BACKGROUND
Day care surgery is required early recovery and discharge. To safely shorten hospital stay represents future direction of day surgery. The use of specific nursing interventions before surgery can reduce anxiety as well as speed up post-operative recovery. To provide effective preoperative health education may reduce post-operative fasting time and early ambulate, thereby shorten hospital stay. Specifically, to select a health belief model (HBM) for theoretical guidance to improve patients' compliance with health education for first ambulation, thereby shorten hospital stay in patients undergoing day surgery.
OBJECTIVE
The aim is to distribute online QR code to pre-hospitalized patients for health education and to improve compliance with early eating and ambulating after surgery, thereby shortening the hospital stay.
METHODS
The study was retrospective and observational. The relationship between health education-based utilizing online QR code and hospital stay in patients with inguinal hernia repair under general anesthesia following day surgery between from August 2022 to June 2023 was reviewed and analyzed.The t-tests or Mann-Whitney U-tests was used to compare the means of two groups (viewed online QR code and non-viewed).The chi-square test was used to compare the rates between the two groups. To explore the factors associated with these factors, regression and correlation analyses were performed.
RESULTS
There were significant differences in the participant's hospital stay, the time to postoperative first ambulation and dietary, Self-rating Anxiety Scale(SAS), and patient satisfaction (P<0.05). The analyses revealed statistically significant correlations between hospital stay and viewed online QR code,the time to postoperative first ambulation and dietary, SAS as well as pain scores(P<0.05). This fully adjusted linear regression analyses observed a negative relationship between viewed online QR code and hospital stay (β = −4.06, 95%CI: −6.43, −1.70; P =0.002), the time to postoperative first ambulation(β = −0.71, 95%CI: −1.25, −0.17; P =0.015) as well as the time to postoperative first dietary(β = −1.20, 95%CI: −1.71, −0.34; P =0.006) after adjusting for confounders.
CONCLUSIONS
Providing effective preoperative health education-based utilizing online QR code during pre-hospitalized may shorten hospital stay as well as improve the experience for patients with day surgery.