Sun Weige, Wu Fei, Du Yue, Luo Jie, Wang Xin, Li Aman, Zhang Ran, Cai Weixin
Department of Nursing, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Digit Health. 2024 Oct 3;10:20552076241286799. doi: 10.1177/20552076241286799. eCollection 2024 Jan-Dec.
The types and number of day surgeries have significantly increased, but the construction of the whole process nursing service system (WPNSS) for preoperative education, intraoperative cooperation, postoperative knowledge, and follow-up for day surgery patients is still in the exploratory stage. The aim of this study is to establish the WPNSS for day surgery patients using the Kano model and to preliminarily assess its efficacy.
WPNSS for day surgery was devised leveraging Internet hospital information systems and patient mobile terminals (WeChat), guided by the World Health Organization's conceptual framework for scaling-up strategies. The system was methodically developed, progressing from defining the overall framework to delineating modular functions and developing specific educational materials and tools. A pilot test was conducted in a hospital in China.
WPNSS, a patient-centric remote education and monitoring system, seamlessly amalgamates health education, online consultations, and follow-up functionalities; offering semi-automated surgical consultations, inquiry services, and postoperative follow-ups, as well as autonomously disseminating perioperative health education content. Comprising both client and server components, patients utilizing the system are inclined to recommend day surgery at the hospital to others.
WPNSS delivers personalized and precise health education, consultation, and postoperative follow-up services for day surgery patients. Current results suggest that the WPNSS may improve patients' experience.
Chinese Clinical Trial Register (ChiCTR2200066782).
日间手术的类型和数量显著增加，但针对日间手术患者术前教育、术中配合、术后知识及随访的全流程护理服务体系（WPNSS）建设仍处于探索阶段。本研究旨在运用卡诺模型建立日间手术患者的WPNSS，并初步评估其效果。
以世界卫生组织扩大策略的概念框架为指导，利用互联网医院信息系统和患者移动终端（微信）设计日间手术的WPNSS。该系统从定义总体框架开始，逐步划分模块功能并开发具体的教育材料和工具，进行了系统的开发。在中国一家医院进行了试点测试。
WPNSS是一个以患者为中心的远程教育和监测系统，无缝融合了健康教育、在线咨询和随访功能；提供半自动手术咨询、查询服务和术后随访，并自主传播围手术期健康教育内容。该系统由客户端和服务器组件组成，使用该系统的患者倾向于向他人推荐该医院的日间手术。
WPNSS为日间手术患者提供个性化、精准的健康教育、咨询和术后随访服务。目前的结果表明，WPNSS可能会改善患者体验。
中国临床试验注册中心（ChiCTR2200066782）。
