关键词: 乳腺疾病, 日间手术, 病人医护管理

Abstract:

Objective To explore the feasibility and effectiveness of day surgery management in breast surgery ward for patients with benign breast lesions. Methods To recruit 180 patients with benign breast lesions who underwent day surgery management in the department of breast surgery of our hospital as the experimental group,180 cases managed by routine inpatient surgery were selected as the control group. The experimental group adopted the management method of day surgery,of which the preoperative examination,health education,anesthesia consultation and other medical services of the patients were completed in advance in the outpatient department. A special medical and nursing team was set up to perform the day surgery management,the patients underwent the day surgery in the operating room with routine postoperative care and were discharged at 8：00 a.m. on the second day after surgery when the postoperative evaluation results met the discharge criteria. Results The surgery waiting time,hospitalization time and direct medical expenses of the experimental group were all less than those of the control group,with statistically significant differences（P<0.001）. Patients’ satisfaction in the experimental group（100%） was higher than that in the control group（95%）,and the difference was statistically significant（P<0.01）. The incidence of postoperative complications in the experimental group（0.6%） was lower than that in the control group（2.8%）,but the difference was not statistically significant（P>0.05）. Conclusion It is feasible,safe and effective to perform day surgery management for patients with benign breast lesions in the breast surgery ward,which could also optimize the utilization efficiency of medical resources.

Key words: Breast Diseases, Day surgery, Patient Care Management