Application of pre hospital management in children's daytime operation
院前管理在小儿日间手术的应用研究

摘要

目的 研究院前管理在小儿日间手术的应用效果。方法 选取本院小儿外科2021年1月-2022年1月120例日间手术患儿为此次研究对象，随机分为对照组和观察组两组，每组各60例；对照组按照日间手术常规管理模式，观察组在此基础上实施院前管理，包括入院前宣教、术前准备、预约手术等。比较两组患儿手术取消率、延期出院率、术后并发症发生率及住院满意度的差异。结果 观察组患儿手术取消率、延期出院率、术后并发症发生率均低于对照组，差异有统计学意义（P＜0.05）；观察组患者满意度高于对照组，差异有统计学意义（P＜0.05）。结论 将院前管理应用于小儿日间手术，能够有效降低患儿手术取消率、延期出院率、并发症发生率，提高患儿家属住院满意度，保证患者住院安全，提高护理质量。

Abstract

Objective To study the application effect of pre hospital management in children's daytime surgery.
Methods A total of 120 children undergoing daytime surgery from January 2021 to January 2022 in our pediatric surgery department were selected as the study objects. They were randomly divided into two groups: the control group and the observation group, with 60 cases in each group; The control group followed the routine management mode of daytime surgery, and the observation group implemented pre hospital management on this basis, including pre hospital education, preoperative preparation, and scheduled surgery. To compare the difference between the two groups in operation cancellation rate, delayed discharge rate, postoperative complication rate and hospital satisfaction.
Results The rates of operation cancellation, delayed discharge and postoperative complications in the observation group were lower than those in the control group (P<0.05）; The satisfaction of patients in the observation group was higher than that in the control group, with a statistically significant difference (P<0.05).
Conclusion   The application of pre hospital management in children's daytime surgery can effectively reduce the cancellation rate, delayed discharge rate and complication rate of children's surgery, improve the satisfaction of children's families in hospital, ensure the safety of patients in hospital, and improve the quality of nursing.