消化内科内镜微创治疗患者的规范化围术期管理.pdfVIP

实践探索 Practice and Exploration 消化内科内镜微创治疗患者的规范化 围术期管理 熊宇 张小昊 余丽霞 [ 摘 要] 目的： 探讨消化内科内镜微创治疗患者的规范化围术期管理方法。方法：从专科护理评估及对策、基于临床护理 路径的无缝隙健康教育模式、医护一体化患者安全管理、延续护理管理、护理质量控制与持续改进 5 个方面来开展规范化围术 期管理。结果：通过1年的临床实践，消化内科内镜微创治疗护理质量、患者及医生对护理工作的满意度均明显提高；护理安 全不良事件发生率明显下降，差异具有统计学意义（P0.05）。结论：消化内科开展内镜微创治疗患者的规范化围术期管理，有 利于提高专科护理质量和患者及医生对护理工作的满意度，切实保证了患者的护理安全。 [ 关键词 ] 消化内科；内镜；微创治疗；规范化；围术期；管理 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2013.011.035 The standardized perioperative management for patients with minimally invasive endoscopic treatment in gastroenterology department / XIONG Yu, ZHANG Xiao-hao, YU Li-xia // Gastroenterology Department, Union Hospital attached to Tongji Medical School, Huazhong University of Science and Technology, Wuhan, 430022 China /// Chinese Nursing Management- 2013,13(11): 106-110 [Abstract] Objective: To explore the methods of standardized perioperative management for patients with minimally invasive endoscopic treatment in gastroenterology department. Methods: Perioperative management was carried out from the five aspects: special nursing assessment and countermeasures, model of seamless health education based on clinical nursing path, patients safety management, continuous nursing management, quality control and continuous quality improvement. Results: After 1-year clinical practice, the quality of care and patients and doctors satisfaction on nurses work were improved obviously (P0.05); the nursing adverse events decreased significantly (P0.05). Conclusion: Standardized perioperative management could help boost special nursing quality, improve patients and doctors satisfaction, and ensure the safety of patients. [Key words] gastroenterology department; digestive endoscopy; minimally invasive treatment; standardization; perioperative period; management 随着消化系统诊断内镜的不断发展 至于术中出现意想不到的并发症；术前