[1]江艳 陆群峰 黄一敏 唐文娟 钮骏 梅青红.基于应激适应理论的无哭声小儿日间手术室的创建[J].中国卫生质量管理,2021,28(03):012-14.[doi:10.13912/j.cnki.chqm.2021.28.3.05 ]
　JIANG Yan,LU Qunfeng,HUANG Yimin.The Establishment of No-Crying Pediatric Ambulatory Operating Room Based on Stress Adaptation Theory[J].Chinese Health Quality Management,2021,28(03):012-14.[doi:10.13912/j.cnki.chqm.2021.28.3.05 ]
点击复制

基于应激适应理论的无哭声小儿日间手术室的创建
分享到：

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第28卷
期数:
2021年03期
页码:
012-14
栏目:
特别关注
出版日期:
2021-03-28

文章信息/Info

Title:
The Establishment of No-Crying Pediatric Ambulatory Operating Room Based on Stress Adaptation Theory
作者:
江艳 陆群峰 黄一敏 唐文娟 钮骏 梅青红
上海市儿童医院
Author(s):
JIANG Yan; LU Qunfeng; HUANG Yimin
Children's Hospital of Shanghai
关键词:
应激适应理论; 儿童; 日间手术; 无哭声
Keywords:
Stress Adaptation Theory;  Children;  Ambulatory Surgery;  No Crying
分类号:
R197.5;R72
DOI:
10.13912/j.cnki.chqm.2021.28.3.05
文献标志码:
B
摘要:
目的创建无哭声小儿日间手术室，提高患儿就医舒适度和护理服务质量。方法在日间病房实施无哭声综合干预方案，包括镇静和麻醉管理、无痛穿刺、以家庭为中心的护理、结构化离院评估和AI术后随访等。结果观察组患儿静脉穿刺疼痛评分显著低于对照组（P＜0.05），患儿家属满意度由97.9%上升至99.7%，护士满意度由92.1%上升至97.6%。结论基于应激适应理论的无哭声小儿日间手术室的创建，提高了患儿就医舒适度及家属和护士满意度，进而提升了护理服务质量。
Abstract:
ObjectiveTo establish no-crying pediatric ambulatory operating room to improve the comfort of children's medical treatment and the quality of nursing services.MethodsA comprehensive no-crying intervention program was implemented in the ambulatory ward, including sedation and anesthesia management, painless puncture, family-centered care, structured exit assessment, and AI post-operation follow-up.ResultsThe score of venipuncture pain in the observation group was significantly lower than that in the control group (P<0.05), the satisfaction of the children's family members increased from 97.9% to 99.7%, and the satisfaction of the nurses increased from 92.1% to 97.6%.Conclusion The establishment of no-crying pediatric ambulatory operating room based on stress adaptation theory can improve the medical comfort of children and the satisfaction of their families and nurses, and improve the quality of nursing service.

参考文献/References:

［1］陈芳，上官王宁，连庆泉. 小儿日间手术后非计划性住院的因素和风险评估［J］.临床麻醉学杂志， 2016， 32(10): 1031-1033. ［2］王敬. 围手术期应激反应及其调控的新进展［J］.现代诊断与治疗， 2016， 27(20): 3816-3817, 4000. ［3］钟霞. 应激多因素作用系统理论的实证研究［D］.杭州：浙江大学，2005. ［4］哈宏伟. 基于应激系统理论的护理对重度烧伤患者创伤后成长的干预效果［D］.唐山：河北联合大学，2015. ［5］江艳，陆群峰，邵珍珍. 舒适行为量表在危重症儿童中的应用研究进展［J］.护理学报,2019,26(24):14-18. ［6］殷宇，张雨晨，戴燕. 日间手术患者延续性护理服务需求调查及分析［J］.中国卫生质量管理， 2018， 25(4): 14-17. ［7］向莉，杨瑶，贺巧玲，等. 岗位动态管理提高急诊科护士职业满意度［J］.护理学杂志， 2017， 32(5): 56-58. ［8］方芳，王征，程亚娜，等. 日间手术导航护士管理的质性研究［J］.护理学杂志， 2019， 34(2): 44-45, 48. ［9］樊翊凌，张继东，贾昊，等. 人工智能语音系统在日间手术患者术后随访中的应用［J］.华西医学， 2019， 34(2): 164-167.

