Application and Effect of the Nurse-Led Pre-Hospital, Intra-Hospital, Post-Hospital Management Model in the Fine...

To enhance the management of pre-admission surgical patients within an efficiency-oriented healthcare system.

This study adopted a method combining retrospective analysis and prospective observation. A total of 400 patients aged 14-75 years who underwent surgical treatment in our hospital from April 2024 to September 2024 were selected. A combination of random sampling and stratified sampling was used to balance the number of patients from different departments, ensuring the scientific rigor and representativeness. The aim is to explore the application of the comprehensive management model led by our hospital, covering the three stages of pre-hospital, in-hospital and post-hospital, as well as to improve the quality indicators of surgical management, strengthen patient safety management internally, and enhance patient satisfaction.

The same-day surgery cancellation rate decreased from 10.71% before the intervention to 6.35% after the intervention, reflecting a reduction of 40.71%. The hospital discharge rate also saw a substantial decline from an average of 8.97% to 4.44%, a reduction of 50.50%. Meanwhile, the persuasion rate to prevent discharge increased from 8.35% to 12.20%, representing a rise of 46.11%. Additionally, the compliance rate of Enhanced Recovery After Surgery (ERAS) on postoperative day 1 improved from 92.75% to 96.13%, an increase of 3.64%. Most notably, the patient satisfaction with the hospitalization experience increased from 93.95% before the intervention to 97.69% after the intervention, a rise of 3.74%.

This model improved the safety and efficiency of pre-admission surgical management, offering practical insights for similar hospitals.