半自动化麻醉后出院评估工具的有效性:使用倾向性得分匹配的前后研究
Benjamin Albiez1,2, Jan Breckwoldt1, Julia Braun3
1Institute of Anaesthesiology, University and University Hospital Zurich, Zurich, Switzerland.
Nursing in critical care
|February 12, 2026
概括
麻醉后出院评估 (PANDA) 工具显著减少了麻醉后护理单位的停留时间,减少了16分钟. 护士们发现PANDA工具非常可接受,并且可以改善患者流动.
科学领域:
- 麻醉学 麻醉学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 麻醉后护理单位 (PACU) 的工作流程效率可以通过出院准备评估工具来提高.
- 之前对此类工具的研究已经产生了与PACU停留时间 (LOS) 不一致的结果.
研究的目的:
- 评估PANDA工具对PACU LOS的影响.
- 评估PANDA对手术室 (OR) 等待和护士对出院决定的信心的影响.
- 确定护士对PANDA工具实施的看法.
主要方法:
- 采用了一个前后研究设计,与倾向匹配的历史对照组相匹配.
- 半自动 PANDA 工具在一所初级医院实施,以支持 PACU 出院决策.
- 使用倾向性得分匹配和加权线性回归来比较中位PACU LOS;OR持有时间分析了20天;护士调查评估了信心和感知.
主要成果:
- 在PANDA实施后,PACU LOS的中位数从114分钟减少到103分钟,统计学上显著减少了16分钟.
- 有不足的OR持有用于比较.
- 护士对出院决定的信心保持不变,但PANDA工具在可接受性,适当性,兼容性和可行性方面获得了很高的评分.
结论:
- PANDA工具显著降低了PACU LOS,并且受到护士的好评.
- 潘达可以通过简化PACU工作流程,支持决策和促进标准化来优化临床实践.
- 减少PACU LOS可以改善患者流量和容量规划在高体积的设置.
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