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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9.	施林燕, 張曉鋒, 徐美琴, 等. 心理護理干預對行眼科手術老年患者的影響. 心理月刊, 2021(23): 190-192.
10.	陳海斌, 吳雪云, 李思. 心理干預對復雜性視網膜脫離修復手術患者術中配合程度的影響分析. 中國醫藥指南, 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.	趙慶蓮. 心理護理聯合健康教育對老年眼科手術患者的影響. 中國社區醫師, 2022, 38(15): 153-155.
16.	孫曉蔚. 護理標識在手術室護理風險管理中的應用. 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. 梁志聰, 陳超偉, 賴科鋒, 等. 日間手術模式在公立醫院的實施效果. 中國衛生標準管理, 2025, 16(9): 84-87.
2. 陜艷, 李文釗, 李曉琪. 基于特殊標識的心病科病人外出檢查護理安全管理的優化及效果評價. 循證護理, 2023, 9(1): 163-166.
3. 胡鳴, 羅素英, 劉玲玲. 改良早期預警評分聯合護理標識提升老年患者靜脈輸液護理管理質量的價值. 醫學理論與實踐, 2023, 36(12): 2111-2113.
4. 張偉麗, 張昌盛, 路曉霞, 等. 護理標識牌對麻醉恢復室不良事件的預防效果分析. 麻醉安全與質控, 2024, 6(4): 211-214.
5. 余曉露, 郭元元, 楊方. 護理標識聯合安全隱患自查對手術室風險管理質量的應用評價. 中西醫結合護理(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. 宋麗, 葉家慧. PDCA 模式聯合護理標識在接受 3D 胸腔鏡二尖瓣置換術治療的老年患者中的應用效果. 河南醫學研究, 2023, 32(3): 569-572.
8. 張禮梅. 護理標識對急診重癥監護室護理質量的作用研究//重慶市健康促進與健康教育學會. 臨床醫學健康與傳播學術研討會論文集(第二冊). 重慶: 臨床醫學健康與傳播學術研討會, 2025: 583-585.
9. 施林燕, 張曉鋒, 徐美琴, 等. 心理護理干預對行眼科手術老年患者的影響. 心理月刊, 2021(23): 190-192.
10. 陳海斌, 吳雪云, 李思. 心理干預對復雜性視網膜脫離修復手術患者術中配合程度的影響分析. 中國醫藥指南, 2024, 22(25): 120-122.
11. 鄧茜文, 邵兵. 個性化心理干預對緩解眼科手術患者圍術期焦慮的效果分析//中國醫學裝備協會. 中國醫學裝備大會暨 2022 醫學裝備展覽會論文匯編(上冊). 北京: 中國醫學裝備大會, 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. 趙慶蓮. 心理護理聯合健康教育對老年眼科手術患者的影響. 中國社區醫師, 2022, 38(15): 153-155.
16. 孫曉蔚. 護理標識在手術室護理風險管理中的應用. 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

Latest ArticlesApplication effect of nursing identification in the safety management of operating rooms for elderly patients undergoing ophthalmic day surgery

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