刘梦捷 张小青 边冬梅

[摘要]目的：探讨实施互联网+医护患一体化模式在整形美容日间手术患者中的应用及效果评价。方法：采用便利抽样法选取笔者医院2019年2月-2020年1月日间手术患者2 800例，按手术时间的先后顺序分为对照组和观察组各1 400例。对照组采用传统的口述讲解模式，观察组实施互联网+医护患一体化模式。两组患者分别从手術安全事件、等待手术时间及手术临时取消率、患者焦虑情绪、医护患满意度四个方面比较。结果：观察组患者干预后身份识别错误、低血糖、跌倒坠床发生率均低于对照组，差异有统计学意义（P<0.05）。观察组患者等待手术时间、手术临时取消率及焦虑情绪评分明显低于对照组，差异有统计学意义（P<0.05）。观察组医护患双方满意度均明显高于对照组，差异具有统计学意义（P<0.05）。结论：实施互联网+医护患一体化模式，可优化医护患联合治疗模式，减少护理差错，降低患者焦虑情绪、等待手术时间及手术临时取消率，提高医护患双方满度意，方法简单易行，值得推广应用。

[关键词]互联网;医护患一体化模式;整形美容;日间手术;焦虑;满意度

[中图分类号]R473.6    [文献标志码]B    [文章编号]1008-6455（2021）01-0168-04

Application of Internet Combined with Integrated Model of Medical Care and Patient in Plastic Surgery Patients During Daytime Surgery

LIU Meng-jie，ZHANG Xiao-qing，BIAN Dong-mei

[Plastic Surgery Operating Room，the First Affiliated Hospital of the Air Force Medical University（Xijing Hospital），Xi'an 710032，Shaanxi，China]

Abstract： Objective  To investigate the application and effect evaluation of the internet combined with integrated model of medical care and patient in plastic surgery patients during daytime surgery. Methods  From February 2019 to January 2020， 2 800 patients had daytime plastic surgical procedures were selected by convenience sampling， and then divided into the control group （1 400 cases） and the observation group （1 400 cases） based on sequence of the surgery. The control group followed the triditional “in-person interpretation” mode， while the observation group followed the “the internet combined with integrated model of medical care and patient” method. The two groups of patients were compared in the following aspects： the safety of the surgery， waiting time and cancellation rate， anxiety of the patients， and satisfaction of the patients. Results  After intervention， the incidence of identity recognition error， hypoglycemia and falling out of bed in the observation group were lower than those in the control group， and the differences were statistically significant（P<0.05）. The waiting time， temporary cancellation rate and anxiety score of the observation group were significantly lower than those of the control group（P<0.05）. The satisfaction of both doctors and patients in the observation group was significantly higher than that in the control group（P<0.05）. Conclusion  The internet combined with integrated model of medical care and patient method could reduce the nursing errors， improve the anxiety of patients，shorten the waiting time for surgery and  reduce the cancellation rate.The overall satisfaction on both medical staff and patients sides could be improved. The method was easy to apply and worth promotion.

Key words： internet; integrated model of medical care and patient; plastic surgery; day surgery; anxiety; satisfaction

新形势下电子科技发展迅猛，互联网平台也逐步应用到醫疗行业中。研究显示，新兴的互联网+延续护理模式在临床护理服务中，为医护患提供了多种沟通方式，节约医疗资源，同时提升了护理质量及医护患满意度，从而得到普及和推广[1-4]。目前我国整形美容日间手术医疗模式普遍开展，但通过微信等互联网平台在整形美容日间手术患者延续护理服务中的应用报道尚少。故本研究将新兴的互联网技术结合医护患一体化责任制模式应用于整形美容日间手术患者护理中，采用多元素结合的形式，深化医护患联合治疗模式，从而提高医护患满意度。

1  资料和方法

1.1 临床资料：采用便利抽样法选取笔者医院2019年2月-2020年1月日间手术患者2 800例，按手术时间的先后顺序分为对照组（1 400例）和观察组（1 400例）。……