Abstract
BACKGROUND: Endometriosis is a chronic gynecological condition characterized by the presence of endometrial tissue outside the uterine cavity, often leading to pain, infertility, and psychological distress. Effective perioperative care is crucial for promoting recovery and improving emotional well-being. OBJECTIVE: To explore the impact of the combined application of mindfulness-based motivational care during the perioperative period on postoperative recovery and negative emotions in patients with endometriosis. METHODS: A total of 103 patients were divided into a control group receiving conventional nursing (n=51) and an observation group receiving mindfulness-based motivational care in addition to conventional nursing (n=52). Postoperative recovery indicators, sleep quality (PSQI), pain (NRS), comfort (GCQ), negative emotions (SAS, SDS), ability of daily living (ADL), and quality of life (SF-36) were evaluated. RESULTS: Compared with the control group, the observation group showed significantly shorter times to first ambulation, first flatus, and hospitalization (P<0.05). Improvements in PSQI, NRS, and GCQ scores were observed in both groups, but were more significant in the observation group (P<0.05). Similarly, SAS and SDS scores decreased in both groups, with greater reductions in the observation group (P<0.05), indicating superior efficacy in relieving anxiety and depression. CONCLUSION: Compared with conventional nursing, the combined application of mindfulness-based motivational care during the perioperative period can more effectively promote postoperative recovery in patients with endometriosis, improve sleep quality and pain management, reduce negative emotions, enhance comfort, and improve quality of life.