眼科日间手术指征扩展增加护理风险因素的分析和应对  

Analysis of Day Surgery Indication Expansion and Countermeasures for Nursing Risk Factors in the Department of Ophthalmology

作　　者：骆洪梅[1] 黄晓芳[1] 任洁[1] 

机构地区：[1]四川大学华西医院眼科,成都610041

出　　处：《华西医学》2015年第5期811-813,共3页West China Medical Journal

摘　　要：目的分析眼科日间手术指征扩展增加护理风险因素及其应对。方法收集眼科日间病房2012年1月-2014年12月手术量、收治白内障患者比例、≥70岁和≤12岁患者比例、高危跌倒/坠床风险患者数、全身麻醉手术台次、病房不良事件、患者住院满意度调查的资料,对数据进行统计分析。结果 3年间,眼科日间手术指征逐渐放宽,高风险患者入住率不断提高,护理风险因素增加,通过对症的预防和护理,病房3年期间无不良事件发生、患者住院满意度保持≥90%。结论眼科日间手术指征扩展,护理人员建立从患者入院前的指导、入院时的评估、围手术期的宣教、出院后的回访的护理风险应对体系,加之不断完善的护理管理制度和便捷的工作流程,既能提高工作效率,还能保证护理的安全。Objective To analyze the increased risks of nursing due to expansion of ophthalmic day surgery indications, and the countermeasures. Methods We collected the information in the last three years from January 2012 to December 2014 in the Department of Ophthalmology, including the number of operations, the proportion of cataract patients, patients aged over 70 and under 12 years old, patients with high-risk fall, the number of general anesthesia operations, adverse events, and the data from the satisfaction survey of the patients. All the data were analyzed by statistical method. Results During the last three years, the relaxation of ophthalmic day surgery indications led to an increased admission rate of high-risk patients, and caused more nursing risk factors. Through the efforts of prevention and care, during the last three years, there were no adverse events, and patients had a satisfaction rate over 90%. Conclusion Although the ophthalmic day surgery indication has been relaxed, through the establishment of nursing risk response system by pre-hospital guidance, admission assessment, peri-operative education and follow-up visit, with the continuous improvement of nursing management system and convenient workflow, we can not only improve the work efficiency, but also ensure nursing safety.

关 键 词：眼科日间手术 手术指征 护理风险因素 

分 类 号：R473.77[医药卫生—护理学]