目的：分析基于移动医疗模式下的精准管理在达芬奇机器人辅助腹腔镜肾移植术后血液净化患者中 的应用效果。方法：选取 2021 年 1 月—2023 年 6 月于首都医科大学附属北京友谊医院接受达芬奇机器人辅助腹腔 镜肾移植手术的 100 例血液净化患者，按照信封法随机分为对照组（n=50）和观察组（n=50）。对照组采用常规护 理进行干预，观察组采用基于移动医疗模式下的精准管理进行干预，检测两组患者干预前后的营养水平（血红蛋白、 白蛋白、血钾），评估两组患者干预前后的健康素养、自我管理能力及生活质量，记录两组患者干预期间发生的不 良事件。结果：干预后，观察组患者的白蛋白水平高于对照组，而两组患者的血红蛋白、血钾水平相比无统计学差 异（P>0.05）；观察组患者的血液透析健康素养量表评分高于对照组（P<0.05）；观察组患者的自我管理量表评分 高于对照组（P<0.05）；观察组患者的 KDQOL 评分高于对照组（P<0.05）；观察组患者的不良事件总发生率（8.00%） 低于对照组（26.00%）（P<0.05）。结论：基于移动医疗模式下的精准管理可有效改善达芬奇机器人辅助腹腔镜肾 移植术后血液净化患者的营养水平，并显著提高其健康素养、自我管理能力及生活质量，且安全性较高。

Objective: To analyze the application effect of precision management based on mobile healthcare model in blood purification for patients underwent Da Vinci robot-assisted laparoscopic kidney transplantation. Methods: A total of 100 patients who received blood purification after Da Vinci robot-assisted laparoscopic kidney transplantation in Beijing Friendship Hospital from January 2021 to June 2023 were selected and randomly divided into the control group(n=50) and the observation group (n=50) using envelope method. The control group received routine nursing intervention, while the observation group received precision management intervention based on mobile healthcare mode. The nutritional levels (hemoglobin, albumin, and potassium) of patients in the two groups were detected before and after the intervention, the health literacy, self-management ability and kidney disease quality of life (KDQOL) of patients in the two groups before and after intervention were assessed, and adverse events occurred during the intervention were recorded. Results: After intervention, the albumin level of patients in the observation group was higher than that of control group, but there was no significant difference in hemoglobin and blood potassium levels between the two groups (P>0.05). The health literacy scores in the observation group were higher than those in the control group (P<0.05). The self-management ability scores of patients in the observation group were higher than those in the control group (P<0.05). The KDQOL scores of patients in the observation group were higher than those in the control group (P<0.05). The overall incidence of adverse events in the observation group (8.00%) was lower than that in the control group (26.00%) (P<0.05). Conclusion: The precise management based on the mobile healthcare model can effectively improve the nutritional level of patients who received blood purification after Da Vinci robot-assisted laparoscopic kidney transplantation with high safety, and significantly improve their health literacy, self-management ability and quality of life.

收稿日期：2024-04-02  录用日期：2024-05-10 

Received Date: 2024-04-02  Accepted Date: 2024-05-10 

基金项目：国家自然科学基金（82003833） 

Foundation Item: National Natural Science Foundation of China(82003833) 

通讯作者：王丽妍，Email：wangliyan7731@sina.com 

Corresponding Author: WANG Liyan, Email: wangliyan7731@sina.com 

引用格式：李磊，王丽妍，刘珂，等 . 基于移动医疗模式下的精准管理在达芬奇机器人辅助腹腔镜肾移植术后血液净化患者中的 应用 [J]. 机器人外科学杂志（中英文），2024，5（4）：648-653. 

Citation: LI L, WANG L Y, LIU K, et al. Application of precision management based on mobile healthcare model in blood purification for patients underwent Da Vinci robot-assisted laparoscopic kidney transplantation[J]. Chinese Journal of Robotic Surgery, 2024, 5(4): 648-653.

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