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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3.	Guttadauro A, Maternini M, Lo Bianco G, et al. 15 years experience in proctological day-surgery. Ann Ital Chir, 2018, 89: 324-329.
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8.	葉蘊純. 外科手術感染影響因素分析與控制對策. 實用臨床護理學電子雜志, 2017, 2(36): 17-18.
9.	劉妮, 季加孚. 預防手術部位感染最新指南營養支持及相關措施解讀. 中國實用外科雜志, 2017, 37(6): 649-653.
10.	馬洪升. 日間手術的管理. 華西醫學, 2017, 32(4): 481-482.
11.	周正斌. 腹腔鏡膽囊切除術后膽囊殘留病變的臨床分析. 局解手術學雜志, 2014, 23(3): 270-272.
12.	何顯軍. 腹腔鏡膽囊切除術在膽囊結石合并糖尿病的治療體會. 醫學理論與實踐, 2011, 24(20): 2410-2411.
13.	林夏, 馬洪升, 王琪, 等. 提升我國日間手術管理水平的思考與建議. 中國醫院管理, 2017, 37(7): 41-42.
14.	吳莉萍, 奚凱雯, 余慧, 等. 困擾醫護人員與患者參與日間手術現狀問題的研究進展. 重慶醫學, 2020, 49(20): 3481-3485.
15.	戴燕, 黃明君. 日間手術護理管理的實踐. 中國護理管理, 2021, 21(6): 951-956.

1. 徐洪蓮, 王靜. 常見傷口解析與護理. 上海: 復旦大學出版社, 2019.
2. 劉常清, 任宏飛, 李繼平, 等. 日間手術管理模式與發展現狀. 護理研究, 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. 孟瑤, 付明明, 趙雨琪, 等. 《2020 年版圍術期血糖管理專家共識》解讀. 河北醫科大學學報, 2022, 43(1): 1-6, 11.
7. 中華醫學會外科學分會外科感染與重癥醫學學組, 中國醫師協會外科醫師分會腸瘺外科醫師專業委員會. 中國手術部位感染預防指南. 中華胃腸外科雜志, 2019, 22(4): 301-314.
8. 葉蘊純. 外科手術感染影響因素分析與控制對策. 實用臨床護理學電子雜志, 2017, 2(36): 17-18.
9. 劉妮, 季加孚. 預防手術部位感染最新指南營養支持及相關措施解讀. 中國實用外科雜志, 2017, 37(6): 649-653.
10. 馬洪升. 日間手術的管理. 華西醫學, 2017, 32(4): 481-482.
11. 周正斌. 腹腔鏡膽囊切除術后膽囊殘留病變的臨床分析. 局解手術學雜志, 2014, 23(3): 270-272.
12. 何顯軍. 腹腔鏡膽囊切除術在膽囊結石合并糖尿病的治療體會. 醫學理論與實踐, 2011, 24(20): 2410-2411.
13. 林夏, 馬洪升, 王琪, 等. 提升我國日間手術管理水平的思考與建議. 中國醫院管理, 2017, 37(7): 41-42.
14. 吳莉萍, 奚凱雯, 余慧, 等. 困擾醫護人員與患者參與日間手術現狀問題的研究進展. 重慶醫學, 2020, 49(20): 3481-3485.
15. 戴燕, 黃明君. 日間手術護理管理的實踐. 中國護理管理, 2021, 21(6): 951-956.

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