护士主导早期干预高血压病人群对日间手术延迟及取消率的影响

目的：探讨护士主导早期干预高血压病人群对日间手术延迟及取消率的影响 。方法 选取419例有高血压病的患者研究对象，所有患者均行日间手术治疗，将患者采用随机表法分为早期干预组和常规干预组。常规干预组按照常规术前宣教，早期干预组在常规干预组基础上，针对有高血压病的患者由护士主导进行早期干预和追踪。结果：早期干预组患者降压药物使用率、服药依从性及患者满意度显著优于常规干预组（均P<0.05）。术前焦虑水平（42.80±6.05）分、手术取消率（4.1%）、手术延迟率（5.2%）、麻醉评估未通过率（3.7%）及非计划延迟住院率（0.9%）均低于常规干预组[（54.81±6.62）分、9.5%、10.4%、9.0%、4.5]差异有统计学意义（P<0.05）。而术后不良反应低于常规干预组（P<0.05）。结论：护士主导早期干预高血压病人群可以降低手术延迟率、手术取消率、麻醉评估未通过率、非计划延迟住院率及术后不良反应发生率，提高了服药依从性及日间手术安全质量。

The effect of nurse-led early intervention in the hypertensive population on the delay and cancellation rate of day surgery

[Abstract] Objective: To investigate the effect of nurse-led early intervention on the delay and cancellation rate of day surgery. Methods Of 419 patients with hypertension, all patients underwent day surgery, and the patients were divided into early intervention group and routine intervention group by random chart method. The routine intervention group followed the routine preoperative education, and the early intervention group conducted the nurse-led early intervention and tracking for the patients with hypertension on the basis of the routine intervention group. Results: The utilization rate, medication compliance and patient satisfaction of patients in the early intervention group were significantly better than those in the conventional intervention group (all P <0.05). The preoperative anxiety level (42.80 ± 6.05), surgical cancellation rate (4.1%), surgical delay rate (5.2%), anesthesia assessment failure rate (3.7%) and unplanned delayed hospitalization rate (0.9%) were all lower in [(54.81,10.4%, 9.0% and 4.5]) than the conventional intervention group (P <0.05). The postoperative adverse reactions were lower than those in the conventional intervention group (P <0.05). Conclusion: Nurse-led early intervention in hypertensive patients can reduce the delay rate of surgery, surgical cancellation rate, failure rate of anesthesia assessment, unplanned delayed hospitalization rate and the incidence of postoperative adverse reactions, and improve medication compliance and the safety quality of day surgery.