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find Author "赵晓燕" 8 results
  • Management and Nursing Pattern for Ambulatory Surgery Ward

    Ambulatory surgery ward is a fast and effective way of treating, nursing and patients’ education. We report the practice of ambulatory surgery ward in West China Hospital of Sichuan University about patients’ reception, treatment and nursing, medical safety, health education and post-operative follow-up. Results show that ambulatory surgery ward would guarantee patients’ safety, shorten hospitalization days and decrease medical cost, with more than 98% of patients’ satisfaction.

    Release date:2016-09-07 11:23 Export PDF Favorites Scan
  • 留置时间与静脉留置针所致静脉炎的相关性研究

    目的:探讨留置时间与静脉留置针所致静脉炎的相关性,寻求安全的使用方法。方法:运用静脉炎调查分析量表,对608例患者使用静脉留置针的情况进行调查分析。结果:共有43例患者发生静脉炎,留置时间>7天组及6~7天组,与其他各组间比较P<0.05,差异有经计学意义;而其余三组间比较P>0.05,没有显著性差异。留置时间与静脉炎发生率的相关系数为0.9315。结论:留置时间与静脉留置针所致静脉炎有正相关性,留置时间超过5天后,静脉炎的发生率即显著升高。

    Release date:2016-09-08 09:54 Export PDF Favorites Scan
  • 冠状动脉粥样硬化性心脏病支架植入患者术前评估和手术时机选择

    目的通过分析1例冠状动脉粥样硬化性心脏病(冠心病)支架植入患者的术前麻醉评估及手术时机选择等问题,总结该类患者的特点及相关文献的指导性意见,帮助医生作出正确的医疗决策。 方法1例老年男性患者,2012年3月行冠状动脉支架植入手术,2015年5月患者因结肠肿瘤需行限期结肠肿瘤根治术,术前发现患者冠状动脉支架内发生再狭窄。针对此患者的麻醉前评估及手术时机的选择等问题,检索相关文献,为该患者是否需要术前血管重建术以及如何进行手术时机的选择等问题寻找答案。 结果结合相关文献及指南,对于有症状的冠心病患者应该积极处理,改善围手术期的心功能;但是,对于可疑恶性肿瘤的限期手术应适当放宽条件,不应一味按照指南延迟手术。 结论正确的麻醉前评估和良好的围手术期管理是患者安全的重要保证,对于有可能变为急诊手术的限期手术,应考虑多种因素权衡利弊,尽可能在充分准备的前提下尽早完成。

    Release date:2016-10-02 04:54 Export PDF Favorites Scan
  • Exploration of whole process management of health education for patients undergoing same-day surgery

    The Day Surgery Center of West China Tianfu Hospital of Sichuan University began operation in 2022, with a focus on same-day surgery. To ensure the quality of medical care for patients undergoing same-day surgery, the Day Surgery Center of West China Tianfu Hospital of Sichuan University utilizes information technology support and adopts an innovative patient health education model. This article mainly introduces the whole process management of health education for patients undergoing same-day surgery mentioned above, which involves many links before admission, during hospitalization, and after discharge. The aim is to provide reference for further optimization of same-day surgery and improve the quality and effectiveness of health education for patients undergoing same-day surgery.

    Release date:2024-02-29 12:03 Export PDF Favorites Scan
  • Hospital infection management standard of day surgery in West China Hospital of Sichuan University

    At present, the mode of day surgery has been widely carried out in China. With the rapid turnover of patients, higher requirements have been put forward for the management of nosocomial infection. Therefore, it needs norms for the management of nosocomial infection in the day surgery ward. After 10 years of precipitation, under the guidance of the hospital infection management department, the hospital infection management system for the day surgery ward of West China Hospital of Sichuan University has been continuously researched and explored, so as to ensure the rapid turnover of patients and make the hospital infection management meet the national standards. The system includes patient management and control, environmental management and control, matters needing attention of medical staff, surgical site infection data collection, and indicators of hospital infection supervision, etc.

    Release date:2021-03-19 01:22 Export PDF Favorites Scan
  • Analysis of reasons for unplanned overnight recovery after same-day surgery

