Efficacy of the integrated management model of medical care on non-attendance, satisfaction, and complications in adult patients undergoing day surgery for inguinal hernia

Abstract

Objective: To investigate the efficacy of the integrated management model of medical care on the non-attendance rate, satisfaction rate, and incidence of complications in adult patients undergoing day surgery for inguinal hernia.

Methodology: This was a retrospective study. A total of one hundred patients with inguinal hernia who underwent day surgery in Affiliated Hospital of Hebei University from January 2023 to May 2025 were selected as the subjects and were divided into an Intervention group(n=50) and a control group (n=50) according to intervention methods. Conventional management was implemented in the control group, while the integrated management model of medical care was adopted in the intervention group in addition to conventional management. The surgical non-attendance rate, incidence of adverse reactions, satisfaction, incidence of complications, and quality of life(QoL) were compared between the two groups.

Results: The surgical non-attendance rate and incidence of adverse events in the observation group were significantly lower than those in the control group(P<0.05). Meanwhile, patient satisfaction in the observation group was higher than the control group(c2=4.762, p=0.029). Additionally, the observation group incidence of complications was lower than the control group(p<0.05). Furthermore, KPS and SF-36 QoL scores in the observation group were significantly improved as compared to those in the control group(p<0.05).

Conclusion: The integrated management model of medical care in adult patients undergoing day surgery for inguinal hernia exhibits satisfactory results and may significantly reduce the surgical non-attendance rate and incidence of adverse events and complications.