通过二维码进行的院前电子教育与接受全身麻醉的腹股沟疝患者住院时间的关联：一项回顾性研究

Association Between Pre-Hospital e-Education via QR Code and Hospital Stay in Inguinal Hernia Patients Undergoing General Anaesthesia: A Retrospective Study.

作者信息

Ma Guozhen, Jiang Pengjun, Miao Chuyuan, Huang Yanhui, Li Huiping, Zhao Yongling

机构信息

Day Surgery Care Unit, Shenzhen Nanshan People's Hospital, Shenzhen, Guangdong, People's Republic of China.

Department of Anorectal Surgery, Shenzhen Nanshan People's Hospital, Shenzhen, Guangdong, People's Republic of China.

出版信息

J Multidiscip Healthc. 2024 Dec 27;17:6131-6142. doi: 10.2147/JMDH.S497658. eCollection 2024.

DOI:10.2147/JMDH.S497658

PMID:39741527

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11687290/

Abstract

PURPOSE

Exploring the retrospective analysis of the association between pre-hospital e-education via QR code and the hospital stay for inguinal hernia patients undergoing general anesthesia.

PATIENTS AND METHODS

A retrospective study was conducted to explore the association between pre-hospital e-education utilizing QR code and hospital stay in patients with inguinal hernia repair under general anesthesia between August 2022 to June 2024. Patients were categorized into two groups based on their engagement with the pre-hospital e-education: those who accessed the pre-hospital e-education (viewing group) and those who did not (non-viewing group). The t-tests or Mann-Whitney -tests were utilized to compare the means of the two groups, while the chi-square test was used to assess the rates between the two groups. To further explore the relationship between pre-hospital e-education and hospital stay, as well as other related factors, correlation analysis and multiple linear regression analysis were carried out.

RESULTS

There were significant differences in the patient's hospital stay, the time to first postoperative ambulation and dietary, anxiety, pain, and patient satisfaction. The analyses revealed statistically significant correlations between viewing pre-hospital e-education via QR code and hospital stay, the time to first postoperative ambulation and dietary, anxiety, pain, as well as patients' satisfaction (<0.05). This fully adjusted linear regression analysis revealed a significant negative correlation between viewing the pre-hospital e-education and hospital stay (β = -4.06, 95% CI: -6.43, -1.70; =0.002). Similarly, a negative correlation was observed between viewing the pre-hospital e-education and the time to first ambulation (β = -0.71, 95% CI: -1.25, -0.17; =0.015), as well as the time to first postoperative dietary (β = -1.20, 95% CI: -1.71, -0.34; =0.006) after controlling for relevant covariates.

CONCLUSION

Effective pre-hospital e-education via online QR codes may reduce hospital stay and improve the patient experience in day surgery under general anesthesia.

摘要

目的

探讨通过二维码进行院前电子教育与全身麻醉下腹股沟疝患者住院时间之间关联的回顾性分析。

患者与方法

进行一项回顾性研究，以探讨2022年8月至2024年6月期间，利用二维码进行院前电子教育与全身麻醉下腹股沟疝修补患者住院时间之间的关联。根据患者对院前电子教育的参与情况将患者分为两组：访问院前电子教育的患者（观察组）和未访问的患者（非观察组）。采用t检验或Mann-Whitney检验比较两组的均值，同时使用卡方检验评估两组之间的率。为了进一步探讨院前电子教育与住院时间以及其他相关因素之间的关系，进行了相关性分析和多元线性回归分析。

结果

患者的住院时间、首次术后下床活动和进食时间、焦虑、疼痛及患者满意度存在显著差异。分析显示，通过二维码查看院前电子教育与住院时间、首次术后下床活动和进食时间以及焦虑、疼痛和患者满意度之间存在统计学显著相关性（<0.05）。这种完全调整的线性回归分析显示，查看院前电子教育与住院时间之间存在显著负相关（β = -4.06，95%CI：-6.43，-1.70；P = 0.002）。同样，在控制相关协变量后，查看院前电子教育与首次下床活动时间（β = -0.71，95%CI：-1.25，-0.17；P = 0.015）以及首次术后进食时间（β = -1.20，95%CI：-1.71，-0.34；P = 0.006）之间也存在负相关。