Construction and empirical evidence of day surgery safety management index system based on analytic hierarchy process
Objective To construct a safety management index system for day surgery based on the analytic hierarchy process,so as to provide a basis for ensuring patient surgical outcomes.Methods A total of 176 day surgery patients admitted to the hospital from January 2022 to March 2023 were selected.They were divided into a control group and an observation group,with 88 cases in each group,based on the principle of balanced and comparable baseline data between groups.The control group implemented routine safety management model intervention,while he observation group constructed a nursing safety management index system based on the hierarchical analysis process in addition to the control group.This involved establishing an expert coordination group,formulating an expert consultation questionnaire,selecting experts for correspondence,determining the weight of indexes,and comprehensively evaluating the priorities and possible interventions for the day surgery patient management to develop the most appropriate management plan.The differences in the surgical indicators,postoperative pain scores,occurrence of postoperative complications,and family satisfaction were compared between the two groups.Results The surgical waiting time,awakening time,stay time in the post-anesthesia care unit,and postoperative off-bed activity time of the observation group were all shorter than those in the control group(P<0.05).The results of the repeated-measures analysis of variance showed that pain scores were lower in both groups at 2 h,6 h,and 12 h post-op compared with 30 min post-op(P<0.05),and pain scores at 30 min post-op,2 h post-op,and 6 h post-op in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The total incidence of postoperative complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).The satisfaction in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion The application of a nursing safety management index system based on the analytic hierarchy process in day surgery patients can help the nursing team evaluate and analyze relevant influencing factors.This enables them to take timely measures to reduce the risk of postoperative complications,effectively alleviate postoperative pain,and provide safe and high-quality nursing services to patients.Moreover,it enhances the trust and satisfaction of family members with the nursing team,and facilitates patients'postoperative recovery.
Day surgeryAnalytic hierarchy processNursing safety managementSystem constructionEmpirical analysis
万方数据
维普
