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

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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)

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)