目的：探讨达芬奇机器人辅助腹腔镜下宫颈癌根治术围手术期的护理管理实践。方法：选取 2020 年 6 月—2023 年 6 月于空军军医大学第一附属医院行达芬奇机器人辅助腹腔镜下宫颈癌根治术的患者 92 例作为研究 对象。采用随机数表法将其分为对照组（n=46）和研究组（n=46）。对照组接受常规围术期管理，研究组接受达 芬奇机器人辅助腹腔镜下手术围术期护理管理。比较两组患者手术时间、术中出血量、排气时间、术后进食时间、 住院时间、住院费用、术后不同时点疼痛模拟评分（VAS）、健康知识掌握程度、护理缺陷发生率和护理满意度。 结果：与对照组相比，研究组排气时间、术后进食时间、住院时间比对照组更短，住院费用更少（P<0.05）。术后 24~72h，研究组 VAS 评分比对照组更高（P<0.05）。与对照组相比，研究组知识总掌握度更高（P<0.05），研究组 护理缺陷总发生率更低（P<0.05）。两组患者服务态度、护理活动、护理环境得分无显著差异。两组相比，研究组 操作前讲解、护理环节与流程得分更高（P<0.05）。结论：对宫颈癌根治术患者而言，达芬奇机器人辅助腹腔镜下 围术期护理管理可促进患者康复，减轻术后疼痛，减少护理缺陷，提高患者健康知识掌握度与护理满意度。

Objective: To explore the perioperative nursing management practice in Da Vinci robot-assisted radical hysterectomy for cervical cancer. Methods: 92 cervical cancer patients who underwent Da Vinci robot-assisted laparoscopic radical hysterectomy in the First Affiliated Hospital of Air Force Medical University from June 2020 to June 2023 were selected. The 92 patients were divided into the control group (n=46) and the study group (n=46) using a random number table. The control group received routine perioperative management, while the study group received the perioperative nursing management for Da Vinci robot-assisted laparoscopic surgery. Operative time, intraoperative blood loss, exhaust time, postoperative feeding time, length of hospital stay, hospitalization costs, VAS (visual analogue scale) scores at different time points after surgery, mastery of health knowledge, incidence of nursing defects, and nursing satisfaction between two groups of patients were compared. Results: Compared with the control group, the study group had shorter exhaust time, postoperative feeding time, length of hospital stay, and lower hospitalization costs (P<0.05). Compared with the control group, the study group had a higher VAS score from 24 h to 72 h after surgery and overall knowledge mastering rate (P<0.05). The total incidence of nursing defects in the study group was lower than that in the control group (P<0.05). There was no significant difference in scores on nursing attitude, nursing activities, and nursing environment between the two groups of patients. Compared with the control group, the study group had higher scores in preoperative explanations, nursing processes and procedures (P<0.05). Conclusion: Perioperative nursing management in Da Vinci robot-assisted laparoscopic surgery can promote recovery, lower postoperative pain, reduce nursing defects, and improve health knowledge mastery and nursing satisfaction of patients.

收稿日期：2023-12-28  录用日期：2024-02-26 

Received Date: 2023-12-28  Accepted Date: 2024-02-26 

基金项目：国家自然科学基金（81972440） 

Foundation Item: National Natural Science Foundation of China(81972440) 

通讯作者：綦春蕾，Email：18608989039@163.com 

Corresponding Author: QI Chunlei, Email: 18608989039@163.com 

引用格式：张娜娜，赵清，张婵，等 . 机器人辅助腹腔镜宫颈癌根治术围手术期管理实践 [J]. 机器人外科学杂志（中英文），2024， 5（4）：592-596. 

Citation: ZHANG N N, ZHAO Q, ZHANG C, et al. Perioperative nursing management practice in robot-assisted radical hysterectomy for cervical cancer [J]. Chinese Journal of Robotic Surgery, 2024, 5(4): 592-596.

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