Application of Worry-Free Nursing Concept in Operating Room Nursing Care for Myomectomy: Effects on Perioperative Anxiety and Patient Satisfaction

AIM: This retrospective study aimed to investigate the effects of the “worry-free nursing” concept on perioperative anxiety and nursing satisfaction in patients undergoing myomectomy. METHODS: This retrospective study enrolled 200 patients who underwent myomectomy at Shanghai East Hospital (South Branch) between January 2023 and January 2025. Participants were divided into two groups based on the nursing care they received: the control group (n = 107) receiving conventional nursing care, and the observation group (n = 93) receiving “worry-free nursing” care. Patient satisfaction with nursing care, depression and anxiety levels, surgery-related indicators, and postoperative pain intensity were compared between the two groups. RESULTS: The depression and anxiety scores were significantly lower in the observation group than those in the control group (p < 0.001). Compared with the control group, the time to first flatus, time to first ambulation, and average length of hospitalization were significantly lower in the observation group (p < 0.001). Furthermore, the observation group reported significantly lower postoperative pain at 24, 48, and 72 hours than in the control group (p < 0.001). Patient satisfaction with nursing care was significantly higher in the observation group than in the control group, as reflected by the Newcastle Satisfaction with Nursing Scale (NSNS) scores and satisfaction distribution. CONCLUSIONS: The nursing intervention guided by the worry-free concept can alleviate anxiety and depression, and improve emotional well-being in patients undergoing myomectomy, ultimately increasing patient satisfaction, promoting postoperative recovery, and decreasing hospitalization duration.