Psychological impact of different admission patterns on patients undergoing day hysteroscopic surgery and its influential factors

To assess the incidence and influential factors of anxiety and depressive symptoms among patients admitted to different models of ambulatory gynecologic hysteroscopic surgery and to explore the effects of centralized and decentralized admission models on their anxiety and depressive symptoms. This retrospective study recruited 8212 participants who underwent ambulatory gynecologic hysteroscopic surgery at West China Second University Hospital, Sichuan University, between January 2021 and January 2023. According to the different models of admission, the participants were divided into centralized and decentralized admission groups. The General Information Questionnaire and Hospital Anxiety and Depression Scale were used to assess the participants’ sociodemographic information and anxiety and depressive symptoms, respectively. A chi-square test was used to compare the prevalence of anxiety and depressive symptoms among participants in different groups. Subsequently, univariate and multivariate binary logistic regressions were used to explore the factors influencing participants’ anxiety and depressive symptoms. The prevalence of anxiety symptoms was 12.6% and 6.2% in the centrally and decentrally admitted participants, respectively, and that of depressive symptoms was 10.8% and 4.0%, respectively. Being centrally admitted and diagnosed with intrauterine adhesions were risk factors for anxiety and depressive symptoms. Old age was a protective factor against anxiety and depressive symptoms. Moreover, being married was a protective factor against anxiety symptoms, and a higher level of education was a protective factor against depressive symptoms. The centrally admitted participants were more likely to have anxiety and depressive symptoms than those admitted decentrally. The medical staff should provide rational health education, effective preoperative assessment, and targeted health care to minimize psychological stress in patients undergoing day surgery, especially for the centrally admitted patients.