward,and to provide reference and support for the selection of clinical management mode of day surgery.Methods:We select 200 cases of daytime surgery patients from October 2020 to December 2021 as the control group under centralized management mode and 200 cases of daytime surgeroy patients from January 2022 to November 2022 under decentralized management mode as observation group to conduct the historical comparison,comparing the first feeding time,time of the first ambulation after surgery,average hospitalization time,postoperative complication rate,pain score,unplanned readmission rate and satisfaction.Results:In the observation group,the time of the first ambulation after surgery and the first feeding time were earlier than that of the control group(P<0.05),the average hospital time,postoperative pain score,postoperative complication rate were all lower than that of the control group(P<0.05),and the satisfaction was higher than that of the control group(P<0.05).There was no significant difference in the unplanned readmission rate from the control group(P>0.05).Conclusion:The application of the concept of accelerated rehabilitation surgery to the decentralized day ward management mode can significantly shorten hospital hours,promote the recovery and comfort of patients,be conducive to give full play to the professionalism of nursing and enhance the quality of nursing,which is worthy of promotion and application in clinical practice.