流程化沟通模式对腹股沟疝日间手术患者出院准备度的影响

目的探讨流程化（CICARE）沟通模式对腹股沟疝日间手术患者出院准备度的影响。 方法选取北京朝阳医院2021年7月1日至12月30日行腹股沟疝日间手术的268例患者作为对照组，2022年1月1日至6月30日行腹股沟疝日间手术的280例患者作为流程组。对照组实施传统护理，流程组实施基于CICARE沟通流程管理设计的临床护理路径，对每个护理路径的条目设置均按照接触（connect）、介绍（introduce）、沟通（communicate）、询问（ask）、回答（respond）和离开（exit）6个要素设置对应的内容并实施。将2组患者的出院准备度得分及出院指导质量得分进行比较。 结果流程组患者出院准备度得分，包括自身状况、适应能力、疾病知识、预期性支持四个维度得分均高于对照组，差异有统计学意义（P<0.05）；流程组患者出院指导质量得分，包括出院前需要的内容、实际获得的内容、指导技巧及效果三个维度的得分也均高于对照组，差异有统计学意义（P<0.05）。 结论将CICARE沟通模式应用于日间手术患者管理的临床护理路径中可有效提升患者出院指导质量，提升患者出院准备度，此管理模式可在同领域的护理管理工作中推广应用。

Effect of CICARE communication mode on discharge readiness of patients undergoing inguinal hernia day surgery

ObjectiveTo explore the effect of CICARE communication mode on discharge readiness of day surgery patients. MethodsA total of 268 patients who underwent inguinal hernia day surgery from July 1 to December 30, 2021 were selected as the control group, and 280 patients who underwent inguinal hernia day surgery from January 1 to June 30, 2022 were selected as the CICARE group. The control group implemented traditional nursing, while the CICARE group implemented clinical nursing pathway based on CICARE communication process management design. Each nursing path was set and implemented according to six elements: connect, introduce, communicate, ask, respond and exit. The scores of readiness for discharge and quality of discharge guidance were compared between the two groups. ResultsThe score of readiness for discharge in the CICARE group was higher than that in the control group, and the CICARE group was also better than the control group in terms of their own condition, adaptive ability, disease knowledge and anticipatory support (P<0.05). The scores of discharge guidance quality, actual content and guidance skills in the CICARE group were higher than those in the control group, and the differences were statistically significant (P<0.05). ConclusionsApplication of CICARE communication model in the clinical nursing pathway of day surgery patient management can effectively improve the quality of discharge guidance and discharge readiness of patients. This management model can be promoted and applied in nursing management in the same field.