The application of value process map optimization in preoperative preparation for varicose veins

DUAN Guyu; HU Dong; YANG Fan; LIU Min; YANG Xiaoxue; CHEN Hong

Abstract：Objective:To explore the application effect of value flowchart optimization in preoperative preparation for varicose veins.Methods:All 96 patients who underwent varicose vein surgery in hospital from March 2022 to June 2023 were included in the study.They were randomly divided into an observation group and a control group using a ran-dom number table method,with 48 patients in each group.The control group received routine perioperative nursing measures,while the observation group received preoperative preparation process intervention based on value flow chart optimization in addition to the control group's operations.The related indexes of perioperative indicators(preoperative preparation time,intraoperative pause time),coping style before and after intervention[medical coping style question-naire(MCMQ)],psychological stress reaction[symptom checklist 90(SCL-90)]and nursing satisfaction[Newcastle nursing satisfaction scale(NSNS)]were compared between the two groups.Results:The preoperative preparation time and intraoperative pause time in the observation group were lower than those in the control group(P＜0.05).After in-tervention,both groups of MCMQ showed an increase in face dimension scores(P＜0.05),and the observation group was higher than the control group(P＜0.05).The scores of avoidance and surrender dimensions in both MCMQ groups,as well as the scores of somatization,compulsion,interpersonal sensitivity,depression,anxiety,and hostile di-mensions in SCL-90,decreased,and the scores of all dimensions in the observation group were lower than those in the control group(P＜0.05).The nursing satisfaction of the observation group was higher than that of the control group(P＜0.05).Conclusion:Applying the optimized preoperative preparation process based on value flow chart in varicose vein surgery can shorten the preoperative preparation and intraoperative pause time,reduce patient's psychological stress reactions,and improve their satisfaction with nursing work.