Influence of perioperative nursing under the RCA-PDCA model on sleep and quality of life in patients undergoing gynecological surgery.

OBJECTIVE

This study focused on analyzing the influence of perioperative nursing under the RCA-PDCA model on sleep and quality of life in patients undergoing gynecological surgery.

METHODS

Eighty patients who underwent gynecological laparoscopic surgery were divided into two groups according to different nursing methods, with 40 patients in each. The control group received routine perioperative care, while the observation group received nursing care based on the RCA-PDCA model.

PRIMARY OUTCOME MEASURES: quality of life was assessed using the Quality of Life Questionnaire (QLQ-CX24), and sleep quality was compared between the two groups using the Pittsburgh Sleep Quality Index (PSQI). Secondary outcome measures included perioperative indicators (intraoperative blood loss, operative duration, time to first ambulation, time to anal exhaust, length of hospital stay); postoperative pain intensity [assessed using the Numerical Rating Scale (NRS) at 2 h, 8 h, 24 h, and 48 h after anesthesia recovery]; postoperative complication rate; and nursing satisfaction.

RESULTS

Compared with the control group, the observation group demonstrated higher QLQ-CX24 scores and lower PSQI scores at designated time points (all P < 0.05). Additionally, the observation group also showed reduced intraoperative blood loss, operative duration, time to first ambulation, time to bed rest duration, and length of hospital stay, as well as higher nursing satisfaction scores, lower NRS scores, and the incidence of surgical complications (all P < 0.05).

CONCLUSION

The RCA-PDCA nursing model effectively improves sleep quality and quality of life in gynecological surgery patients, while promoting recovery and reducing postoperative complications.