目的：分析患者参与式护理干预应用于骨科机器人辅助髋臼骨折微创手术患者中的临床效果。方法：选 取北京积水潭医院于 2020 年 1 月—2023 年 6 月收治的 120 例骨科机器人辅助髋臼骨折微创手术患者，按 1∶1 比例 原则随机分为两组，对照组采用常规护理，观察组在此基础上采用患者参与式护理干预。对比两组术后康复效果、 患者依从性等。结果：观察组出院后 1 个月、3 个月的 Harris 髋关节量表评分高于对照组，术后 4 周、8 周时的数 字分级法疼痛评分低于对照组，术后并发症发生率低于对照组。护理后，观察组与身体、心理及主动学习有关的锻 炼依从性高于对照组，正性情绪高于对照组，负性情绪低于对照组。结论：患者参与式护理干预应用于骨科机器人 辅助髋臼骨折微创手术中，能够提高患者髋关节功能康复效果，增加患者康复锻炼依从性，减轻患者术后疼痛和负 性情绪，减少术后并发症的发生。

Objective: To analyze the clinical effects of patient participatory nursing intervention on patients undergoing orthopedic robot-assisted surgery for acetabular fracture. Methods: 120 acetabular fracture patients who underwent orthopedic robot-assisted surgery patients in Beijing Jishuitan Hospital from January 2020 to June 2023 were selected and randomly divided into the control group and the observation group by 1∶1. The control group received routine nursing care, while the observation group received patient participatory nursing intervention based on routine nursing care. The postoperative rehabilitation effects and patient compliance between the two groups were compared. Results: The Harris Hip Scores (HHS) of patients in the observation group were higher than those of the control group at 1 and 3 months after being discharged, and the NRS (Numerical Rating Scale) scores were lower than those of the control group at 4 and 8 weeks after surgery. The incidence of postoperative complications in the observation group was lower than that of the control group. After nursing intervention, the observation group had higher compliance on physical exercise, psychological exercise and active learning than the control group. Higher positive emotion and lower negative emotion achieved in the observation group than those in the control group. Conclusion: The application of patient participatory nursing intervention in orthopedic robot-assisted surgery for acetabular fracture can enhance the rehabilitation effect of hip joint function, improve patient compliance on rehabilitation exercise, alleviate postoperative pain and negative emotions, and reduce the occurrence of postoperative complications.

收稿日期：2023-11-20  录用日期：2024-01-19 

Received Date: 2023-11-20  Accepted Date: 2024-01-19 

基金项目：国家重点研发计划项目（2022YFC2504304）；北京市科技计划项目（Z201100005420033）；北京积水潭医院院级 科研基金项目（2023OSR-GCZX202205） 

Foundation Item: National Key R&D Program Project (2022YFC2504304); Beijing Science and Technology Plan Project (Z201100005420033); Beijing Jishuitan Hospital Hospital Level Research Fund (2023OSR-GCZX202205) 

通讯作者：果欣欣，Email：xp14789nbtt11@163.com 

Corresponding Author: GUO Xinxin, Email: xp14789nbtt11@163.com 

引用格式：果欣欣 . 患者参与式护理干预应用于骨科机器人辅助髋臼骨折微创手术患者的临床效果 [J]. 机器人外科学杂志（中英文）， 2024，5（3）：366-372. 

Citation: GUO X X. Clinical effects of patient participatory nursing intervention on acetabular fracture patients undergoing orthopedic robot-assisted surgery [J]. Chinese Journal of Robotic Surgery, 2024, 5(3): 366-372.

[1] Davis J A, Movassaghi K, Refaat M I, et al. Use of the hybrid operating room for pelvic and acetabular fracture surgery[J]. Injury, 2022, 53(11): 3754-3758. 

[2] Pierce J, Needham K, Adams C, et al. Robotic-assisted total hip arthroplasty: an economic analysis[J]. J Comp Eff Res, 2021, 10(16): 1225-1234. 

[3] 刘思佳 , 赵磊 , 李格格 . 机器人辅助全膝关节置换 术对股骨旋转对线及早期疗效的研究进展 [J]. 机器 人外科学杂志 ( 中英文 ), 2023, 4(6): 593-596. 

[4] 邓小灵 , 廖晓燕 , 朱燕燕 . 基于家属参与的踝关节 锻炼组合操在 Pilon 骨折切开复位钢板内固定术 患者中的应用 [J]. 护理实践与研究 , 2019, 16(10): 84-86. 

[5] Polesello G C, Nunes M A, Azuaga T L, et al. Comprehension and reproducibility of the Judet and Letournel classification[J]. Acta Ortop Bras, 2012, 20(2): 70-74. 

[6] 谭媛媛 , 和晖 , 杨秀贤 , 等 . 骨科患者功能锻炼依从性量表的编制及信度效度检验 [J]. 中国护理管 理 , 2019, 19(11): 1626-1631. 

