快速康复外科理念下手术后患者在社区随访的效果观察  

Effect observation on community follow-up for post-operation patients based on concept of fast-track surgery

作　　者：冯志仙[1] 王飞霞[1] 章梅云[1] 童晓飞[1] 章海滨[1] 钟紫凤[1] 

机构地区：[1]浙江大学医学院附属第一医院,浙江杭州310003

出　　处：《护理与康复》2013年第3期211-213,共3页Journal of Nursing and Rehabilitation

基　　金：浙江省卫生厅基金资助项目;编号:2011KYB034

摘　　要：目的观察快速康复外科理念下手术后患者在社区随访的效果。方法将658例手术后患者按其意愿分为观察组328例、对照组330例,观察组患者出院后在社区医疗机构随访,对照组患者出院后在手术医院随访,比较两组患者生命质量和随访所需时间、费用、术后并发症发生情况。结果两组患者生命质量、术后并发症发生率比较差异无统计学意义,观察组随访所需时间及费用明显少于对照组。结论快速康复外科理念下出院的患者由社区医疗机构完成随访,可发挥社区医疗机构的基本医疗功能和作用,提高现有卫生资源的有效利用率。Objective To observe the effect of community follow--up for post--operation patients based on concept of fast--track surgery. Method Divide 658 patients into observation group （n^328） and control group （n^330） according to their intention. Patients in observation group receive follow--up in community medical institutions after discharge. Patients in control group receive follow--up in their operation hospital. Compare the quality of life, follow--up time, cost and post --operation complication for patients in two groups. Result There is no significant difference on quality of life and post-- operation complication between two groups. Follow--up time and cost are needed less in observation group. Conclusion Community follow--up for post--operation patients based on concept of fast--track surgery can enhance the function of bas- ic medical care for community medical institutions and improve the effective utilization of nresent health resources.

关 键 词：手术患者 快速康复外科 社区随访 

分 类 号：R473.6[医药卫生—护理学]