Application effects of innovative health education on patients undergoing ambulatory laparoscopic cholecystectomy_West China Medical Journal

Authors：

ZHU Min , LIU Fang , LI Shihan ,  DAI Yan

Day Surgery Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

DAI Yan, Email: 1846703501@qq.com

Keywords：

Health education; Day surgery; Laparoscopic cholecystectomy; Effects

DOI：

10.7507/1002-0179.201709089

Video：

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Objective To explore the application effects of innovative health education on patients undergoing ambulatory laparoscopic cholecystectomy (LC). Methods A total of 139 patients undergoing ambulatory LC from November to December 2016 were selected as the control group, receiving the traditional health education; and other 141 patients undergoing ambulatory LC from February to March 2017 were selected as the observation group, receiving the innovative health education. The two groups were followed up and observed 1 day, 2, and 28 days after the discharge, and the incidence rates of adverse reactions such as postoperative pain, bleeding and incision infection were measured, and the disease knowledge mastery, self-care skills, medication compliance and satisfaction to nursing and hospital were evaluated. Results The total incidence rate of adverse reactions was 7.8% in the observation group and 25.2% in the control group (P<0.001). Medication compliance from high to low was 90, 46 and 5 cases in the observation group and 59, 64 and 16 cases in the control group (P<0.001). In the observation group, the scores of disease knowledge mastery, self-care cognition, nursing satisfaction and hospital satisfaction were 93.4±5.5, 91.4±4.5, 96.4±3.7 and 98.1±3.7, respectively, which were higher than those in the control group (83.8±8.7, 83.2±9.1, 91.5±9.2 and 94.8±7.3, respectively) with statistical significance (P<0.001). Conclusion Innovative health education has certain application effects on ambulatory LC, and it can significantly improve disease knowledge mastery and self-care cognition, and help to ensure the medical quality and safety during perioperative period, and improve the patients’ satisfaction.

Citation： ZHU Min, LIU Fang, LI Shihan, DAI Yan. Application effects of innovative health education on patients undergoing ambulatory laparoscopic cholecystectomy. West China Medical Journal, 2017, 32(11): 1671-1674. doi: 10.7507/1002-0179.201709089 Copy

1.	Graves C, Ely S, Idowu O, et al. Direct gallbladder indocyanine green injection fluorescence cholangiography during laparoscopic cholecystectomy. J Laparoendosc Adv Surg Tech A, 2017, 27(10): 1069-1073.
2.	Su WL, Huang JW, Wang SN, et al. Comparison study of clinical outcomes between single-site robotic cholecystectomy and single incision laparoscopic cholecystectomy. Asian J Surg, 2016, 40(6): 424-428.
3.	Siada SS, Schaetzel SS, Chen AK, et al. Day versus night laparoscopic cholecystectomy for acute cholecystitis: a comparison of outcomes and cost. Am J Surg, 2017, 10(17): 30409-30418.
4.	鲍杨, 贺广宝, 张丽峰, 等. 日间手术麻醉安全性探讨. 医学与哲学, 2014(8): 86-87.
5.	戴燕, 马洪升. 日间手术护理发展现状. 华西医学, 2015, 30(5): 801-803.
6.	刘思. 临床路径在腹腔镜胆囊切除术住院患者中的应用与评价. 西部医学, 2013, 25(1): 116-117.
7.	刘洋, 马洪升, 叶辉. 日间腹腔镜胆囊切除术推广面临的问题与对策. 中华医院管理杂志, 2017, 33(5): 354-356.
8.	朱敏, 蔡雨廷, 戴燕. 数字疼痛分级法在腹股沟疝日间手术患者镇痛护理中的应用效果分析. 解放军预防医学杂志, 2017, 35(3): 269-271.
9.	刘洋, 马洪升, 李志超, 等. 日间腹腔镜胆囊切除术临床路径的 PDCA 管理. 中国病案, 2016, 17(12): 35-37.
10.	Philip BK. Day care surgery: the United States model of health care. Ambul Surg, 2012, 17(4): 81-82.
11.	刘玲, 戴燕, 许瑞华. 腹腔镜胆囊切除日间手术后患者延迟出院护理对策. 护理学杂志, 2016, 31(24): 36-38.
12.	于丽华. 中国日间手术发展的历程与展望. 中国医院管理, 2016, 36(6): 16-18.
13.	刘洋, 马洪升, 李志超, 等. 5 520 例日间手术的安全和质量评价. 中国普外基础与临床杂志, 2015, 22(12): 1477-1481.
14.	张秀华, 丁瑞琪, 高宇华. 改善和提高手术患者就医体验. 世界最新医学信息文摘, 2015(64): 246.
15.	张金凤, 陶显红, 罗春丽, 等. 手术室日间手术优质护理模式实践. 深圳中西医结合杂志, 2017, 27(4): 166-167.

1. Graves C, Ely S, Idowu O, et al. Direct gallbladder indocyanine green injection fluorescence cholangiography during laparoscopic cholecystectomy. J Laparoendosc Adv Surg Tech A, 2017, 27(10): 1069-1073.
2. Su WL, Huang JW, Wang SN, et al. Comparison study of clinical outcomes between single-site robotic cholecystectomy and single incision laparoscopic cholecystectomy. Asian J Surg, 2016, 40(6): 424-428.
3. Siada SS, Schaetzel SS, Chen AK, et al. Day versus night laparoscopic cholecystectomy for acute cholecystitis: a comparison of outcomes and cost. Am J Surg, 2017, 10(17): 30409-30418.
4. 鲍杨, 贺广宝, 张丽峰, 等. 日间手术麻醉安全性探讨. 医学与哲学, 2014(8): 86-87.
5. 戴燕, 马洪升. 日间手术护理发展现状. 华西医学, 2015, 30(5): 801-803.
6. 刘思. 临床路径在腹腔镜胆囊切除术住院患者中的应用与评价. 西部医学, 2013, 25(1): 116-117.
7. 刘洋, 马洪升, 叶辉. 日间腹腔镜胆囊切除术推广面临的问题与对策. 中华医院管理杂志, 2017, 33(5): 354-356.
8. 朱敏, 蔡雨廷, 戴燕. 数字疼痛分级法在腹股沟疝日间手术患者镇痛护理中的应用效果分析. 解放军预防医学杂志, 2017, 35(3): 269-271.
9. 刘洋, 马洪升, 李志超, 等. 日间腹腔镜胆囊切除术临床路径的 PDCA 管理. 中国病案, 2016, 17(12): 35-37.
10. Philip BK. Day care surgery: the United States model of health care. Ambul Surg, 2012, 17(4): 81-82.
11. 刘玲, 戴燕, 许瑞华. 腹腔镜胆囊切除日间手术后患者延迟出院护理对策. 护理学杂志, 2016, 31(24): 36-38.
12. 于丽华. 中国日间手术发展的历程与展望. 中国医院管理, 2016, 36(6): 16-18.
13. 刘洋, 马洪升, 李志超, 等. 5 520 例日间手术的安全和质量评价. 中国普外基础与临床杂志, 2015, 22(12): 1477-1481.
14. 张秀华, 丁瑞琪, 高宇华. 改善和提高手术患者就医体验. 世界最新医学信息文摘, 2015(64): 246.
15. 张金凤, 陶显红, 罗春丽, 等. 手术室日间手术优质护理模式实践. 深圳中西医结合杂志, 2017, 27(4): 166-167.

West China Medical Journal

Application effects of innovative health education on patients undergoing ambulatory laparoscopic cholecystectomy

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