Application effect of nursing identification in the safety management of operating rooms for elderly patients undergoing ophthalmic day surgery_West China Medical Journal

Authors：

WEI Jie ¹ , WANG Lei ¹ , LIU Shuxian ¹ ,  NI Ruyang ² , WAN Xiuhua ¹

1. Department of Ophthalmology, Beijing Tongren Hospital, Capital Medical University, Beijing Key Laboratory of Ophthalmology and Visual Sciences, Beijing 101730, P. R. China;
2. Hospital Office, Beijing Geriatric Hospital, Beijing 100095, P. R. China;

Corresponding author：

NI Ruyang, Email: niruyang@126.com

Keywords：

Nursing identification; ophthalmic day surgery; elderly patient; operating room safety management

DOI：

10.7507/1002-0179.202512304

Video：

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Objective To investigate the application effect of nursing identification in the safety management of operating rooms for elderly patients undergoing ophthalmic day surgery. Methods Elderly patients who underwent day surgery in the operating room of Department of Ophthalmology, Beijing Tongren Hospital, Capital Medical University between January and October 2024 were selected. All subjects were randomly divided into a control group and a trial group using a random number table method. The control group only received routine operating room care, while the trial group received a combination of routine operating room care and preoperative nursing identification intervention. The differences in physiological stress indicators, nursing satisfaction, and surgical cooperation rate between two groups of patients were compared. Results This study included 50 cases in both the trial group and the control group, with an age range of 61-79 years old. There was no statistically significant difference in age and gender between the two groups (P>0.05). The systolic blood pressure [(136.72±10.82) vs. (145.70±13.11) mm Hg] (1 mm Hg=0.133 kPa), diastolic blood pressure [(83.48±8.59) vs. (88.54±8.35) mm Hg], and heart rate [(80.34±7.17) vs. (85.12±8.49) beats/min] of the trial group patients were lower than those of the control group, and the satisfaction rate was higher than that of the control group (100.00% vs. 84.00%), with statistical significance (P<0.05). There was no significant difference in surgical cooperation rate between the two groups (P>0.05). Conclusion After applying nursing identification, patients’ objective physiological stress indicators decreased while their subjective cooperation remained stable, resulting in a higher patient satisfaction rate and clinical promotion value.

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10.	陈海斌, 吴雪云, 李思. 心理干预对复杂性视网膜脱离修复手术患者术中配合程度的影响分析. 中国医药指南, 2024, 22(25): 120-122.
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12.	Xu Y, Wang H, Yang M. Preoperative nursing visit reduces preoperative anxiety and postoperative complications in patients with laparoscopic cholecystectomy: a randomized clinical trial protocol. Medicine (Baltimore), 2020, 99(38): e22314.
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15.	赵庆莲. 心理护理联合健康教育对老年眼科手术患者的影响. 中国社区医师, 2022, 38(15): 153-155.
16.	孙晓蔚. 护理标识在手术室护理风险管理中的应用. 智慧健康, 2021, 7(36): 175-177.
17.	Baehr A, Grohmann M, Guberina M, et al. Usability and usefulness of (electronic) patient identification systems-a cross-sectional evaluation in German-speaking radiation oncology departments. Strahlenther Onkol, 2024, 200(6): 468-474.

1. 梁志聪, 陈超伟, 赖科锋, 等. 日间手术模式在公立医院的实施效果. 中国卫生标准管理, 2025, 16(9): 84-87.
2. 陕艳, 李文钊, 李晓琪. 基于特殊标识的心病科病人外出检查护理安全管理的优化及效果评价. 循证护理, 2023, 9(1): 163-166.
3. 胡鸣, 罗素英, 刘玲玲. 改良早期预警评分联合护理标识提升老年患者静脉输液护理管理质量的价值. 医学理论与实践, 2023, 36(12): 2111-2113.
4. 张伟丽, 张昌盛, 路晓霞, 等. 护理标识牌对麻醉恢复室不良事件的预防效果分析. 麻醉安全与质控, 2024, 6(4): 211-214.
5. 余晓露, 郭元元, 杨方. 护理标识联合安全隐患自查对手术室风险管理质量的应用评价. 中西医结合护理(中英文), 2023, 9(11): 150-152.
6. Nitro M, Romano R, Marletta G, et al. The safety of care focused on patient identity: an observational study. Acta Biomed, 2021, 92(S2): e2021038.
7. 宋丽, 叶家慧. PDCA 模式联合护理标识在接受 3D 胸腔镜二尖瓣置换术治疗的老年患者中的应用效果. 河南医学研究, 2023, 32(3): 569-572.
8. 张礼梅. 护理标识对急诊重症监护室护理质量的作用研究//重庆市健康促进与健康教育学会. 临床医学健康与传播学术研讨会论文集(第二册). 重庆: 临床医学健康与传播学术研讨会, 2025: 583-585.
9. 施林燕, 张晓锋, 徐美琴, 等. 心理护理干预对行眼科手术老年患者的影响. 心理月刊, 2021(23): 190-192.
10. 陈海斌, 吴雪云, 李思. 心理干预对复杂性视网膜脱离修复手术患者术中配合程度的影响分析. 中国医药指南, 2024, 22(25): 120-122.
11. 邓茜文, 邵兵. 个性化心理干预对缓解眼科手术患者围术期焦虑的效果分析//中国医学装备协会. 中国医学装备大会暨 2022 医学装备展览会论文汇编(上册). 北京: 中国医学装备大会, 2022: 157-161.
12. Xu Y, Wang H, Yang M. Preoperative nursing visit reduces preoperative anxiety and postoperative complications in patients with laparoscopic cholecystectomy: a randomized clinical trial protocol. Medicine (Baltimore), 2020, 99(38): e22314.
13. Riplinger L, Piera-Jiménez J, Dooling JP. Patient identification techniques - approaches, implications, and findings. Yearb Med Inform, 2020, 29(1): 81-86.
14. Webster CS. Psychology in the operating theatre: the importance of colour and cognition in the redesign of clinical systems for medication safety. Br J Anaesth, 2024, 132(5): 837-839.
15. 赵庆莲. 心理护理联合健康教育对老年眼科手术患者的影响. 中国社区医师, 2022, 38(15): 153-155.
16. 孙晓蔚. 护理标识在手术室护理风险管理中的应用. 智慧健康, 2021, 7(36): 175-177.
17. Baehr A, Grohmann M, Guberina M, et al. Usability and usefulness of (electronic) patient identification systems-a cross-sectional evaluation in German-speaking radiation oncology departments. Strahlenther Onkol, 2024, 200(6): 468-474.

West China Medical Journal

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