Characteristics and countermeasures of nursing needs in ophthalmic day surgery patients based on cluster analysis_West China Medical Journal

Authors：

SHEN Xin ¹ , LIU Shuxian ¹ ,  NI Ruyang ²

1. Ophthalmology Center, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, P. R. China;
2. Beijing Geriatric Hospital, Beijing 100095, P. R. China;

Corresponding author：

NI Ruyang, Email: niruyang@126.com

Keywords：

Ophthalmic day surgery; second-order clustering; requirement characteristics; countermeasure research

DOI：

10.7507/1002-0179.202402039

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Objective To classify the nursing needs of patients undergoing ophthalmic day surgery, to understand the characteristics and needs of different patient groups, and propose specific nursing strategies to further improve the nursing quality of the ophthalmic day wards. Methods A retrospective review was conducted on all archived electronic medical records of patients in the Ophthalmology Day Ward of Beijing Tongren Hospital affiliated to the Capital Medical University from January to September 2023. Statistical description and cluster analysis were used to analyze and cluster all data. Results A total of 52049 patients were included, with an average age of (57.11±19.61) years. The number of nursing items required was 0 for 3104 patients (5.96%), 1 for 9158 patients (17.59%), 2 for 25428 patients (48.85%), 3 for 8812 patients (16.93%), 4 for 5442 patients (10.46%), and 5-11 for 105 patients (0.20%). The number of patients’ comorbidities was 0 for 38653 patients (74.26%), 1 for 10896 patients (20.93%), 2 for 2449 patients (4.71%), and 3-11 for 51 patients (0.10%). Using the number of comorbidities, total required nursing care items, and age as clustering variables, the 52049 patients were divided into 3 groups: low nursing demand group with 11817 patients (22.70%), medium nursing demand group with 24466 patients (47.01%), and high nursing demand group with 15766 patients (30.29%). The results showed that both patient age and the number of comorbidities were closely related to the number of nursing care items needed. Conclusion Classifying and analyzing the nursing needs of patients undergoing ophthalmic day surgery can help understand the needs of different categories of patients, improve nursing strategies specifically, provide support for further improving the accuracy and quality of ophthalmic day care services, and provide reference for clinical nursing work.

Citation： SHEN Xin, LIU Shuxian, NI Ruyang. Characteristics and countermeasures of nursing needs in ophthalmic day surgery patients based on cluster analysis. West China Medical Journal, 2024, 39(10): 1631-1635. doi: 10.7507/1002-0179.202402039 Copy

1.	Strong NP, Wigmore W, Smithson S, et al. Daycase cataract surgery. Br J Ophthalmol, 1991, 75(12): 731-733.
2.	戴燕, 张雨晨. 日间手术护理的发展及启示. 中华现代护理杂志, 2016, 22(32): 4589-4591.
3.	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.
4.	安莹, 付博晶. 基于聚类分析的急诊住院老年患者护理需求特点及对策探讨. 中国实用护理杂志, 2019, 35(3): 219-224.
5.	陈晓婷, 蔡宇琪, 甘蓝霞, 等. 成都市男男性行为人群涉药性行为聚类分析及其对高危性行为的影响. 中华流行病学杂志, 2023, 44(2): 268-275.
6.	方荣华, 张晓蓉. 日间手术病房患者护理需求的调查. 中华现代护理杂志, 2012, 18(19): 2299-2301.
7.	郑松塬, 陈世贤, 吴利生, 等. 特发性炎症性肌病的分类: 基于临床表现和肌炎特异性抗体. 南方医科大学学报, 2020, 40(7): 1029-1035.
8.	杨苏, 黄丽华, 李盈, 等. 不同疾病诊断相关分组权重下护理工作量的比较研究. 中国护理管理, 2023, 23(8): 1203-1207.
9.	刘连芳. 不同年龄骨折患者的心理护理. 基层医学论坛, 2014, 18(18): 2400-2402.
10.	沈蓝君, 夏露, 程云. 老年日间手术患者延续护理需求现状及影响因素研究. 中华护理杂志, 2022, 57(21): 2622-2628.
11.	殷采苇. 基于聚类分析对晚期肺癌化疗前后中医证候分布特点的研究. 南京: 南京中医药大学, 2017.
12.	余玉娇, 张莹娟, 林可华. 肿瘤日间治疗病房病人护理需求及对策. 全科护理, 2017, 15(26): 3305-3306.
13.	夏萍, 王卫, 夏志鹏, 等. 日间手术全程管理模式探索及实践. 中国医院, 2023, 27(8): 99-101.
14.	陈丹丹, 林悦燕, 袁敏而, 等. 眼科日间手术模式下的医疗质量与安全管理. 现代医院管理, 2023, 21(3): 54-56.
15.	木巴拉克·依克拉木, 曹艳, 陈兴娜, 等. 基于“互联网+”的多学科协作健康管理模式在日间化疗病房患者中的应用效果评价. 中国社会医学杂志, 2023, 40(3): 360-364.
16.	马洪升. 日间手术: 一种富有挑战性的手术管理模式. 华西医学, 2019, 34(2): 113-115.
17.	谭潇, 周白瑜, 于普林. 第二届中国老年医学大会暨中华医学会第十四次全国老年医学学术会议纪要. 中华老年医学杂志, 2017, 36(9): 1038-1040.

