目的：探讨系统教学模式对达芬奇机器人辅助下泌尿系统肿瘤患者预康复的影响。方法：选取 2021 年 1 月—2023 年 12 月于合肥市第二人民医院行达芬奇机器人辅助下泌尿系统肿瘤手术的 69 例患者作为研究对象，按 历史对照法将 2021 年的患者设为对照组（n=35），2022—2023 年的患者设为干预组（n=34）。对照组实施常规预 康复，干预组基于系统教学模式实施常规预康复干预，以患者术前焦虑评分、术后 6 min 步行试验（6MWT）距离、 术后首次肛门排气时间作为评价指标。结果：与对照组相比，干预组患者术前焦虑水平更低，术后第 3 d 及出院时 6MWT 距离更远，术后首次肛门排气时间更早。结论：系统教学模式能有效降低达芬奇机器人辅助下泌尿系统肿瘤 患者术前焦虑，提高术后早期运动耐力，并缩短术后首次肛门排气时间。

Objective: To explore the effect of systematic teaching model on prehabilitation of patients underwent Da Vinci robot-assisted surgery for urologic tumors. Methods: Patients who underwent Da Vinci robot-assisted surgery for urologic tumors in the Second People’s Hospital of Hefei from January 2021 to December 2023 were selected as the research subjects. The patients in 2021 were divided into the control group (n=35) and patients in 2022 to 2023 into the intervention group (n=34) using the historical control method. Patients in the control group received conventional prehabilitation interventions, and patients in the intervention group received prehabilitation interventions based on a systematic teaching model. Preoperative anxiety scores, postoperative 6-min walk test (6MWT) distance, and time to first anal exhaust of patients in the two groups were evaluated and compared. Results: Compared with the control group, patients in the intervention group had lower preoperative anxiety levels, longer 6MWT distances on the 3rd day after surgery and at discharge, and earlier first anal exhaust. Conclusion: The systematic teaching model can effectively reduce preoperative anxiety, improve early postoperative exercise tolerance, and shorten the time to first anal exhaust in patients underwent Da Vinci robot-assisted surgery for urologic tumors.

收稿日期：2024-03-11  录用日期：2024-04-26 

Received Date: 2024-03-11  Accepted Date: 2024-04-26 

基金项目：国家自然科学基金项目（82004010） 

Foundation Item: National Natural Science Foundation of China (82004010) 

通讯作者：魏灿，Email：aydweican@163.com 

Corresponding Author: WEI Can, Email: aydweican@163.com 

引用格式：谷春梅，魏灿 . 系统教学模式对机器人辅助下泌尿系统肿瘤患者预康复的影响 [J]. 机器人外科学杂志（中英文）， 2024，5（4）：681-686. 

Citation: GU C M, WEI C. Effect of systematic teaching model on the prehabilitation of patients underwent robot-assisted surgery for urologic tumors[J]. Chinese Journal of Robotic Surgery, 2024, 5(4): 681-686.

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