目的：探讨加速康复外科（ERAS）导向的延续性护理在机器人辅助根治性膀胱切除术（RARC）后腹壁 造口患者中的应用效果。方法：本研究选取 2020 年 1 月—2023 年 1 月空军军医大学第二附属医院收治的 80 例 RARC 后腹壁造口患者作为研究对象，按照随机数字表法分为试验组和对照组，每组各 40 例。对照组采用常规护理，试验 组在常规护理的基础上加用 ERAS 导向性的延续性护理。比较患者护理前及护理 1 个月后自我护理能力量表（ESCA）、 心理弹性量表（CD-RISC）、社会影响量表（SIS）、焦虑自评量表（SAS）、抑郁自评量表（SDS）及造口患者生活 质量量表（Stoma-QOL）评分，并记录并发症发生率。结果：干预后两组患者 ESCA、CD-RISC、Stoma-QOL 评分均增 高，且试验组高于对照组，SIS、SAS、SDS 评分均降低，且试验组低于对照组，试验组总并发症发生率低于对照组。 结论：ERAS 导向的延续性护理在 RARC 后行腹壁造口患者中的应用效果显著，可以改善患者自护能力、心理弹性、 病耻感、焦虑和抑郁情绪及生活质量，降低并发症发生率，可以临床推广。

Objective: To investigate the application effect of ERAS-oriented continuity of care in patients with abdominal wall stoma after robot-assisted radical cystectomy (RARC). Methods: 80 patients with abdominal wall stoma after RARC who were admitted to the Second Affiliated Hospital of Air Force Military Medical University from January 2020 to January 2023 were selected. They were randomly divided into the study group and the control group using a random number table, with 40 cases in each group. Patients in the control group were given conventional care, and patients in the study group received ERASoriented continuity of care based on the conventional care. The patients’ scores of exercise of self-care agency (ESCA) scale (ESCA), Connor-Davidson resilience scale (CD-RISC), social influence scale (SIS), self-rating anxiety scale (SAS), self-rating depression scale (SDS) and stoma quality-of-life scale (Stoma-QOL) were compared before and after 1 month of nursing care, and the complication rates of patients in the two groups were recorded. Results: After intervention, ESCA, CD-RISC, and StomaQOL scores of the two groups were all increased, and these scores in the study group were higher than those in the control group. SIS, SAS, and SDS scores were decreased in both groups after intervention, and they were lower in the study group than the control group. The study group had a lower total complication rate than the control group. Conclusion: The application effect of ERAS-oriented continuity of care in patients with abdominal wall stoma after RARC is remarkable, it can improve patients’ selfcare ability, psychological elasticity, sense of stigma, anxiety, depression and quality of life, and reduce the rate of complications, which is worthy of clinical promotion.

收稿日期：2024-01-15  录用日期：2024-03-19 

Received Date: 2024-01-15  Accepted Date: 2024-03-19 

基金项目：国家自然科学基金（82002687） 

Foundation Item: National Natural Science Foundation of China(82002687) 

通讯作者：万晓琼，Email：wxq140709@163.com 

Corresponding Author: WAN Xiaoqiong, Email: wxq140709@163.com 

引用格式：展晓婷，万晓琼，王卓 .ERAS 导向的延续性护理对机器人辅助根治性膀胱切除术后腹壁造口患者的应用效果 [J]. 机器 人外科学杂志（中英文），2024，5（6）：1248-1253. 

Citation: ZHAN X T, WAN X Q, WANG Z. Effect of ERAS-oriented continuity of care in patients with abdominal wall stoma after robot-assisted radical cystectomy[J]. Chinese Journal of Robotic Surgery, 2024,5(6): 1248-1253.

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