1. Clinical application and nursing experience of the plan-do-check-act cycle in daytime varicocelectomy.
- Author
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He, Kang, Li, Jianxiong, Yang, Cheng, Wu, Junping, Wu, Biling, and Xia, Hui
- Subjects
VARICOCELE ,LENGTH of stay in hospitals ,PREOPERATIVE care ,PATIENT aftercare ,NURSING ,ACADEMIC medical centers ,TIME ,RETROSPECTIVE studies ,ACQUISITION of data ,SURGERY ,PATIENTS ,LAPAROSCOPIC surgery ,MEN ,MEDICAL care costs ,PATIENT satisfaction ,SURGICAL complications ,MEDICAL care ,POSTOPERATIVE care ,MANN Whitney U Test ,FISHER exact test ,INFERTILITY ,TREATMENT effectiveness ,COMPARATIVE studies ,HUMAN services programs ,T-test (Statistics) ,MEDICAL records ,HOSPITAL care ,CHI-squared test ,RESEARCH funding ,DESCRIPTIVE statistics ,MEDICAL appointments ,UROLOGICAL surgery ,DATA analysis software ,DISCHARGE planning ,EVALUATION - Abstract
Background: Varicocele is the most prevalent correctable cause of male infertility. Currently, surgical treatment is the primary method to enhance fertility.For many young varicocele patients who have postponed surgery due to time constraints, daytime surgery is especially crucial. Thus, this study aims to investigate the clinical and nursing application value of the Plan-Do-Check-Act (PDCA) cycle in daytime varicocelectomy. Methods: Retrospective collection of clinical data was conducted on 130 patients undergoing laparoscopic varicocelectomy in the Third Affiliated Hospital of Southern Medical University, Guangzhou,China.Among them, 65 patients who underwent daytime surgery were assigned to the observation group, while 65 patients who underwent routine hospital surgeries were assigned to the control group.The former also implemented PDCA cycle management.A comparison was made between the two groups regarding hospitalization time, hospitalization costs, and patient satisfaction. Results: The observation group exhibited a shorter hospitalization time and lower hospitalization costs compared to the control group, with higher patient satisfaction and pre-discharge visual analog scale (VAS) scores noted (P < 0.05).No significant difference was observed in the incidence of postoperative complications between the two groups during hospitalization (P > 0.05). The implementation of the PDCA cycle in the observation group has demonstrated its effectiveness, ensuring the smooth conduct of the daytime varicocelectomy. Conclusion: In conclusion,daytime varicocelectomy can reduce hospitalization time,lower hospitalization costs, improve patient satisfaction. The PDCA Cycle enhances the rationality and efficacy of the daytime varicocelectomy procedure and is highly recommended. Furthermore, it offers valuable reference for the application of the PDCA Cycle in various other diseases and nursing management approaches. Trial Registration: The Trial Registration Number: ChiCTR2300077465;Date of registration: November 9, 2023. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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