Development of perioperative nursing plan for ophthalmological patients receiving daytime surgery based on the best evidence
10.3760/cma.j.issn.1674-2907.2019.19.003
- VernacularTitle:应用最佳证据构建眼科日间手术患者围手术期护理方案
- Author:
Jifang WANG
1
;
Yili HONG
;
Shuxin XI
;
Haiqin GAN
;
Xiangyu GE
Author Information
1. 复旦大学附属眼耳鼻喉科医院视光中心,上海 200031
- Keywords:
Perioperative period;
Daytime surgery;
Ophthalmology;
Nursing;
Evidence application
- From:
Chinese Journal of Modern Nursing
2019;25(19):2386-2390
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To apply the evidence related to daytime surgery management and care into clinical practice, enhance the evidence-based compliance in perioperative management for daytime surgery in ophthalmology, and improve the quality of clinical nursing. Methods? Quality control indicators were developed based on the best existing evidence using the clinical evidence practice application of Joanna Briggs Institutions (JBI) from September 2017 to July 2018. Totally 39 nurses and 322 patients were included before the patients were transferred into the daytime ward, and 39 nurses and 345 patients enrolled after the patients were transferred into the daytime ward. The baseline was reviewed, the evidence was applied, and the effects were evaluated after the application of evidence. Results? The implementation rate of 10 quality control indicators after evidence application was improved by 35%-100%, including informational control of waiting time for surgery, intraoperative continuous support, and standardized discharge evaluation. Patients＇ waiting time for surgery was shortened from (178.70±18.34) min to (89.22±12.89) min; their surgical compatibility and discharge readiness were improved from (1.74±0.96) to (2.56±0.66) and from (89.88±11.15) to (94.02±12.96) respectively; their length of hospital stay was shortened from (336.11±29.65) min to (180.08±19.80) min, there were statistically significant differences between the two groups (P＜0.01). Conclusions? The use of the best evidence can improve perioperative management behavior for ophthalmological daytime surgery as well as the quality of clinical care in ophthalmology.
