Coslow B I, Eddy M E
William Beaumont Hospital, Royal Oak, MI 48073, USA.
J Perianesth Nurs. 1998 Feb;13(1):4-10. doi: 10.1016/s1089-9472(98)80074-9.
Because of the limited access to health care providers in ambulatory care, individual patients must assume presurgical and postsurgical responsibility for their own well-being. The purpose of this study was to identify optimal methods of preparing patients for surgery. The clinical outcomes, length of stay in PACU, and satisfaction of two groups of patients were compared using an experimental design. Thirty patients who were scheduled for laparoscopic tubal ligation were randomly assigned to either the experimental (structured) or control (unstructured) education program. Clinical data about return to baseline vital signs, use of analgesics, experiences of nausea and vomiting, and length of stay in PACU were assessed via retrospective chart review. Patient satisfaction with the instruction program was measured by a telephone interview using the Patient Satisfaction Index. Results of t-tests, repeated measures (ANOVA), and sign tests identified no significant differences concerning clinical outcomes except for analgesics requested and received. Time between Phase I and Phase II and discharge was not statistically significant. Future research is needed on major ambulatory surgical procedures combined with an alternate method to assess attitudinal data.
由于门诊医疗中患者获得医疗服务提供者的机会有限，个体患者必须在术前和术后对自身健康负责。本研究的目的是确定让患者为手术做好准备的最佳方法。采用实验设计比较了两组患者的临床结果、在麻醉后护理单元（PACU）的住院时间和满意度。30例计划进行腹腔镜输卵管结扎术的患者被随机分配到实验性（结构化）或对照性（非结构化）教育项目中。通过回顾性病历审查评估有关恢复至基线生命体征、使用镇痛药、恶心和呕吐经历以及在PACU住院时间的临床数据。使用患者满意度指数通过电话访谈来衡量患者对指导项目的满意度。t检验、重复测量（方差分析）和符号检验的结果表明，除了所请求和所接受的镇痛药外，在临床结果方面没有显著差异。第一阶段和第二阶段之间的时间以及出院时间在统计学上没有显著差异。需要对主要的门诊外科手术结合另一种评估态度数据的方法进行未来研究。