    Objective To analyze the causes of unplanned overnight recovery of patients after same-day surgery and put forward countermeasures. Methods The data of same-day surgery patients in the Day Surgery Center of West China Tianfu Hospital of Sichuan University between February 2022 and May 2023 were selected. Patients who recovered overnight were defined as the unplanned overnight recovery group, and patients discharged on the same day after surgery were defined as the normal same-day group. The factors of unplanned overnight recovery after same-day surgery were analyzed. Results A total of 4 259 patients were enrolled, of whom 107 patients had unplanned overnight recovery, 4 152 patients were discharged on the same day after surgery, unplanned overnight recovery group accounted for 2.51% (107/4 259). Except for gender and age (P>0.05), there were significant differences between the two groups in the following six aspects: late starting time of surgery, longer distance from home, medical insurance settlement restrictions, pain, postoperative complications, and patient’s own factors (P<0.05). The results of logistic regression analysis showed that the late starting time of surgery [odds ratio (OR)=9.386, 95% confidence interval (CI) (2.993, 29.432), P<0.001], long distance from address [OR=4.828, 95%CI (2.015, 11.568), P<0.001], medical insurance settlement restrictions [OR=10.667, 95%CI (3.712, 30.658), P<0.001], pain [OR=30.514, 95%CI (7.688, 121.115), P<0.001], postoperative complications [OR=9.642, 95%CI (2.425, 38.342), P=0.001], and patient’s own factors [OR=16.087, 95%CI (10.358, 24.985), P<0.001] were risk factors for unplanned overnight recovery in same-day surgery patients. Conclusions The unplanned overnight recovery of same-day surgery patients in West China Tianfu Hospital of Sichuan University is related to six factors: late starting time of surgery, long distance from home, medical insurance settlement restrictions, pain, postoperative complications, and patient’s own factors. Medical staff can take corresponding measures to reduce the unplanned overnight recovery rate of same-day surgery by strict access standards, optimizing surgical scheduling, formulating individualized enhanced recovery after surgery programs, improving support for patient after discharge, and strengthening perioperative health education.

    Release date:2024-02-29 12:03 Export PDF Favorites Scan
  • Effect of transabdominal preperitoneal laparoscopic hernia repair by same-day surgery mode for patients with inguinal hernia

    ObjectiveTo observe the effect of transabdominal preperitoneal (TAPP) laparoscopic hernia repair by same-day surgery mode for patients with inguinal hernia. MethodsThe patients who underwent TAPP laparoscopic hernia repair were retrospectively collected in the Day Surgery Center of West China Tianfu Hospital from July 2022 to June 2023. All patients in this study were admitted according to the same-day surgery plan, and those who were admitted to the hospital on the same day, operated on the same day, and returned to their homes on the same day, i.e., those who did not stay in the hospital overnight (the same-day surgery plan of the West China Tianfu Hospital of Sichuan University is now basically in the range of 8∶00–20∶00, and the latest discharge is at 21∶00) were classified as the same-day surgery group; however, the patients whose special cases needed to be postponed due to the condition of their illnesses, or those who were discharged from the hospital after 21∶00 due to safety considerations because of other reasons such as postoperative observation of patients with general anesthesia for a period of less than 2–4 h, or those who had a strong desire to be admitted to the hospital overnight, and whose hospital stay was not more than 24 h, were classified as the non-same-day surgery group. The age, gender, marital status, body mass index, hernia type, surgical site, home address, intraoperative bleeding, operative time, total hospitalization cost, pain score at discharge, unplanned revisit rate within 30 d after surgery, discharge satisfaction were compared between the patients of two groups. ResultsA total of 167 patients underwent TAPP laparoscopic hernia repair were enrolled in this study, including 97 in the same-day surgery group and 70 in the non-same-day surgery group. There were no statistically significant differences in the age, gender, marital status, body mass index, hernia type, surgical site, intraoperative bleeding, operative time, and total hospitalization cost between the two groups (P>0.05). However, it was found that the patients in the non-same-day surgery group had a higher pain score at discharge and a higher proportion of home address outside Chengdu city as compared with the same-day surgery group (P=0.042, P<0.001, respectively); The satisfaction rate of all patients in this group was 100% on the 28th day after discharge, and the unplanned revisit rate within 30 d after surgery was 3.6% (6/167), although which in the same-day surgery group was slightly higher than the non-same-day surgery group, the difference was not statistically significant by Fisher test [4.1% (4/97) versus 2.9% (2/70), P=0.226]. ConclusionFrom the analysis results of this study, TAPP laparoscopic hernia repair for patients with inguinal hernia by the same-day surgery mode is safe, and it can further shorten the hospitalization time as compared with the non-same-day surgery.

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  • Basic norms for clinical pathway management of day surgery in West China Hospital of Sichuan University

    Day surgery has become an international and domestic medical service model, and it has received more and more attention from hospital administrators in terms of innovation and practical benefits for hospital management. However, from the perspective of standardization management, management norms have still been wanted. This paper introduces the general specification of clinical pathway management for day surgery in West China Hospital of Sichuan University, in order to provide reference for subsequent research, and hopes to provide certain standard models to provide reference for clinical pathway management practice.

    Release date:2019-02-21 03:19 Export PDF Favorites Scan
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