1. Strong NP, Wigmore W, Smithson S, et al. Daycase cataract surgery. Br J Ophthalmol, 1991, 75(12): 731-733.
2. 戴燕, 张雨晨. 日间手术护理的发展及启示. 中华现代护理杂志, 2016, 22(32): 4589-4591.
3. 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.
4. 安莹, 付博晶. 基于聚类分析的急诊住院老年患者护理需求特点及对策探讨. 中国实用护理杂志, 2019, 35(3): 219-224.
5. 陈晓婷, 蔡宇琪, 甘蓝霞, 等. 成都市男男性行为人群涉药性行为聚类分析及其对高危性行为的影响. 中华流行病学杂志, 2023, 44(2): 268-275.
6. 方荣华, 张晓蓉. 日间手术病房患者护理需求的调查. 中华现代护理杂志, 2012, 18(19): 2299-2301.
7. 郑松塬, 陈世贤, 吴利生, 等. 特发性炎症性肌病的分类: 基于临床表现和肌炎特异性抗体. 南方医科大学学报, 2020, 40(7): 1029-1035.
8. 杨苏, 黄丽华, 李盈, 等. 不同疾病诊断相关分组权重下护理工作量的比较研究. 中国护理管理, 2023, 23(8): 1203-1207.
9. 刘连芳. 不同年龄骨折患者的心理护理. 基层医学论坛, 2014, 18(18): 2400-2402.
10. 沈蓝君, 夏露, 程云. 老年日间手术患者延续护理需求现状及影响因素研究. 中华护理杂志, 2022, 57(21): 2622-2628.
11. 殷采苇. 基于聚类分析对晚期肺癌化疗前后中医证候分布特点的研究. 南京: 南京中医药大学, 2017.
12. 余玉娇, 张莹娟, 林可华. 肿瘤日间治疗病房病人护理需求及对策. 全科护理, 2017, 15(26): 3305-3306.
13. 夏萍, 王卫, 夏志鹏, 等. 日间手术全程管理模式探索及实践. 中国医院, 2023, 27(8): 99-101.
14. 陈丹丹, 林悦燕, 袁敏而, 等. 眼科日间手术模式下的医疗质量与安全管理. 现代医院管理, 2023, 21(3): 54-56.
15. 木巴拉克·依克拉木, 曹艳, 陈兴娜, 等. 基于“互联网+”的多学科协作健康管理模式在日间化疗病房患者中的应用效果评价. 中国社会医学杂志, 2023, 40(3): 360-364.
16. 马洪升. 日间手术: 一种富有挑战性的手术管理模式. 华西医学, 2019, 34(2): 113-115.
17. 谭潇, 周白瑜, 于普林. 第二届中国老年医学大会暨中华医学会第十四次全国老年医学学术会议纪要. 中华老年医学杂志, 2017, 36(9): 1038-1040.

West China Medical Journal

Characteristics and countermeasures of nursing needs in ophthalmic day surgery patients based on cluster analysis

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