[7] Deniz M E, Işik E. Positive and negative affect, life satisfaction, and coping with stress by attachment styles in Turkish students[J]. Psychol Rep, 2010, 107(2): 480-490. 

[8] Lau B C, Scribani M, Lassiter T, et al. Correlation of single assessment numerical evaluation score for sport and activities of daily living to modified harris hip score and hip outcome score in patients undergoing arthroscopic hip surgery[J]. Am J Sports Med, 2019, 47(11): 2646-2650. 

[9] LIU Z J, GU Y, JIA J. The Kocher-Langenbeck approach combined with robot-aided percutaneous anterior column screw fixation for transverse-oriented acetabular fractures: a retrospective study[J]. BMC Musculoskelet Disord, 2022, 23(1): 345. 

[10] ZHAO J X, LI C S, REN H L, et al. Evolution and current applications of robot-assisted fracture reduction: a comprehensive review[J]. Ann Biomed Eng, 2020, 48(1): 203-224. 

[11] Schuijt H J, Hundersmarck D, Smeeing D P J, et al. Robot-assisted fracture fixation in orthopaedic trauma surgery: a systematic review[J]. OTA Int, 2021, 4(4): 153. 

[12] Georgilas I, Dagnino G, Tarassoli P, et al. Robotassisted fracture surgery: surgical requirements and system design[J]. Ann Biomed Eng, 2018, 46(10): 1637-1649. 

[13] Kim W Y, Joung S, Park H, et al. Human-robot-robot cooperative control using positioning robot and 1-DOF traction device for robot-assisted fracture reduction system[J]. Proc Inst Mech Eng H, 2022, 236(5): 697-710. 

[14] ZHAO C P, Cao Q Y, Sun X, et al. Intelligent robotassisted minimally invasive reduction system for reduction of unstable pelvic fractures[J]. Injury, 2023, 54(2): 604-614. 

[15] Frödin M, Nellgård B, Rogmark C, et al. A co-created nurse-driven catheterisation protocol can reduce bladder distension in acute hip fracture patients - results from a longitudinal observational study[J]. BMC Nurs, 2022, 21(1): 276. 

[16] 秦颖颖 , 王永琳 , 王利军 , 等 . 患者参与式护理一 体化管理对脑胶质瘤手术患者的影响 [J]. 齐鲁护理 杂志 , 2023, 29(18): 25-28. 

[17] Aulenkamp J L, Malewicz N M, Brauckhoff J D, et al. Chronic pain following fracture-related surgery: posttraumatic rather than postsurgical origin promotes chronification-a prospective observational study with 1-year follow-up[J]. Anesth Analg, 2022, 134(5): 974-986. 

[18] 陈凤 , 李红 , 林娟 , 等 . 患者参与式护理方案在髋 部骨折患者围术期压力性损伤预防中的效果 [J]. 中 国护理管理 , 2021, 21(12): 1865-1871. 

[19] 陈路 , 张晓庆 , 邓惠怡 . 家属参与零缺陷护理模式 对老年人工髋关节置换术患者的影响 [J]. 齐鲁护理 杂志 , 2022, 28(10): 141-144. 

[20] Fairhall N J, Dyer S M, Mak J C, et al. Interventions for improving mobility after hip fracture surgery in adults[J]. Cochrane Database Syst Rev, 2022, 9(9): CD001704. 

[21] 邱会芳 , 张晓红 , 王丽燕 , 等 . 患者参与式护理在 膝关节置换术后早期功能锻炼中的效果 [J]. 中国临 床护理 , 2023, 15(5): 281-285. 

[22] Murena L, Canton G, Hoxhaj B, et al. Early weight bearing in acetabular and pelvic fractures[J]. Acta Biomed, 2021, 92(4): 2021236. 

[23] Storr B, Peiris C L, Snowdon D A. Community reintegration after rehabilitation for hip fracture: a systematic review and meta-analysis[J]. Arch Phys Med Rehabil, 2022, 103(8): 1638-1650. 

[24] 张园园 , 文芳 , 佘荣峰 . 创伤骨科机器人辅助微 创治疗骨盆骨折围手术期护理 [J]. 护士进修杂志 , 2023, 38(17): 1616-1618+1627. 

[25] Lee H, Lee S H. Effectiveness of multicomponent home-based rehabilitation in older patients after hip fracture surgery: a systematic review and metaanalysis[J]. J Clin Nurs, 2023, 32(1-2): 31-48. 

[26] 王宇章 , 刘晓华 , 陶莉 , 等 . 骨科康复一体化模式 下髋臼骨折围手术期康复临床路径 : 一项前瞻性随 机对照研究 [J]. 中国康复理论与实践 , 2022, 28(7): 745-752.