ObjectiveTo investigate the evening outpatient service demand in West China Hospital, in order to provide better service. MethodsUsing self-questionnaire, we investigated 1 734 outpatients and the data were analyzed with SPSS 16.0 software. ResultsA total of 90.7% of the surveyed patients reported that it was necessary to have evening outpatient service, 53.1% of the patients were willing to come to the hospital in the morning, and 4.2% prefer to come to the hospital in the evening. ConclusionEvening outpatient service in large general hospitals is getting high social affirmation. It is helpful to those who are inconvenient or unwilling to come to the hospital during day time, and is a complement for day-time outpatient and emergency outpatient service. Consultation time and resource arrangement in the evening outpatient service should conform to the principle of rational allocation for hospital resources.
ObjectiveTo summarize and share the surgical nursing experiences for hybrid procedures in the treatment of congenital heart disease with diminished pulmonary blood flow and aortopulmonary collateral arteries (APCA). MethodWe retrospectively analyzed the clinical data, including nursing problems, interventions and outcomes, of 15 patients with congenital heart disease with diminished pulmonary blood flow and APCA treated between May 2011 and February 2012. ResultsAll operations were completed successfully with effective nursing interventions. No complications like low cardiac output syndrome, lung over-perfusion, vital organ dysfunction, neuropsychological disorder, or systemic infection were noticed. ConclusionsHybrid procedure in the treatment of congenital heart disease with diminished pulmonary blood flow and APCA with complex surgical procedures, intraoperative variables and high surgical risks requires multi-disciplinary collaboration. Effective surgical nursing intervention is important to ensure the successful completion of surgery, and reduce possible complications.