眼科 ›› 2025, Vol. 34 ›› Issue (1): 58-62.doi: 10.13281/j.cnki.issn.1004-4469.2025.01.010

• 论著 • 上一篇    下一篇

智能推送技术在眼科全麻日间手术患者院前准备中的应用

马张芳 杨小晓 王影 张岩 杨杰 张紫静 李越 张宛侠   

  1. 首都医科大学附属北京同仁医院 北京同仁眼科中心 眼科学与视觉科学北京市重点实验室,北京100730
  • 收稿日期:2024-06-17 出版日期:2025-01-25 发布日期:2025-01-23
  • 通讯作者: 张宛侠,Email:lornazwx@126.com E-mail:lornazwx@126.com
  • 基金资助:
    中国心理卫生协会护理心理专业委员会课题(22-23-102)

Application of intelligent pushing technology in pre hospital preparation for ophthalmic general anesthesia day surgery

Ma Zhangfang, Yang Xiaoxiao, Wang Ying, Zhang Yan, Yang Jie, Zhang Zijing, Li Yue, Zhang Wanxia   

  1. Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University; Beijing Key Laboratory of Ophthalmology and Visual Science, Beijing 100730, China
  • Received:2024-06-17 Online:2025-01-25 Published:2025-01-23
  • Contact: Zhang Wanxia, Email: lornazwx@126.com E-mail:lornazwx@126.com
  • Supported by:
    Project of Nursing Psychology Professional Committee of China Mental Health Association (22-23-102)

摘要: 目的 探索基于健康教育精准连接系统的智能推送技术在眼科全麻日间手术患者院前准备中的应用效果。设计 非同期对照研究。研究对象2023年3月-6月北京同仁医院眼科日间病房收治的眼科全麻日间手术患者84例。3月-4月收治的42例患者为对照组;5月-6月收治的42例患者为观察组。方法 院前采用电话访视形式对对照组的42例患者进行院前准备护理(传统形式); 针对观察组的42例患者,运用健康教育精准连接系统的智能推送技术,在不同时间节点精准推送音频护理指导资料进行院前患者的健康教育与心理护理。由同一名护士在患者办理入院后询问患者是否按照医嘱完成院前常规准备事项,并记录完成的例数。另由同一名经过量表测量培训后的护士在患者预约手术时、入院后至手术前的时间段发放给患者焦虑自评量表(SAS),由患者填写后计算评分。比较两组患者入院后院前常规准备事项遵医完成的例数及患者焦虑自评量表得分。主要指标 院前常规准备事项遵医完成的例数、焦虑自评量表得分。结果 观察组各常规准备事项均遵医完成的例数40例(95.2%)明显高于对照组33例(78.6%)(χ2=5.126,P=0.024);术前一晚睡眠充足准备的遵医完成的例数,观察组41例(97.6%)明显高于对照组35例(83.3%)(χ2=4.974,P=0.026);对照组焦虑自评量表得分(43.64±5.64)明显高于观察组(40.26±4.31)(t=3.088,P=0.003)。结论 运用健康教育精准连接系统的智能推送技术进行的院前准备护理,可降低眼科全麻日间手术患者的术前焦虑,促进患者健康教育后完成院前准备,从而促进眼科全麻日间手术高效、安全、高质量运行。(眼科,2025, 34: 58-62)

Abstract: Objective Exploring the application effect of intelligently pushing technology on the pre-hospital preparation of ophthalmic general anesthesia day surgery patients based on a health education precision connection system. Design Non synchronous controlled study. Paticipants 84 patients with day surgery under general anesthesia were admitted to the ophthalmic day ward of Beijing Tongren Hospital from March to June 2023. In which, 42 patients admitted from March to April were the control group; Forty-two patients admitted from May to June were included in the observation group. Methods 42 patients in the control group were provided with pre-hospital nursing by telephone visit (traditional form). For 42 patients in the observation group, the intelligent push technology of the health education precision connection system was used to accurately push audio nursing guidance materials at different time nodes for health education and psychological nursing of pre-hospital patients. After the patient is admitted, the same nurse asks the patient if he/she has completed the pre-hospital routine preparations according to the doctor's advice, and recorded the number of completed cases. Another nurse who has undergone scale measurement training will distribute Self-Rating Anxiety Scales (SAS) to patients during the time period from appointment for surgery, admission to the hospital, and before surgery. The SAS were filled by the patients and the scales were calculated. The number of patients who completed routine preparation before admission and the scores of SAS were compared between the two groups. Main Outcome Measures The number of completed cases, scores of SAS. Results 40 cases (95.2%) in the observation group who completed all routine preparations according to medical advice was significantly higher than the 33 cases (78.6%) in the control group (χ2=5.126,P=0.024); The number of cases with sufficient sleep preparation on the night before surgery was significantly higher in the observation group (41 cases, 97.6%) than in the control group (35 cases, 83.3%)(χ2=4.974,P=0.026); The score of SAS in the control group (43.64±5.64) was significantly higher than that in the observation group (40.26 ± 4.31) (t=3.088, P=0.003). Conclusion The intelligent pushing technology based on the health education precise connection system for pre-hospital preparation nursing can reduce preoperative anxiety of ophthalmic general anesthesia day surgery patients, promote the completion of pre-hospital preparation, and thus promote the efficient, safe, and high-quality operation of ophthalmic general anesthesia day surgery. (Ophthalmol CHN, 2025, 34: 58-62)