Application of day surgery management mode in patients with cardiovascular interventional treatment
10.3760/cma.j.issn.1674-2907.2018.12.005
- VernacularTitle:心血管介入治疗患者日间手术管理模式的探讨
- Author:
Xiafei SUN
1
;
Hongxing WANG
;
Yihong SONG
;
Haofen XIE
;
Jiamiao HU
;
Yanyan XU
;
Hanqun LIN
Author Information
1. 315010,宁波市第一医院心血管内科
- Keywords:
Cardiovascular disease;
Interventional therapy;
Day surgery;
Patient safety;
Expense
- From:
Chinese Journal of Modern Nursing
2018;24(12):1379-1382
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the application of day surgery management mode in patients with cardiovascular interventional treatment, evaluate the safety of day surgery and its effects on the average in-hospital days and expenses. Methods A total of 1 578 patients who received cardiovascular interventional therapy in the Department of Cardiology in Ningbo First Hospital from January 2015 to December 2016 were included in the study. They were randomly divided into the observation group and the control group, 789 cases respectively. Patients in the control group received normal in-hospital operation mode, while patients in the observation group used day surgery mode. The safety, complications, average in-hospital days and expenses were compared between two groups. Results The average in-hospital days and expenses were 1 d and 3 083 Yuan in the observation group; in the control group, average in-hospital days and expenses were (5.34±0.73) d and (3 713.70±21.06) Yuan, which were significantly higher than those in the observation group (P<0.05). There were 5 cases of bleeding in the puncture site of the radial artery, 9 cases of forearm hematoma, and 1 case of Iodine allergic reaction with a complication incidence of 1.9% in the control group. In the observation group, there were 3 cases of bleeding in the puncture site of the radial artery, 6 cases of forearm hematoma, and 2 cases of Iodine allergic reaction with a complication incidence of 1.4%. No significant difference in the complications of patients was observed between two groups (P>0.05). Conclusions The day surgery mode of patients with cardiovascular interventional treatment, which can ensure the therapeutic effect and the safety of patients, is feasible and can reduce the average in-hospital days and expenses.
