Impact of Comprehensive Care on the Recovery and Quality of Life in Patients with Uterine Prolapse after Laparoscopic Abdominal Wall Linear Suspension: A Quasi-Experimental Study

Abstract

Introduction: To explore the impact of comprehensive care on the recovery and quality of life (QOL) in patients with uterine prolapse after laparoscopic abdominal wall linear suspension. Material and Methods: This quasi-experimental study included patients with uterine prolapse scheduled to undergo abdominal wall linear suspension at the Department of Obstetrics and Gynecology of the China–Japan Friendship Hospital between January 2015 and June 2020. The primary outcomes were time of getting out of bed, postoperative pain duration, and hospital stay. The secondary outcome was postoperative QOL. Results: A total of 90 patients included were divided into the conventional care group (n = 45, age 67.78 ± 3.88 years) and the comprehensive care group (n = 45, age 68.51 ± 3.52 years). They were comparable in demographic and baseline clinical characteristics (all P > 0.05). The time of getting out of bed (12.28 ± 0.83 vs. 18.87 ± 0.95, P < 0.001), postoperative pain duration (2.91 ± 0.33 vs. 4.31 ± 0.11, P < 0.001), and hospital stay (4.56 ± 0.61 vs. 5.67 ± 0.74, P < 0.001) were significantly shorter in the comprehensive care group than those in the conventional care group. The postoperative QOL was significantly higher in the comprehensive care group compared with that in conventional care group (95.00 ± 1.26 vs. 87.44 ± 2.57, P < 0.001). Conclusion: Comprehensive perioperative nursing intervention in laparoscopic abdominal wall linear suspension might alleviate postoperative pain, accelerate recovery, and improve postoperative QOL in patients with uterine prolapse.