Abstract
Objective: To explore the application of operation room optimization process with multidisciplinary collaborative management in hysteromyoma surgery. Methods: 500 patients who underwent hysteromyoma surgery from March to December 2018 were selected as the control group. 500 patients who underwent hysteromyoma surgery using operation room optimization process with multidisciplinary collaborative management from March to December 2019 were selected as the observation group. The scores of self-care ability (ESCA), psychological status (HAMA, HAMD score), time of postoperative early ambulation activity, comfort of ambulation activity, postoperative hospital stay and total hospital stay, postoperative complications, quality of life score (SF-36), satisfaction with care were compared between the two groups. Results: There was no significant difference in the scores of ESCA, HAMA and HAMD between the two groups before operation (P>0.05). On the 7th day after operation, the score of ESCA of tne two groups was increased (P <0.05), and that of the observation group was higher than that of the control group (P<0.05). The scores of HAMA and HAMD of the two groups were lower than that before operation (P<0.05) and that of the observation group was lower than that of the control group (P <0.05). The earliest time of postoperative ambulation activity of the observation group was earlier than that of the control group (P<0.05). Ambulation activity comfort was superior to the control group (P<0.05). The postoperative hospital stay and total hospital stay of patients in the observation group were shorter than that in the control group (P <0.05). There was no significant difference in preoperative SF-36 scores between the two groups (P>0.05). There was significant difference in SF-36 scores between the two groups after operation and after follow up for 3 months (P<0.05). The occurrence of adverse events in the observation group was lower than that in the control group (P<0.05). The satisfaction of nursing in the observation group was higher than that in the control group (P<0.05). Conclusion: The application of multidisciplinary collaborative management in hysteromyoma surgery can optimize the operation process, alleviate the patient's operation anxiety, promote the patient's postoperative rehabilitation, improve the patient's quality of lite and improve tne patients satisfaction, and therefore, it is worth popularizing.
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