患者在腹手术后更喜欢在同一天出院或住院
Yentl Lodewijks1, Lisa van Ede2, Jai Scheerhoorn3
1Department of Obesity Surgery, Catharina Hospital Eindhoven, Michelangelolaan 2, 5623 EJ, Eindhoven, The Netherlands. Yentl.lodewijks@catharinaziekenhuis.nl.
Obesity surgery
|January 26, 2024
概括
患者对减肥手术恢复的偏好在门诊手术和住院护理之间均等地划分. 患者的特征没有影响这种选择,突出了需要考虑个人偏好在增强恢复协议.
科学领域:
- 腹部外科 腹部外科
- 以患者为中心的护理
- 外科手术的结果
背景情况:
- 减肥手术后增强恢复 (ERABS) 协议改善了结果.
- 住院时间没有标准化,正在探索当天出院.
- 患者的偏好目前在出院规划中没有得到解决.
研究的目的:
- 为了确定患者在一次性腹手术后对门诊手术 (OS) 和住院护理的偏好.
- 调查患者特征是否影响OS和住院护理之间的选择.
主要方法:
- 一个单一中心基于偏好的随机试验,于2021年3月至12月进行.
- 接受初级减肥手术的成年患者可以在远程监控的OS或标准住院护理之间进行选择.
- 记录了患者的选择,并记录了任何偏好变化的原因.
主要成果:
- 在202名患者中,几乎所有 (98.5%) 患者都表达了偏好.
- 患者的偏好几乎是均的:49.7%选择了住院手术.
- 根据性别,年龄,BMI,并发症或手术类型,没有观察到偏好的显著差异.
结论:
- 患者表现出强烈的偏好,关于他们的腹部外科手术后恢复设置.
- 偏好门诊 versus 住院护理的偏好均分.
- 患者的特征似乎没有影响这种偏好.
相关概念视频
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
88
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
88
Appendicitis-II: Diagnostic Studies and Management
80
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
80
Discharge Summary Forms
757
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
757
Peptic Ulcer Disease V: Surgical Management and Nursing Care
305
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
305
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
148
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
148
Endoscopic Procedures II: Colonoscopy
99
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
99


