摘要
当前人们对医疗服务质量提出了更多更高的要求,作为目前新型的一种医疗模式,日间手术近些年在国内外得到了广泛应用,对降低医疗费用、缩短平均住院日都有显著效果。将日间手术应用于泌尿外科领域,优势在于术后恢复较快、手术时间相对较短,比较常见的手术病症有输尿管结石、膀胱镜手术等。但因为日间手术患者住院时间短,对护理工作的要求更高。需要通过对现有护理质量的量化评价,对护理工作中存在的问题和不足及时发现,并及时改进护理质量。并在不断完善评价指标体系下,可以优化医疗资源配置,充分利用有限的医疗资源,为泌尿外科领域中日间手术的高质量应用提供更多参考。
关键词: 泌尿外科;日间手术;护理安全管理;质量评价指标体系
Abstract
Currently, people have put forward more and higher requirements for the quality of medical services. As a new type of medical model at present, day surgery has been widely applied at home and abroad in recent years, and has significant effects on reducing medical costs and shortening the average length of hospital stay. The application of day surgery in the field of urology has the advantages of faster postoperative recovery and relatively shorter operation time. Common surgical conditions include ureteral calculi and cystoscopy. However, because the hospital stay of patients undergoing day surgery is short, the requirements for nursing work are higher. It is necessary to quantitatively evaluate the current quality of nursing to promptly identify problems and deficiencies in nursing work and improve the quality of nursing in a timely manner. Under the continuous improvement of the evaluation index system, the allocation of medical resources can be optimized, the limited medical resources can be fully utilized, and more references can be provided for the high-quality application of day surgery in the field of urology.
Key words: Urology; Day surgery; Nursing safety management; Quality evaluation index system
参考文献 References
[1] 沈海晨,许友清,詹凤丽,等.基于Vincent患者安全因素框架构建泌尿外科日间手术患者护理安全管理质量评价指标体系[J/OL].护士进修杂志,1-7[2025-11-04].
https://link.cnki.
[2] 刘华英,李玲,史元湘,等.ERAS理念下日间手术管理模式在妇科腹腔镜手术患者中的安全性及可行性研究[J].陆军军医大学学报,2024,46(14):1658-1665.
[3] 夏萍,王卫,夏志鹏,等.日间手术全程管理模式探索及实践[J].中国医院,2023,27(08):99-101.
[4] 沈海晨,许友清,黄美霞,等.泌尿外科日间手术患者护理安全管理质量评价指标体系的构建[J].护士进修杂志,2024,39(19):2120-2125.
[5] 陈毓卓,吴燕,董静,等.国外骨科日间手术延续护理现状对我国的启示[J].护士进修杂志,2023,38(11):1052-1055.
[6] 张学长,姬相南,张玉,等.眼科日间手术护理敏感质量指标体系的构建[J].中华现代护理杂志, 2025, 31(26):3542-3548.
[7] 赵诗雨,周文娟,胡梅园,等.髋膝关节置换日间手术围术期护理质量评价指标的构建与应用[J].护理学杂志, 2025(15).
[8] 莫洋,袁磊,刘蔚东,等.基于德尔菲法和层次分析法的日间手术质量与安全评价指标体系构建[J].华西医学, 2024, 39(2):184-189.