A Clinical Study of Integrated Healthcare Management in Process Optimization in an Adult Inguinal Hernia Day Unit

Abstract

The purpose of this study is to explore the effectiveness of the application of the integrated medical and nursing management model in the optimization of the adult inguinal hernia day ward process. 105 patients who received adult inguinal hernia day surgery treatment in a hospital of general surgery from May 2023 to April 2024 were selected and grouped according to the time node of the introduction of the medical and nursing integration day ward management mode (12 October 2023). 52 patients before the introduction of the mode were included in the control group, while the other 53 patients after the introduction were included in the observation group. A comparative analysis was made for the differences in pre-hospital examination completion rate, day surgery failure rate, average length of stay, hospitalization cost, overall satisfaction, and incidence of adverse events between the two groups under different management modes. The results showed that the prehospital examination completion rate of the observation group (100%) was higher than that of the control group (59.62%), the day surgery failure rate (1.89%) was lower than that of the control group (30.77%), the average length of stay (5.03 ± 1.58 d) was shorter than that of the control group (7.82 ± 1.64 d), and the average cost of hospitalization (8,108.2 ± 264.6 yuan) was less than that of the control group (9,235.6 ± 375.5 yuan). The differences were all statistically significant (P < 0.05). The total satisfaction of patients in the observation group (98.11%) was significantly higher than that of the control group, and the differences were all statistically significant (P < 0.05). In the control group, there was one case of mislabeling of the surgical site, three cases of missing medical documents, two cases of medication dosage errors, two cases of anesthesia accidents, and one case of surgical instruments or gauze left behind, with a total incidence rate of 17.31%. In the observation group, there was only 1 case of missing medical documents and 1 case of medication dosage error, with an incidence rate of 3.77%, and the difference between the groups was statistically significant (P < 0.05). In conclusion, the implementation of integrated medical and nursing management for patients undergoing inguinal hernia surgery can effectively increase patients’ willingness to undergo pre-hospital examination, reduce the day surgery failure rate, shorten the hospital stay, reduce hospital expenses, and reduce the risk of adverse events such as mislabeling of the surgical site, missing medical documents, medication dosage errors, anesthesia accidents, and surgical instruments or gauze left behind, which is highly satisfactory to the patient group. Hence, it is recommended to promote and apply this procedure in other departments.