开发和验证一个出院评估尺度的门诊患者接受镇静麻醉在门诊后麻醉护理单位:一个全面的德尔菲研究
Liangyu Fang1, Bingbing Wu1, Meifeng Wu1
1Nursing Department, The Second Affiliated Hospital of Zhejiang University, School of Medicine, Hangzhou, China.
概括
为接受镇静性麻醉的门诊患者开发了一种新的门诊出院评估尺度. 这种工具可以在不影响安全的情况下更早地让患者出院,简化了麻醉后护理单位的流程.
科学领域:
- 麻醉学 麻醉学
- 健行护理服务提供者
- 患者的出院情况
背景情况:
- 有效的出院评估对于门诊手术患者至关重要.
- 现有的工具可能无法在麻醉后护理单位优化用于镇静性麻醉.
研究的目的:
- 开发和验证用于接受镇静麻醉的门诊患者的新型出院评估尺度.
- 评估尺度与麻醉后出院评分系统的一致性.
主要方法:
- 通过专家咨询,使用德尔菲方法进行规模开发.
- 对2579名接受胃肠内镜检查的门诊患者进行了一项横截面观察性研究.
- 方便抽样被用来分析与麻醉后出院评分系统的一致性.
主要成果:
- 创建了一个五方面排放量表 (意识,生命体征,稳定性,流动性,不良反应).
- 使用新尺度评估的患者比使用比较尺度更早出院.
- 在24小时内,没有注意到生命体征或不良事件的显著差异.
结论:
- 开发的尺度提供了一种有价值的方法,以正式化 ambulatory 麻醉患者的出院过程.
- 这种工具可以提高麻醉后门诊护理单位的效率.
- 这种天平确保了门诊外科手术患者的安全和及时出院.
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