基于结构化检查清单的术前咨询与标准咨询对术后患者在选择性手术后报告的结果的影响
Moh'd S Dawod1, Mohammad N Alswerki2, Ahmad Alelaumi3
1Orthopedic Surgery Department, Faculty of Medicine, Mutah University, Al-Karak, Jordan.
BMC health services research
|November 15, 2024
概括
结构化检查清单咨询显著减少术后疼痛和焦虑,同时改善选择性手术后的患者满意度. 这种方法提高了患者在骨科,一般和泌尿病手术中报告的结果.
科学领域:
- 手术患者的护理手术患者的护理
- 医疗服务研究 医疗服务研究
背景情况:
- 选择性手术会给患者带来巨大的压力,焦虑和对未知的预期.
- 术前咨询旨在减轻这些担忧,但结构化方法需要进一步调查.
- 现有的研究强调了辅导的好处,但缺乏对基于检查清单的方法的关注.
研究的目的:
- 调查基于检查清单的结构化咨询方法对选择性手术后患者报告的结果的影响.
- 为了比较接受检查清单咨询和标准咨询的患者之间的结果.
主要方法:
- 在2023年1月至12月期间,对600名接受选择性手术 (骨科,全科,泌尿器科) 的患者进行前性队列研究.
- 干预组 (300名患者) 接受了结构化检查清单咨询;对照组 (300名患者) 接受了标准咨询.
- 在手术后24,48,72小时评估术后疼痛,焦虑和满意度.
主要成果:
- 检查清单咨询小组在手术后24,48和72小时报告疼痛和焦虑得分明显降低.
- 干预组的患者在所有测量时间点上也显示出明显更高的满意度得分.
- 这些积极影响在所有三个研究的外科专业都是一致的 (p < 0.05).
结论:
- 基于检查清单的结构化辅导方法在改善选择性手术后的患者结果方面是有效的.
- 这种方法导致手术后疼痛和焦虑的减少.
- 与标准咨询相比,检查清单方法与患者满意度的提高有关.
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