Zheng Meng, Li Kang, Qiu-Ju Yan
In this single‑center randomized trial, KANO model‑based structured nursing was associated with better perioperative thermoregulation, higher comfort scores, higher nursing satisfaction, and shorter time to ambulation in patients undergoing MyoSure hysteroscopy.
OBJECTIVE: To evaluate, in a randomized controlled trial, the effects of KANO model-based structured nursing versus conventional care on perioperative hypothermia, comfort, and early postoperative recovery in patients undergoing MyoSure hysteroscopy.
METHODS: A total of 134 patients undergoing MyoSure hysteroscopy between March 2022 and March 2023 were randomly assigned (1:1) to a control group (conventional nursing, n = 67) or a study group (KANO model-based structured nursing, n = 67).
RESULTS: No significant difference was observed in operation duration (p > 0.05). The study group had a shorter time to ambulation (mean difference 2.8 hours, 95% CI 1.7 - 3.9, p < 0.001) and a lower incidence of hypothermia‑related reactions (5.97% vs 17.91%; relative risk 0.33, 95% CI 0.13 - 0.86; number needed to treat 9, 95% CI 5 - 25). In exploratory logistic regression, neither intervention method nor body temperature at surgery completion was independently associated with hypothermia‑related reactions (p > 0.05).
CONCLUSION: In this single‑center randomized trial, KANO model‑based structured nursing was associated with better perioperative thermoregulation, higher comfort scores, higher nursing satisfaction, and shorter time to ambulation in patients undergoing MyoSure hysteroscopy.