Objective To explore the application effect of day surgery nursing based on finite time theory in patients undergoing gastroesophageal reflux surgery. Methods A total of 108 patients undergoing gastroesophageal reflux surgery in Day Surgery Center of the First Affiliated Hospital of Air Force Medical University were enrolled and divided into control group (n=54, routine nursing) and study group (n=54, finite time theory intervention on basis of control group) according to random number table method between May 2023 and May 2025. The scores of Visual Analogue Scale (VAS) for pain before and after surgery, postoperative recovery indexes, total incidence of postoperative complications, scores of Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) before surgery and discharge, and patients satisfaction in the two groups were compared. Results After surgery, the VAS score in the study group was lower than that in the control group (2.86±0.31 vs. 3.58±0.39, P<0.05). The first leaving bed time, the first time for liquid intake, and the postoperative anal exhaust time in the study group [(6.23±0.68), (4.22±0.53), and (16.78±2.03) h, respectively] were shorter than those in control group [(8.24±1.34), (6.68±0.86), (19.14±2.21) h, respectively; P<0.05]. Before discharge, the scores of SAS and SDS in the study group (49.14±5.11 and 41.26±4.31, respectively) were lower than those in the control group (53.79±5.58 and 49.85±5.06, respectively; P<0.05). The scores of patients satisfaction with daytime medical treatment process, doctor-nurse-patient communication, service attitude of medical staff and health education methods in the study group (91.56±3.58, 93.27±3.24, 92.07±5.37, and 92.68±4.22, respectively) were higher than those in the control group (82.35±4.11, 83.51±5.20, 84.11±4.33, and 81.70±5.41, respectively; P<0.05). There was no significant difference in the total incidence of postoperative complications between the two groups (9.25% vs. 16.67%, P>0.05). Conclusion The day surgery nursing based on finite time theory can effectively alleviate postoperative pain, accelerate postoperative recovery, improve psychological state and nursing satisfaction in patients undergoing gastroesophageal reflux surgery.
Objective To investigate the cancellation of ambulatory surgeries based on doctor-patient assistants, analyze the reasons, and propose corresponding strategies in order to improve the utilization of medical resources and the operational efficiency of hospitals. Methods A retrospective analysis was conducted on patient data between May 2021 and October 2023, who successfully scheduled surgery at the Day Surgery Center of the First Affiliated Hospital of the Air Force Military Medical University and cancelled the surgery due to various reasons. The reasons for the cancellation were also analyzed. Results A total of 5691 surgeries were scheduled, and 27 surgeries were cancelled before admission, with a cancellation rate of 0.47%. A total of 5607 surgeries were completed, and 57 surgeries were cancelled on the day of surgery, with a cancellation rate of 1.01%. Among all departments, patients in Gastrointestinal Surgery Department and Urology Department had the highest cancellation rates before admission (1.61% and 0.68%, respectively), and the highest cancellation rates on the day of surgery (1.43% and 1.38%, respectively). The most common reason for cancellation before admission was surgical doctor business travel/other arrangements (22.22%). The most common reason for cancellation on the day of surgery was preoperative respiratory infections in patients (14.04%). ConclusionsThe establishment of doctor-patient assistant positions can to some extent help reduce the cancellation of ambulatory surgery before admission and on the day of surgery. For patients undergoing ambulatory surgery, preoperative education and evaluation should be strengthened, and management processes and systems should be improved, in order to reduce the cancellation rate of ambulatory surgery and improve hospital operational efficiency.
Objective To explore the application of quality control circle in reducing the same-day cancellation rate of day surgery. Methods A quality control circle team was set up, and determined the theme of reducing the same-day cancellation rate of day surgery. A survey was conducted among all patients who had made appointments for day surgeries at the First Affiliated Hospital of the Air Force Military Medical University between August and October 2023. The number of patients who cancelled their surgeries on the day and the reasons for their cancellations were recorded. Based on the ten steps of the quality control circle, relevant measures and improvement processes were formulated. In March 2024, the same-day cancellation rate of day surgery after the quality control circle activity was analyzed. Results The same-day cancellation rate decreased from 2.39% to 0.67%, the target achievement rate was 135.43%, and the progress rate was 71.97%. Conclusion The quality control circle activity can effectively reduce the same-day cancellation rate of day surgery.