Retrospective Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 6, 2024; 12(19): 3744-3751
Published online Jul 6, 2024. doi: 10.12998/wjcc.v12.i19.3744
Effect analysis of applying high-quality service model to surgical nursing
Li Chen, Qiu-Mei Tu, Zhao-Di Guo, Xiao-Wei Zhu, Wei Wang, Hui-Fang Xie, Yuan Ye
Li Chen, Qiu-Mei Tu, Zhao-Di Guo, Xiao-Wei Zhu, Wei Wang, Hui-Fang Xie, Yuan Ye, Hand Surgery, The First People’s Hospital of Jiangxia District, Wuhan 430200, Hubei Province, China
Co-first authors: Li Chen and Qiu-Mei Tu.
Author contributions: Chen L, Tu QM, Guo ZD, Zhu XW, Wang W, Xie HF, Ye Y contributed equally to this work; Chen L, Tu QM, Guo ZD designed the research study; Xie HF, Ye Y analyzed the data and wrote the manuscript; Zhu XW, Wang W performed the primary literature and data extraction, were responsible for revising the manuscript for important intellectual content; and all authors read and approved the final version.
Institutional review board statement: The study was reviewed and approved by The First People Hospital of Jiangxia District.
Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study enrolment.
Conflict-of-interest statement: The authors declare no conflicts of interest for this article.
Data sharing statement: Technical appendix, statistical code, and dataset available from the corresponding author at 13659847034@163.com. Participants gave informed consent for data sharing.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yuan Ye, BM BCh, Supervisor Nurse, Hand Surgery, The First People’s Hospital of Jiangxia District, No. 1 Cultural Avenue, Jiangxia District, Wuhan 430200, Hubei Province, China. 13659847034@163.com
Received: March 9, 2024
Revised: April 30, 2024
Accepted: May 20, 2024
Published online: July 6, 2024
Processing time: 111 Days and 23 Hours
Abstract
BACKGROUND

Surgical care of the hand plays a crucial role in the medical field, as problems with the hand can profoundly affect a patient's quality of life and function. In order to meet the needs of patients, improve patient satisfaction and improve treatment outcomes, high-quality service models have been introduced in the field of nursing.

AIM

To explore the effect analysis of applying high-quality service model to surgical nursing.

METHODS

We conducted a retrospective study of patients who underwent hand surgery at our hospital between 2019 and 2022, using a quality service model that included improved patient education, pain management, care team collaboration, and effective communication. Another group of patients received traditional care as a control group. We compared postoperative recovery, satisfaction, complication rate, and length of hospital stay between the two groups. Inferential statistics were used to compare the difference between the two groups by independent sample t test, Chi-square test and other methods to evaluate the effect of intervention measures.

RESULTS

Postoperative recovery time decreased from 17.8 ± 2.3 d to 14.5 ± 2.1 d, pain score decreased from 4.7 ± 1.9 to 3.2 ± 1.4, and hand function score increased from 78.4 ± 7.1 to 88.5 ± 6.2. In terms of patient satisfaction, the quality service model group scored 87.3 ± 5.6 points, which was significantly higher than that of the traditional care group (74.6 ± 6.3 points). At the same time, patients' understanding of medical information also improved from 6.9 ± 1.4 to 8.6 ± 1.2. In terms of postoperative complications, the application of the quality service model reduced the incidence of postoperative complications from 26% to 10%, the incidence of infection from 12% to 5%, and the incidence of bleeding from 10% to 3%. The reduction in these data indicates that the quality service model plays a positive role in reducing the risk of complications. In addition, the average hospital stay of patients in the quality service model group was shortened from 6.8 ± 1.5 d to 5.2 ± 1.3 d, and the hospitalization cost was also reduced from 2800 ± 600 yuan to 2500 ± 500 yuan.

CONCLUSION

Applying a quality service model to hand surgery care can significantly improve patient clinical outcomes, including faster recovery, less pain, greater satisfaction, and reduced complication rates.

Keywords: Hand surgery nursing; Quality service model; Clinical outcomes; Patient satisfaction; Collaboration; Pain management

Core Tip: In this study, the application of a high-quality service model in surgical nursing significantly enhances patient outcomes and satisfaction. Our retrospective study comparing patients receiving the model with those receiving traditional care revealed remarkable improvements. Postoperative recovery time shortened, pain scores decreased, and hand function scores improved. Patient satisfaction scores were significantly higher in the quality service model group, indicating a superior patient experience. Additionally, patients' understanding of medical information increased, enhancing their engagement and informed decision-making. Crucially, the model also reduced postoperative complications, infection rates, and bleeding occurrences. This comprehensive approach, encompassing improved patient education, pain management, care team collaboration, and communication, represents a valuable tool in surgical nursing. Its implementation can lead to better patient outcomes, increased satisfaction, and reduced complications, ultimately enhancing the quality of surgical care.