围术期外科之家的概念分析

Perioperative surgical home: a conceptual analysis

  • 摘要:
    目的  通过文献回顾与分析厘清围术期外科之家(PSH)的概念,为临床PSH理念的运用与推广提供参考。
    方法  检索2011年1月—2021年6月中国知网、万方、维普等中文数据库及PubMed、Web of Science、Embase等英文数据库中关于PSH的国内外文献,采用Walker和Avant概念分析法分析数据。通过分析PSH在国内外文献中报道现状,明确其概念、属性及评价指标,分析前置因子及后果,完成模型案例的构建。
    结果  PSH主要具有5个属性: ①以优化患者体验为中心; ②多学科合作; ③依托循证医学,标准化医疗和护理流程; ④围术期全程管理; ⑤降低医疗成本,提高患者满意度和保障人群健康。
    结论  PSH是在围术期医学快速发展背景下产生的,具有独特性和良好的发展趋势,对此概念进行分析有助于深入理解及准确定义概念,为后期PSH在临床应用提供依据。

     

    Abstract:
    Objective  To clarify the concept of perioperative surgical home(PSH)through literature review and analysis, and to provide reference for the application and promotion of PSH concept in clinical practice.
    Methods  Related literatures from January 2011 to June 2021 selected from Chinese database such as China National Knowledge Internet (CNKI), Wanfang Data, VIP database, and English database such as PubMed, Web of Science and Embase were analyzed with Walker and Avant′s concept analysis. Definition attributes and evaluation index of PSH were clarified by analyzing status quo of PSH reports in domestic and foreign literatures, antecedents and consequences were analyzed, and model cases were constructed.
    Results  PSH mainly had following five attributes: centering on optimizing patient experience; multi-disciplinary cooperation; standardizing medical and nursing procedures based on evidence-based medicine; perioperative management; reducing medical costs, improving patients′ satisfaction and protecting the health of the population.
    Conclusion  PSH is created under the background of rapid development of perioperative medicine, and has its unique characteristics and good development trend. The analysis of this concept is helpful to understand the concept deeply and provide support for the clinical application of PSH in the later period.

     

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