基于时机理论的眼科日间手术患者复苏关键节点护理干预效果OA

Objective:To evaluate the effect of key-node nursing intervention based on timing theory on recovery quality and discharge safety in patients undergoing ophthalmic day surgery.Methods:This non-randomized controlled trial included 158 patients who underwent ophthalmic day surgery with either intravenous anesthesia or combined intravenous-inhalation anesthesia at the First Affiliated Hospital of Sun Yat-sen University between May and June 2025.Patients were divided into an intervention group and a control group.The control group received routine perioperative nursing care,whereas the intervention group received key-node nursing interventions grounded in timing theory.These interventions comprised preoperative health education and position training,enhanced postoperative monitoring and analgesia guidance within 2 hours after surgery,complication identification and rehabilitation training within 24 hours,and follow-up on postoperative days 1 and 3,as well as 1 month after discharge,to provide continuous rehabilitation management and psychological support.Data were collected at each time point by uniformly trained nurses using electronic medical records and standardized follow-up forms.The primary outcomes were phase I and phase II recovery times,while secondary outcomes included the incidence of postoperative ocular functional complications and anesthesia-related complications.Results:Baseline demographic and clinical characteristics were comparable between groups(P>0.05).The intervention group showed significantly shorter phase I[(40.3±6.5)min vs.(58.7±7.8)min]and phase II[(120.7±15.4)min vs.(140.2±20.1)min]recovery times compared to the control group(P<0.001).The incidences of postoperative blurred vision(6.3%vs.19.2%,P=0.014)and ocular pain(5.0%vs.15.4%,P=0.031)were significantly lower in the intervention group.Although the rates of conjunctival hyperemia,eye infection,and ocular hemorrhage decreased,these differences were not statistically significant(P>0.05).The intervention group also showed lower incidences of nausea and vomiting(5.0%vs.14.1%,P=0.051),respiratory depression(1.3%vs.5.1%,P=0.164),headache(2.5%vs.9.0%,P=0.079),and dizziness(3.8%vs.6.4%,P=0.446),though these trends did not reach statistical significance.Conclusions:The key-node nursing intervention based on timing theory significantly shortens recovery time,reduces the incidence of ocular functional and anesthetic-related complications,and improves pain management in patients undergoing ophthalmic day surgery.These findings highlight its substantial clinical applicability and potential for broader implementation.