复诊预约制度对提高白内障患者出院后复诊率的应用效果.docVIP

精品论文 参考文献 复诊预约制度对提高白内障患者出院后复诊率的应用效果 孔妮娅 　　(荆门市第一人民医院 湖北荆门 448000) 　　【摘要】目的 探讨初次复诊预约挂号制度对提高白内障患者出院后复诊率的应用效果。方法 回顾性分析我院2012年10月~2014年10月期间行手术治疗的白内障患者临床资料，共纳入460例，按照出院时间将患者分为对照组（2012年10月~2013年10月）和观察组（2013年11月~2014年10月）。对照组患者共217例，实施常规出院健康教育；观察组243例，在对照组基础上为患者预约首次门诊复诊挂号。比较2组患者出院1周后的复诊率及护理满意度。结果 2组患者1w后的首次复诊率比较，观察组的首次复诊率为70.78%，明显高于对照组53.00%，差异具有统计学意义(chi;2=15.455，P=0.000)，未复诊原因中“感觉良好，无就诊必要”及“遗忘或记错就诊时间”占多数；观察组中护理满意率明显高于对照组，差异具有统计学意义(chi;2=10.521，P=0.001)。结论 通过对白内障术后患者开展出院前复诊预约挂号制度能够有效提高首次复诊率和护理满意度，对于患者康复期有着积极的促进意义。 　　【关键词】白内障；预约挂号系统；依从性 　　The efficiency of appointment booking system in improving the referral rate of the cataract patients after operation 　　Kong Ni Ya 　　( First People Hospital of HuBei Jingmen ; HuBei Jingmen;448000) 【Abstract】To explore the application effect of appointment booking system in improving the referral rate of the cataract patients after operation. Method 460 cases of cataract patients had been chosen in our hospital from October 2012 to October 2013 and were divided into two groups according to the time. The control group including 306 cases (October 2012 ~ October 2013) were given conventional hospital health education, while the observation group which including 324 cases (November 2013 ~ October 2014) were given a first outpatient appointment registration on the basis of the control group. The referral rate and nursing satisfaction of patients discharged from hospital after 1 week were compared. Result The first time referral rate in the observation group was 70.78%, significantly higher than the control group 53.00% (chi;2=15.455, P=0.000), of which “feel good and no referral needs , forgetting or misremembering the referral time counting a lot;the nursing satisfaction rate in the observation group was significantly higher than the control group, the difference was statistically significant (chi;2=10.521，P=0.001). Conclusion The appointment booking system has a good effect in improving the referral rate and of the catarac