Stomberg M Warrén, Segerdahl M, Rawal N, Jakobsson J, Brattwall M
School of Life Sciences at the University of Skövde, Skövde, Sweden.
J Perianesth Nurs. 2008 Oct;23(5):311-20. doi: 10.1016/j.jopan.2008.07.003.
The purpose of this study was to examine nursing practice in day surgery settings in Sweden. A questionnaire focusing on the routines of the day surgery process of patients in Sweden was administered. Based on these findings, appropriate nursing interventions are outlined and discussed. Day surgery routines were in accordance with general worldwide practice. The study revealed that nursing involvement was rare in the preoperative routine. In addition, the major part of the recovery process, including assessments of discharge eligibility and information about pain management, was managed by PACU nurses. The nurse follow-up revealed a number of subjective queries and symptoms that, in a seemingly easy way, could have been prevented by further perianesthesia/perioperative patient education. There is an obvious place for nursing interventions when the decision for day surgery is taken. These interventions should focus on providing the patient with information before surgery, preoperative patient health screening, and information/education at discharge. Furthermore, nursing interventions should include quality assurance, such as follow-up calls for the evaluation of care, as well as providing information and coaching for the patient at home.
本研究的目的是调查瑞典日间手术环境中的护理实践情况。发放了一份聚焦于瑞典日间手术患者流程常规的调查问卷。基于这些调查结果，概述并讨论了适当的护理干预措施。日间手术常规符合全球普遍做法。研究表明，术前常规中护理参与很少。此外，恢复过程的主要部分，包括出院资格评估和疼痛管理信息，由麻醉后护理单元（PACU）护士负责。护士随访发现了一些主观问题和症状，而通过进一步的麻醉后/围手术期患者教育，这些问题本可以很容易地避免。在做出日间手术决定时，护理干预有明显的作用。这些干预应侧重于在手术前为患者提供信息、术前患者健康筛查以及出院时的信息/教育。此外，护理干预应包括质量保证，如随访电话以评估护理情况，以及为在家中的患者提供信息和指导。
