在口腔切除术后患者发起的沟通
Andrew D P Prince1, Kimberly Oslin1,2, David Forner1
1Department of Otolaryngology Head and Neck Surgery, University of Michigan Health System, Ann Arbor, Michigan, U.S.A.
The Laryngoscope
|October 17, 2024
概括
患者发起的沟通发生在33.9%的胸膜切除术病例中. 胀和伤口问题是最常见的,突出了改善术后护理和患者满意度的机会.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 头部和部手术 头部和部手术
- 患者沟通 患者沟通
背景情况:
- 胸腺切除术是治疗胸腺瘤的常见外科手术.
- 有效的术后沟通对于患者的康复和满意度至关重要.
- 了解患者发起的沟通模式可以确定改善护理的领域.
研究的目的:
- 为了确定患者发起的沟通发生率,随着切除术.
- 确定与这种沟通相关的患者和手术因素.
- 评估术后护理的趋势和潜在改进.
主要方法:
- 对363名接受切除术 (2018-2022) 的患者进行了回顾性队列研究.
- 通过电子病历分析患者在出院后30天内的通信情况.
- 将通信分类为外科医生的行动,员工指导或保证.
主要成果:
- 33.9%的患者启动了术后沟通.
- 胀 (47.2%) 和伤口问题 (15.4%) 是最常见的原因.
- 切换到门诊手术增加了沟通的可能性 (OR=2.635).
- 胀,男性性别,以前吸烟和癌症预测了需要外科医生的行动.
结论:
- 胸膜切除术后患者主动沟通是常见的,提供了对护理缺口的见解.
- 积极解决胀和伤口问题可以减少患者接触.
- 改善外科手术期间的护理可以提高患者的满意度,减少医疗保健负担.
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