Application of a new daytime surgery and same-day discharge mode in cataract clinic

Background:This study aims to investigate the application and effect of a new daytime surgery and same-day discharge mode in cataract clinic.Methods:Two hundred patients with cataract intended to undertake daytime surgery from August 2019 to January 2020 in the Cataract department were enrolled for the study.Among them,100 patients from January 2020 with the new daytime surgery and same-day discharge were the experimental group.While the other 100 patients without the designated set-up from August 2019 worked as a control group.The length and cost of hospitalization,the length of waiting for the elevator,the patient satisfaction,and the awareness rate of health education were evaluated.Results:After application of the new daytime surgery and same-day discharge set-up,the patients’satisfaction rate increased from 91%to 95%,and the rate of awareness of health education increased from 87%to 90%,the difference was statistically significant(χ^(2)=0.61,P=0.04 andχ^(2)=0.22,P=0.01).The length of hospitalization,hospitalization costs and waiting time for elevators were much reduced than those without this set-up.Conclusions:The application of the cataract daytime surgery and same-day discharge set-up can effectively alleviate the overcrowding of the ward environment,reduce the workload of medical staff,and improve patient satisfaction.Therefore,the daytime surgery and same-day discharge set-up has wide clinical applications.

Early Rehabilitation of Orthopedic Internal Fixation Removal in DaytimeWard

Children's fractures are very common,and many children's fractures need internal fixation.When the children are treated and recovered,it needs to be internally fixed and then taken out.With the development of internal fixation materials,the research of surgical methods and the improvement of surgical skills,postoperative removal of orthopedic surgery patients has gradually been included in daytime surgery.While ensuring the safety of children's surgery,it is necessary to shorten the postoperative limb and joint function recovery time,promote the recovery of limb and joint function,the healing of wounds and bones,and reduce the occurrence of these complications.In order to reduce the occurrence of these complications,carry out early rehabilitation education and development early rehabilitation training is very necessary.This paper puts forward the concept of early rehabilitation based on shared decision model,in which doctors,nurses,children and family members participate in the treatment of children before,during and after operation.The effect of early rehabilitation education in the daytime ward after removal of internal fixation was examined.Moreover,through the analysis of the control trial also confirmed that the clinical effect of early rehabilitation in improving and optimizing the rehabilitation of fracture in children is significant.