目的：分析探讨 LEARNS 模式的护理方案联合盆底肌训练（PFMT）在机器人辅助根治性前列腺切除 术（RARP）患者中的应用价值。方法：选取 2019 年 1 月—2023 年 10 月在深圳市人民医院接受 RARP 的患者 122 例。 随机分为研究组和对照组，每组各 61 例。对照组接受常规根治性前列腺切除术后 PFMT 健康教育方案，研究组接 受 LEARNS 模式联合 PFMT 方案。比较两组患者的排尿功能指标、I-QOL 评分、自我照护量表评分以及并发症发生 情况。结果：干预前，两组患者各项排尿功能指标、I-QOL 评分和自我照护量表评分差异均无统计学意义；干预后， 两组患者排尿功能指标、I-QOL 评分和自我照护量表评分均优于干预前，且研究组优于对照组；研究组并发症发生 率低于对照组。结论：与传统护理方案相比，采用 LEARNS 模式的护理方案联合 PFMT 应用于 RARP 患者，能够改 善患者排尿功能，提高生活质量，促进患者自我照护能力恢复，有效控制并发症发生率，具有临床推广应用意义。

Objective: To explore the application value of LEARNS mode combined with pelvic floor muscle training (PFMT) in patients undergoing robot-assisted radical prostatectomy(RARP). Methods: 122 patients who underwent RARP in Shenzhen People’s Hospital from January 2019 to October 2023 were selected. They were randomly divided into the study group and the control group, with 61 cases in each group. The control group received the conventional PFMT health education program after RARP, and the study group received the LEARNS mode combined with PFMT program. The urinary function indicators, I-QOL scores, self-care scale scores and the incidence of complications were compared between two groups of patients. Results: There was no statistically significant difference in the urinary function indicators, I-QOL scores and self-care scale scores between the two groups before intervention. The above indicators were both improved in the two groups after intervention, and they were better in the study group than the control group. The complication rate of patients in the study group was lower than that in the control group. Conclusion: Compared with conventional nursing program, the application of LEARNS mode combined with PFMT to patients undergoing RARP can improve patients’ urination function, quality of life and self-care ability, as well as effectively control the incidence of complications, which is worthy of clinical promotion.

收稿日期：2024-01-30  录用日期：2024-02-26 

Received Date: 2024-01-30  Accepted Date: 2024-02-26 

基金项目：广东省医学科学技术研究基金（B2020197） 

Foundation Item: Medical Science and Technology Research Fund of Guangdong Province (B2020197) 

通讯作者：曹子慧，Email：173701248@qq.com 

Corresponding Author: CAO Zihui, Email: 173701248@qq.com 

引用格式：王歌，李满，曹子慧 . LEARNS 模式联合盆底肌训练在机器人辅助腹腔镜根治性前列腺切除术患者中的应用价值 [J]. 机 器人外科学杂志（中英文），2024，5（4）：536-541.

 Citation: WANG G, LI M, CAO Z H. Application value of LEARNS mode combined with pelvic floor muscle training in robot assisted radical prostatectomy[J]. Chinese Journal of Robotic Surgery, 2024, 5(4): 536-541.

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