Perioperative management for elderly patients undergoing day surgery: evidence-based practice for nursing care and day surgery

Abstract

IntroductionIt is necessary to explore the evidence-based practice of perioperative management of elderly patients undergoing ambulatory surgery, to optimize the clinical workflow and improve the quality of nursing care.MethodsBased on the best evidence obtained from the previous study, the perioperative management model and examination index of elderly patients undergoing day surgery were established, and the evidence of best practice was obtained by using the evidence-based methodology. Then, we integrated evidence into clinical practice and improved the process. We made a comparative analysis of the effect before and after the implementation of the evidence.ResultsThis study summarized 26 pieces of evidence of perioperative management of elderly patients undergoing day surgery and transformed the evidence into 7 items and 11 items of examination index. After the application of the best evidence, knowledge, belief, and practice of perioperative management of nurses for elderly patients in the day operation ward reached 100%, and the rate of reaching the standard of most indicators increased after the application of evidence. The length of waiting for admission and waiting for operation and returning to the ward to discharge of elderly patients decreased significantly, and the difference was statistically significant (All p < 0.05).ConclusionEvidence-based perioperative management of elderly patients undergoing day surgery improves the nursing practice of clinical nurses and shortens the waiting time and hospitalization time of elderly patients undergoing day surgery, which should be promoted in clinical nursing care.

Construction of the Whole Process Management System of Day Surgery Based on the SaaS Model in the Context of the Medical Association

“…In this study, a SaaS-based full-process management system for day surgery was constructed by combining relevant government regulations, expert opinions, and several clinical guidelines [7][8][9][10]. This system takes into account the uniqueness of the healthcare consortium and the needs of day surgery, including seven key indicators: outpatient screening, preoperative examination, surgical evaluation, day surgery booking and registration, health education, access to surgeons and anesthesiologists, postoperative rehabilitation, and follow-up.…”