The Development Gynecologic Surgery System and Patients care of One Day Surgery: ODS Rattanaburi Hospital, Surin Province

Abstract

Background: Surgery and care for same-day surgery patients In order for people to have access to services medical quality, standards and safety cost reduction reducing congestion results in continuing the development of health for people to have a good quality of life.
Objective: This research aims to develop a surgical and care system for one day surgery gynecological patients at Rattanaburi Hospital, Surin Province.
Methods: This study is a research and development. The sample group comprises 35 physicians and nurses involved in one day surgery and 25 patients receiving this service, selected through purposive sampling. Data were collected by qualitative and quantitative data. Data were analyzed using percentage, mean, standard deviation, Mann-Whitney U , and content analysis.
Results: The findings revealed that the developed system for one day surgery gynecological at Rattanaburi Hospital includes three components: structure/policy, process, and outcomes. Overall, the system was rated highly appropriate. The care team demonstrated strong competency in performing surgeries and managing patients without complications. Average length of stay was significantly lower for one day surgery patients compared to those undergoing standard surgeries, with statistical significance at the 0.05 level. Cost differences between same-day and standard treatment approaches for patients with similar conditions were also statistically significant at the0.05 level. Patient satisfaction with one day surgery gynecological was rated very high, with no reports of anxiety, post-operative infections, or readmissions within 28 days; 100% of patients reported no complications such as pain, swelling, or bleeding. Recovery outcomes showed that patients could resume normal activities two hours post-surgery, though mild wound tension was noted, with heavy lifting restricted for two months to prevent intra-abdominal pressure.
Conclusion: This developed model effectively controlled patient conditions, minimized complications, and ensured safe discharge for patients.