接受日间手术的老年患者的周术管理:护理护理和日间手术的基于证据的实践
1Day Surgery Unit, Huadong Hospital Affiliated to Fudan University, Shanghai, China.
Frontiers in medicine
|December 11, 2023
概括
对接受日间手术的老年患者进行基于证据的术后管理可以改善护理服务,并显著减少患者等待和住院时间. 这种方法被推用于临床实践.
科学领域:
- 老年医学 老年医学
- 手术护理 医疗护理
- 基于证据的实践.
背景情况:
- 优化外科手术的老年患者的术后管理对于提高临床工作流程和护理质量至关重要.
- 目前的做法需要探索,以确定为这个人口群的基于证据的策略.
研究的目的:
- 为接受日间手术的老年患者建立和实施基于证据的术后管理模式.
- 评估该模型对护理实践和患者结果的影响.
主要方法:
- 一项系统性审查确定了26个证据,用于日间手术的老年患者的术后管理.
- 这些证据被综合成一个管理模式和检查指数.
- 一项比较分析评估了实施前后的结果.
主要成果:
- 基于证据的模型实现了护士对老年患者外科手术后护理的知识,信念和实践的100%遵守.
- 患者护理的关键指标在实施后达到更高的标准.
- 观察到患者等待时间 (入院,手术) 和停留时间 (返回病房,出院) 的显著减少,具有统计学意义 (p < 0.05).
结论:
- 基于证据的术后管理显著改善了日间手术环境中老年患者的护理实践.
- 这种方法有效地缩短了老年手术患者的等待和住院时间.
- 这些发现支持在临床护理中广泛采用这种基于证据的模型.
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