眼科日间手术患者延续服务需求现状分析

Current Situation Analysis of Continuous Service Demand of Patients Undergoing Ophthalmic Day Surgery

摘要: 目的：调查眼科日间手术患者对延续服务的需求，为医院提供改进服务的依据。方法：采用问卷调查的方式，对某三级甲等综合医院眼科2023年5月至6月期间行日间手术的115例患者进行调查。结果：在延续护理服务需求里，病人最期待的是通过电话进行出院后的随访，其次是门诊随访；82.5%的病人觉得获取健康信息最有效的方式就是接受医疗工作人员的健康教育；75.7%的病人期待医生能够实施电话随访；91.3%的患者希望随访1周1次；55.7%的患者对随访时间段无特殊要求；20.7%的患者希望在8:00~09:59时间段进行随访；61.75%的患者希望随访时间控制在5分钟。延续服务需求内容中98.2%需要出院后延续服务，其中84.3%的患者表示非常需要出院后延续服务。患者对延续服务需求较强烈排名前四的项目分别为：84.3%的患者表示非常需要伤口自我观察和护理指导；86%的患者表示非常需要用药方法与注意事项指导；80.9%的患者表示非常需要复诊方式指导；78.3%的患者表示非常需要预防疾病复发指导。结论：眼科日间手术患者对出院后延续服务有较高的需求，特别希望医生能参与到延续服务中，同时患者的信息需求中对出院后伤口自我观察和护理指导、用药方法与注意事项指导、复诊方式指导、预防疾病复发的需求十分强烈，因此在制定眼科日间手术出院后延续性护理服务方案时，可以结合患者的需求，制定个性化护理延续服务，由医生和护士共同对患者进行延续性护理服务，以保证患者的安全和提高患者的满意度。

Abstract: Objective: To investigate the needs of patients with eye day surgery for extended services and to provide the ba-sis for hospitals to improve services. Methods: A total of 115 patients who underwent day surgery from May to June 2023 in the ophthalmology department of a Grade-III general hospital were inves-tigated by questionnaire. Results: In the demand for extended care service, the patients most ex-pected the post-discharge follow-up by telephone, followed by outpatient follow-up; 82.5% of the patients thought that the most effective way to obtain health information was to receive health education from medical staff; 75.7% of patients expected doctors to conduct telephone follow-up; 91.3% of the patients expected to follow up once a week; 55.7% of the patients had no special re-quirements for the follow-up period, and 20.7% of the patients expected to be followed up between 8:00 and 09:59. 61.75% of the patients expected the follow-up time to be controlled within 5 minutes. Among the contents of extended service demand, 98.2% needed extended service after discharge, of which 84.3% of patients said that they needed extended service after discharge. The top four items with strong demand for continued services were: 84.3% of patients said they needed wound self-observation and nursing guidance very much, and 86% of patients said they needed medication methods and precautions guidance very much. 80.9% of the patients indicated that they were in great need of the guidance of follow-up visits. 78.3% of the patients expressed a strong need for guidance on preventing disease recurrence. Conclusion: Patients with day ophthalmology surgery have a high demand for extended services after discharge, and they especially hope that doctors can participate in the extended services. Meanwhile, patients’ information needs are very strong for self-observation and nursing guidance on wounds after discharge, guidance on medication methods and precautions, guidance on follow-up visits, and prevention of disease recurrence. Therefore, in the development of a continuous care service plan after discharge from ophthalmology day surgery, personalized care continuity service can be developed according to the needs of patients, and doctors and nurses jointly carry out continuous care services for patients to ensure patient safety and improve patient satisfaction.