Abstract:

Objective　To analyze the reasons for the cancellation of day surgery in cataract patients and explore feasible management countermeasures to reduce the surgery cancellation rate. Methods　A retrospective study was conducted on 784 patients whose day surgeries were canceled in the Cataract Department of Zhongshan Ophthalmic Center between January and December 2022. Among them, there were 404 males and 380 females, with an age of (66.09±15.63) years old. The causes of cancellation were analyzed, and the corresponding management countermeasures were formulated and implemented. Statistical analysis was conducted using the χ² test. Results　The cancellation rate of cataract day surgery was 4.83% (784/16 233). There were 758 cases (96.68%) of patient-related factors and 26 cases (3.32%) of medical and administrative factors; the most common reasons for cancellation included abnormal preoperative examination results (552 cases, 70.41%), changes in systemic conditions (81 cases, 10.33%), and ocular condition changes (53 cases, 6.76%). There was a statistically significant difference in the cancellation rate of day surgery over the four seasons (P<0.01). After implementing targeted management countermeasures, the cancellation rate decreased from 4.83% in 2022 to 3.09% (768/24 867) in 2023, with a statistically significant difference (χ²=81.95, P<0.001). Conclusions　The reasons for day surgery cancellations in cataract patients are multifaceted. Prioritizing patient-related factors, addressing seasonal influences on disease progression, adopting tailored interventions, and enhancing health management for elderly patients, can effectively reduce the cancellation rate, thereby contributing to the improvement and development of elderly healthcare service systems.

Key words:

Cataract, Day surgery, Surgery cancellation rate, Reason analysis, Management countermeasures

摘要：

目的　分析白内障患者日间手术取消原因，探究可行的管理对策，以降低手术取消率。方法　对2022年1月至12月在中山眼科中心白内障科取消日间手术的784例患者展开回顾性研究，其中男404例，女380例，年龄（66.09±15.63）岁，对日间手术取消原因进行分析，并制定实施相应管理对策。采用χ²检验进行统计学分析。结果　白内障日间手术取消率为4.83%（784/16 233）。按原因分类，患者因素758例（96.68%），医疗、管理因素26例（3.32%）；最常见的手术取消原因包括术前检查结果异常（552例，70.41%）、全身情况变化（81例，10.33%）、眼部病情改变（53例，6.76%）。四个季度的日间手术取消率差异有统计学意义（P<0.01）。实施针对性管理对策后，手术取消率由2022年的4.83%下降至2023年的3.09%（768/24 867），差异有统计学意义（χ²=81.95，P<0.001）。结论　白内障患者日间手术取消原因具有多样化特点，重点关注患者因素对手术的影响，注意季节对疾病的影响，针对不同原因采取有效措施，做好老年人健康管理，能有效降低手术取消率，推动老年健康服务体系完善和发展。

关键词:

白内障, 日间手术, 手术取消率, 原因分析, 管理对策