相似文献/References:

[1]戚拥军,宋晓萍,于金玲,等.缩短儿童哮喘平均住院日[J].中国卫生质量管理,2015,22(06):055.
[2]沈双双 施芳红 李浩 张顺国 陈敏玲.应用HIMSS 6级标准构建药品追溯体系[J].中国卫生质量管理,2019,26(05):089.[doi:10.13912/j.cnki.chqm.2019.26.5.26]
[3]曾跃萍 宋菲 吕亚奇 田明月 张欣 刘帅.儿童呼吸系统疾病病例组合方法研究[J].中国卫生质量管理,2020,27(02):046.[doi:10.13912/j.cnki.chqm.2020.27.2.15]
[4]王淼 杨丽 黄一敏 顾炜君 柳龚堡 贾昊 刘静 徐国锋.上海市级医院儿童日间手术进展与思考[J].中国卫生质量管理,2021,28(03):001.[doi:10.13912/j.cnki.chqm.2021.28.3.01 ]
　WANG Miao,YANG Li,HUANG Yimin.Progress and Thinking on Management of Children's Ambulatory Surgery in Shanghai Municipal Hospitals[J].Chinese Health Quality Management,2021,28(03):001.[doi:10.13912/j.cnki.chqm.2021.28.3.01 ]
[5]王淼 魏明月 黄一敏 刘海峰.以信息化闭环构建儿童日间手术安全管理体系[J].中国卫生质量管理,2021,28(03):006.[doi:10.13912/j.cnki.chqm.2021.28.3.03 ]
　WANG Miao,WEI Mingyue,HUANG Yimin.Construction of a Safety Management System for Children's Ambulatory Surgery with Information Closed-Loop[J].Chinese Health Quality Management,2021,28(03):006.[doi:10.13912/j.cnki.chqm.2021.28.3.03 ]
[6]黄一敏 王淼 魏明月 梅青红 高春辉.人工智能语音随访系统在儿童日间手术中心的应用[J].中国卫生质量管理,2021,28(03):009.[doi:10.13912/j.cnki.chqm.2021.28.3.04 ]
　HUANG Yimin,WANG Miao,WEI Mingyue.Application of Artificial Intelligence Voice Follow-Up System in Pediatric Ambulatory Surgery Center[J].Chinese Health Quality Management,2021,28(03):009.[doi:10.13912/j.cnki.chqm.2021.28.3.04 ]
[7]谢周龙龙李倩张蓉厉斌璐洪莉顾炜珺陈盛梅董昱余松轩马轶美严志龙.加速康复外科理念在儿童日间手术围术期的应用[J].中国卫生质量管理,2021,28(12):004.[doi:10.13912/j.cnki.chqm.2021.28.12.02 ]
　XIE Zhoulonglong,LI Qian,ZHANG Rong.Application of Enhanced Recovery After Surgery Concept in Perioperative Management of Children's Ambulatory Surgery[J].Chinese Health Quality Management,2021,28(03):004.[doi:10.13912/j.cnki.chqm.2021.28.12.02 ]
[8]张耀祖许霞樊华峰李安茂.西安交通大学附属儿童医院(西安市儿童医院)创建国家儿童区域医疗中心的实践探索[J].中国卫生质量管理,2022,29(03):091.[doi:10.13912/j.cnki.chqm.2022.29.3.24 ]
　ZHANG Yaozu,XU Xia,FAN Huafeng.Practice and Exploration of Establishing National Children's Regional Medical Center in the Affiliated Children's Hospital of Xi'an Jiaotong University[J].Chinese Health Quality Management,2022,29(03):091.[doi:10.13912/j.cnki.chqm.2022.29.3.24 ]
[9]许陈诚张磊姜大朋张浩.以小儿外科为核心的癌症儿童生育力保护多学科协作模式探索[J].中国卫生质量管理,2023,30(07):014.[doi:10.13912/j.cnki.chqm.2023.30.7.04 ]
　Xu Chencheng,Zhang Lei,Jiang Dapeng.A Multidisciplinary Collaborative Mode of Fertility Preservation in Children with Cancer with Pediatric Surgery as the Core[J].Chinese Health Quality Management,2023,30(03):014.[doi:10.13912/j.cnki.chqm.2023.30.7.04 ]
[10]杨学来赵亚楠.北京市3岁～17岁孤独症住院患者非计划再入院现状及影响因素研究[J].中国卫生质量管理,2024,31(03):032.[doi:10.13912/j.cnki.chqm.2024.31.3.09]
　YANG Xuelai,ZHAO Yanan.Status and Influencing Factors of Unplanned Readmission among Autism Inpatients Aged 3~17 in Beijing[J].Chinese Health Quality Management,2024,31(03):032.[doi:10.13912/j.cnki.chqm.2024.31.3.09]

更新日期/Last Update: 2021-03-28