摘要
目的:评价5A护理模式在日间全髋、全膝关节置换手术患者的应用效果,为优化日间手术患者院前管理提供参考。方法:采用便利抽样法选取2023年6月—11月在浙江省某综合三级甲等医院行日间全髋、全膝关节置换术的296例患者为研究对象,按照入院时间分为对照组和观察组。对照组采用日间常规院前管理流程,观察组在此基础上增设5A护理模式,开展院前管理。比较2组患者术前焦虑、当日手术取消率、退住院率、术前检查缺项率、满意度。结果:观察组患者术前焦虑情况改善优于对照组(P<0.05)。2组患者当日手术取消率、退住院率、术前检查缺项率比较,差异无统计学意义(P>0.05)。观察组患者满意度均值得分高于对照组,差异有统计学意义(P<0.05)。结论:应用5A护理模式进行院前管理,可缓解全髋、全膝关节置换手术患者术前焦虑状况,提高满意度。
Objective:To evaluate the application effects of the 5A nursing model in patients undergoing ambulatory total hip and knee replacement surgery,and to provide a reference for optimizing the pre-hospital management of patients undergoing day surgery.Methods:A total of 296 patients who underwent ambulatory surgery on total hip and knee joints replacement from June to November,2023 in a general tertiary grade A hospital of Zhejiang province were grouped into control group and observation group based on the admission time.The control group received the routine management process,and the observation group set up the 5A nursing model on the basis of the routine management process.The preoperative anxiety,cancellation rate of same-day operation,hospitalization cancellation rate,the missing items rate of preoperative examination,patients'satisfaction were compared between the two groups.Results:The relief of anxiety in the observation group was better than that in control group(P<0.05).There were no significant difference in cancellation rate of same-day operation,hospitalization cancellation rate,the missing items rate of preoperative examination between the two groups(P>0.05).The average satisfaction score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:Pre-hospital management by applying the 5A nursing model can reduce the preoperative anxiety and improve the satisfaction of patients with total hip and knee replacement ambulatory surgery.
作者
袁华娣
高丽燕
韩娜菲
吴小燕
贺红
祝莉
兰美娟
YUAN Huadi;GAO Liyan;HAN Nafei;WU Xiaoyan;HE Hong;ZHU Li;LAN Meijuan(Nursing Department,The Second Affiliated Hospital of Zhejiang University,Hangzhou,310009,China)
出处
《中国护理管理》
CSCD
北大核心
2024年第9期1318-1323,共6页
Chinese Nursing Management
基金
浙江省教育厅一般科研项目(Y202249448)。
关键词
5A护理模式
全髋、全膝关节置换
日间手术
术前焦虑
院前管理
5A nursing model
total hip and knee replacement
ambulatory surgery
preoperative anxiety
pre-hospital management
