Effects of Community-hospital Continuous Nursing on the Satisfaction of Day Surgery Patients in Terms of Their Nursing Needs_West China Medical Journal

Authors：

 LiShihan , DuJiaojiao ,  DaiYan , MaHongsheng

Department of Day Surgery Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

DaiYan, Email: 1846703501@qq.com

Keywords：

Day surgery; Continuous nursing; Nursing needs; Quality of life

DOI：

10.7507/1002-0179.201600167

Video：

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Objective To explore the effect of community-hospital continuous nursing on the satisfaction of day surgery patients in terms of their nursing needs. Methods Sixty patients hospitalized in the day surgery ward in our hospital from April 2014 to March 2015 were enrolled in this study. According to the order of admission, they were divided into control group and observation group with 30 patients in each. Patients in the control group were given health guidance, while those in the observation group were given continuous nursing. Questionnaire survey was conducted in both the two groups. The nursing needs of patients after surgery were summarized, and the satisfaction of patients’ nursing needs through different nursing methods were analyzed. Quality of life questionnaire-C30 was used to evaluate the quality of life of the two groups of patients one month and three months after surgery, and the incidence of postoperative complications of the two groups was statistically analyzed. The changes of daily life ability of patients one month and three months after surgery were evaluated by the modified PAP index. Results Day surgery patients had a high demand for postoperative incision care, dressing change, postoperative medication, dietary guidance, postoperative guidance, health education and other aspects of health care needs. There was little demand for oral pipeline care and physical therapy. The satisfaction rate of patients in the observation group toward n ursing service (96.7%) was significantly higher than that in the control group (66.7%) (P < 0.05). The incidence of postoperative wound bleeding, poor healing, infection, urinary retention and other complications in the observation group was lower than those in the control group, but only the difference in the incidence of infection was statistically significant (P < 0.05). One month and three months after surgery, the quality of life in the observation group was significantly better than that in the control group (P < 0.05). The complete self-care ratio in the observation group was higher than that in the control group, and the proportion of slight defect in the observation group was lower than that of the control group (P < 0.05). Conclusion Continuous community-hospital nursing can improve the satisfaction of patients toward nursing service, promote patients’ quality of life, and facilitate patients’ recovery after surgery.

Citation： LiShihan, DuJiaojiao, DaiYan, MaHongsheng. Effects of Community-hospital Continuous Nursing on the Satisfaction of Day Surgery Patients in Terms of Their Nursing Needs. West China Medical Journal, 2016, 31(4): 615-618. doi: 10.7507/1002-0179.201600167 Copy

1.	?Majholm B, Esbensen BA, Thomsen T, et al. Partners’ experiences of the postdischarge period after day surgery--a qualitative study[J]. J Clin Nurs, 2012, 21(17/18): 2518-2527.
2.	楊霞, 盧惠娟, 趙愛平. 早期心理與信息支持對甲狀腺日間手術患者術前應激的影響[J]. 護理學雜志, 2011, 2(2): 54-56.
3.	張麗青, 鄭冬華, 許多, 等. 4C模式在日間手術治療無張力腹股溝疝修補術患者延續護理中的應用[J]. 中國護理管理, 2015, 15(11): 1405-1407.
4.	姜寶法, 劉春曉, 崔永春, 等. EORTC QLQ-C30的信度、效度研究[J]. 中國臨床心理學雜志, 2005, 13(1): 31-32, 36.
5.	閔瑜. 改良Barthel指數(簡體中文版)評定腦卒中患者的效度和信度研究[D]. 廣州: 中山大學, 2006.
6.	郭晶, 劉素珍. 日間手術“醫院-社區延伸康復模式”的研究現狀[J]. 中國全科醫學, 2013, 16(8): 943-945.
7.	呂艷冰, 張文婧, 李林. 日間PPH手術260例圍術期護理對策及模式[J]. 齊魯護理雜志, 2015, 21(4): 58-59.
8.	張麗青, 蔣碧媛, 許多, 等. 日間手術患者術后護理需求的調查[J]. 解放軍護理雜志, 2015, 32(10): 52-53, 65.
9.	陳勤芳, 夏平英, 李瑞蘭. 一體化持續護理模式在日間吻合器痔上黏膜環切術中的應用[J]. 中華現代護理雜志, 2012, 18(25): 3028-3030.
10.	郭晶, 劉素珍. 日間手術患者對醫院社區延續性服務的評價結果分析[J]. 中國實用護理雜志, 2014, 30(13): 10-13.
11.	Mccloud C, Harrington A, King L. Understanding people’s experience of vitreo-retinal day surgery: a Gadamerian-guided study[J]. J Adv Nurs, 2012, 68(1): 94-103.
12.	方榮華, 張曉蓉. 日間手術病房患者護理需求的調查[J]. 中華現代護理雜志, 2012, 18(19): 2299-2301.
13.	張麗青, 陳麗莉, 林衛紅, 等. 日間腹股溝疝修補術術后延續性護理模式應用的效果評價[J]. 中國實用護理雜志, 2012, 28(15): 20-21.
14.	夏平英, 周劍英, 方芳. 日間手術病房護理管理問題分析[J]. 中國實用護理雜志, 2011, 27(增刊1): 205.
15.	郭晶, 劉素珍, 李繼平. 日間手術患者就醫滿意度調查及其影響因素分析[J]. 中國護理管理, 2014, 14(7): 728-730.
16.	Arshinoff SA. Same-day cataract surgery should be the standard of care for patients with bilateral visually significant cataract[J]. Surv Ophthalmol, 2012, 57(6): 574-579.
17.	Berg K, Arestedt K, Kjellgren K. Postoperative recovery from the perspective of day surgery patients: a phenomenographic study[J]. Int J Nurs Stud, 2013, 50(12): 1630-1638.
18.	Jawaheer G, Evans K, Marcus R. Day-case laparoscopic cholecystectomy in childhood: outcomes from a clinical care pathway[J]. Eur J Pediatr Surg, 2013, 23(1): 57-62.

