Exploration and consideration of the closed-loop management of the wound in the day surgery_West China Medical Journal

Authors：

SHI Yulan ,  DAI Yan , YANG Xinting , YU Jingya , CHEN Cheng

Department of Wound Care Center, West China Hospital, Sichuan University / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, R. P. China;

Corresponding author：

DAI Yan, Email: 1846703501@qq.com

Keywords：

Day surgery; wound; closed-loop management

DOI：

10.7507/1002-0179.202101060

Video：

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Objective To explore the effect of constructing the closed-loop management of the wound in the day surgery patients and to reduce the incidence of poor wound healing after day surgery. Methods The medical records of patients with closed-loop wound management mode in the Day Surgery Center of West China Hospital of Sichuan University from 2019 to 2020 were collected retrospectively. The general data of patients were collected, and the cases of delayed wound healing after operation were counted. Results A total of 17 801 patients were included, 9 802 in 2019 and 7 999 in 2020. Laparoscopic cholecystectomy and adult tension-free hernia repair were the most common methods of delayed wound healing in day surgery. In the closed-loop management mode, the incidence of delayed wound healing was 0.98% (174/17 801) and the incidence of dissatisfaction related to delayed wound healing was 0.034% (6/17 801). Conclusion The clinical application of the closed-loop management of the wound in the day surgery can promote the early healing of day surgery patients, guarantee the quality of day surgery, and improve patient satisfaction.

Citation： SHI Yulan, DAI Yan, YANG Xinting, YU Jingya, CHEN Cheng. Exploration and consideration of the closed-loop management of the wound in the day surgery. West China Medical Journal, 2022, 37(2): 282-285. doi: 10.7507/1002-0179.202101060 Copy

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9.	刘妮, 季加孚. 预防手术部位感染最新指南营养支持及相关措施解读. 中国实用外科杂志, 2017, 37(6): 649-653.
10.	马洪升. 日间手术的管理. 华西医学, 2017, 32(4): 481-482.
11.	周正斌. 腹腔镜胆囊切除术后胆囊残留病变的临床分析. 局解手术学杂志, 2014, 23(3): 270-272.
12.	何显军. 腹腔镜胆囊切除术在胆囊结石合并糖尿病的治疗体会. 医学理论与实践, 2011, 24(20): 2410-2411.
13.	林夏, 马洪升, 王琪, 等. 提升我国日间手术管理水平的思考与建议. 中国医院管理, 2017, 37(7): 41-42.
14.	吴莉萍, 奚凯雯, 余慧, 等. 困扰医护人员与患者参与日间手术现状问题的研究进展. 重庆医学, 2020, 49(20): 3481-3485.
15.	戴燕, 黄明君. 日间手术护理管理的实践. 中国护理管理, 2021, 21(6): 951-956.

1. 徐洪莲, 王静. 常见伤口解析与护理. 上海: 复旦大学出版社, 2019.
2. 刘常清, 任宏飞, 李继平, 等. 日间手术管理模式与发展现状. 护理研究, 2016, 30(28): 3466-3469.
3. Guttadauro A, Maternini M, Lo Bianco G, et al. 15 years experience in proctological day-surgery. Ann Ital Chir, 2018, 89: 324-329.
4. Gilmartin J, Wright K. The nurse’s role in day surgery: a literature review. Int Nurs Rev, 2007, 54(2): 183-190.
5. Bellani ML. Psychological aspects in day-case surgery. Int J Surg, 2008, 6(Suppl 1): S44-S46.
6. 孟瑶, 付明明, 赵雨琪, 等. 《2020 年版围术期血糖管理专家共识》解读. 河北医科大学学报, 2022, 43(1): 1-6, 11.
7. 中华医学会外科学分会外科感染与重症医学学组, 中国医师协会外科医师分会肠瘘外科医师专业委员会. 中国手术部位感染预防指南. 中华胃肠外科杂志, 2019, 22(4): 301-314.
8. 叶蕴纯. 外科手术感染影响因素分析与控制对策. 实用临床护理学电子杂志, 2017, 2(36): 17-18.
9. 刘妮, 季加孚. 预防手术部位感染最新指南营养支持及相关措施解读. 中国实用外科杂志, 2017, 37(6): 649-653.
10. 马洪升. 日间手术的管理. 华西医学, 2017, 32(4): 481-482.
11. 周正斌. 腹腔镜胆囊切除术后胆囊残留病变的临床分析. 局解手术学杂志, 2014, 23(3): 270-272.
12. 何显军. 腹腔镜胆囊切除术在胆囊结石合并糖尿病的治疗体会. 医学理论与实践, 2011, 24(20): 2410-2411.
13. 林夏, 马洪升, 王琪, 等. 提升我国日间手术管理水平的思考与建议. 中国医院管理, 2017, 37(7): 41-42.
14. 吴莉萍, 奚凯雯, 余慧, 等. 困扰医护人员与患者参与日间手术现状问题的研究进展. 重庆医学, 2020, 49(20): 3481-3485.
15. 戴燕, 黄明君. 日间手术护理管理的实践. 中国护理管理, 2021, 21(6): 951-956.

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