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浅谈门诊眼科患者的护理

四川大学华西医院是西南地区一家大型的疑难重症诊治综合医院，门诊每天接诊大量从四面八方来的眼科患者。患者面对眼科越分越细的亚专业以及对就诊流程、健康保健知识的不了解，会感到茫然和焦虑不安。因此，做好眼科患者就诊前宣传、就诊中的指导、就诊后的二次导诊及贯穿整个就诊过程中的心理护理、健康宣教十分重要，这样不仅可以消除患者对环境的陌生感，节省就诊时间，还可帮助其保持愉快的心情就医，让患者获得疾病的保健知识，有利于身心健康。

拓展门诊分诊工作，提高门诊医疗服务质量

【摘要】 目的 总结门诊分诊工作模式，以解决患者就诊前挂号咨询、导向服务方式问题，提高患者挂号就诊的准确性，提升医疗服务品质。 方法 于2009年6月成立门诊分诊服务中心，实现分诊、挂号一站式服务。指导患者分层次就诊，合理使用医疗资源，有效遏制“号贩子”、“医托”，保证患者就诊安全和就诊的对症性。 结果 明显提高患者挂号的准确性，实现医疗资源的合理利用，拓展了分诊服务工作内涵，达到了患者、医院双赢的效果。 结论 门诊分诊工作不仅满足患者需求，同时提升了门诊医疗服务质量，是医院门诊工作不可缺少的组成部份。

弹性门诊在专家门诊管理中的应用

目的:按照专家自愿、量力而行、形式灵活多样的管理原则,营造和谐温馨的服务管理氛围,通过对老专家的人文关怀,尊重专家的个人意愿,实行弹性门诊,从而达到缓解患者就诊难问题。方法:①临时增加座诊时间;②延时门诊;③停诊专家利用业余时间临时补上门诊;④就诊高峰期,临时增加专家座诊时间。以上办法的实施,均以保证门诊质量及专家身体允许为前提。结果:通过上述办法的实施,从2007年底至2008年底,共增加座诊265 人次,延时约10 773小时,增加就诊患者约24 165人次。结论:弹性门诊既保证了专家身体健康和门诊医疗质量,又满足了患者就诊需求,是医院解决患者看病难、看专家门诊更难的行之有效的办法之一。

地中海贫血并发慢性下肢溃疡两例

Exploration and consideration of the closed-loop management of the wound in the day surgery

Objective To explore the effect of constructing the closed-loop management of the wound in the day surgery patients and to reduce the incidence of poor wound healing after day surgery. Methods The medical records of patients with closed-loop wound management mode in the Day Surgery Center of West China Hospital of Sichuan University from 2019 to 2020 were collected retrospectively. The general data of patients were collected, and the cases of delayed wound healing after operation were counted. Results A total of 17 801 patients were included, 9 802 in 2019 and 7 999 in 2020. Laparoscopic cholecystectomy and adult tension-free hernia repair were the most common methods of delayed wound healing in day surgery. In the closed-loop management mode, the incidence of delayed wound healing was 0.98% (174/17 801) and the incidence of dissatisfaction related to delayed wound healing was 0.034% (6/17 801). Conclusion The clinical application of the closed-loop management of the wound in the day surgery can promote the early healing of day surgery patients, guarantee the quality of day surgery, and improve patient satisfaction.