1. ?Majholm B, Esbensen BA, Thomsen T, et al. Partners’ experiences of the postdischarge period after day surgery--a qualitative study[J]. J Clin Nurs, 2012, 21(17/18): 2518-2527.
2. 楊霞, 盧惠娟, 趙愛平. 早期心理與信息支持對甲狀腺日間手術患者術前應激的影響[J]. 護理學雜志, 2011, 2(2): 54-56.
3. 張麗青, 鄭冬華, 許多, 等. 4C模式在日間手術治療無張力腹股溝疝修補術患者延續護理中的應用[J]. 中國護理管理, 2015, 15(11): 1405-1407.
4. 姜寶法, 劉春曉, 崔永春, 等. EORTC QLQ-C30的信度、效度研究[J]. 中國臨床心理學雜志, 2005, 13(1): 31-32, 36.
5. 閔瑜. 改良Barthel指數(簡體中文版)評定腦卒中患者的效度和信度研究[D]. 廣州: 中山大學, 2006.
6. 郭晶, 劉素珍. 日間手術“醫院-社區延伸康復模式”的研究現狀[J]. 中國全科醫學, 2013, 16(8): 943-945.
7. 呂艷冰, 張文婧, 李林. 日間PPH手術260例圍術期護理對策及模式[J]. 齊魯護理雜志, 2015, 21(4): 58-59.
8. 張麗青, 蔣碧媛, 許多, 等. 日間手術患者術后護理需求的調查[J]. 解放軍護理雜志, 2015, 32(10): 52-53, 65.
9. 陳勤芳, 夏平英, 李瑞蘭. 一體化持續護理模式在日間吻合器痔上黏膜環切術中的應用[J]. 中華現代護理雜志, 2012, 18(25): 3028-3030.
10. 郭晶, 劉素珍. 日間手術患者對醫院社區延續性服務的評價結果分析[J]. 中國實用護理雜志, 2014, 30(13): 10-13.
11. Mccloud C, Harrington A, King L. Understanding people’s experience of vitreo-retinal day surgery: a Gadamerian-guided study[J]. J Adv Nurs, 2012, 68(1): 94-103.
12. 方榮華, 張曉蓉. 日間手術病房患者護理需求的調查[J]. 中華現代護理雜志, 2012, 18(19): 2299-2301.
13. 張麗青, 陳麗莉, 林衛紅, 等. 日間腹股溝疝修補術術后延續性護理模式應用的效果評價[J]. 中國實用護理雜志, 2012, 28(15): 20-21.
14. 夏平英, 周劍英, 方芳. 日間手術病房護理管理問題分析[J]. 中國實用護理雜志, 2011, 27(增刊1): 205.
15. 郭晶, 劉素珍, 李繼平. 日間手術患者就醫滿意度調查及其影響因素分析[J]. 中國護理管理, 2014, 14(7): 728-730.
16. Arshinoff SA. Same-day cataract surgery should be the standard of care for patients with bilateral visually significant cataract[J]. Surv Ophthalmol, 2012, 57(6): 574-579.
17. Berg K, Arestedt K, Kjellgren K. Postoperative recovery from the perspective of day surgery patients: a phenomenographic study[J]. Int J Nurs Stud, 2013, 50(12): 1630-1638.
18. Jawaheer G, Evans K, Marcus R. Day-case laparoscopic cholecystectomy in childhood: outcomes from a clinical care pathway[J]. Eur J Pediatr Surg, 2013, 23(1): 57-62.

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West China Medical Journal

Effects of Community-hospital Continuous Nursing on the Satisfaction of Day Surgery Patients in Terms of Their Nursing Needs

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