目的:探讨泌尿外科机器人辅助手术患者实施精准化护理对临床效果及护理满意度的影响。方法:收 集 2021 年 5 月—2023 年 5 月行泌尿外科机器人辅助手术的患者共计 100 例,基于随机数字表法规范化分组,将其 分为对照组(行常规护理)与观察组(行精准化护理),各组均 50 例。对比两组患者心理状态、术后康复指标、 并发症发生率、生活质量、护理满意度。结果:干预后,两组 SAS、SDS 评分均降低,且观察组评分低于对照组, 两组 SF-36 评分升高,且观察组评分高于对照组(P<0.05);相较对照组,观察组麻醉苏醒、肛门首次排气、盆腔 引流、住院的时间均缩短,术后并发症发生率更低,观察组护理满意度高于对照组(P<0.05)。结论:泌尿外科机 器人辅助手术患者开展精准化护理,不仅能显著改善焦虑抑郁情绪,同时具有控制术后并发症的积极作用,实现加 速康复、改善生活质量的干预目的。
Objective: To explore the impact of precision nursing on clinical outcomes and nursing satisfaction in patients undergoing robot-assisted urologic surgery. Methods: Clinical data of 100 patients who underwent robot-assisted urologic surgery from May 2021 to May 2023 were collected. The patients were divided into the control group and the observation group using a random number table, with 50 cases in each group. The control group received routine nursing and the observation group received precision nursing. Patients’ psychological state, postoperative recovery indicators, complication rate, quality of life, and nursing satisfaction were compared between the two groups of patients. Results: After intervention, the SAS and SDS scores of the two groups were lowered, and they were lower in the observation group than the control group. The SF-36 scores of the two groups were increased after intervention, and they were higher in the observation group than those in the control group (P<0.05). Compared with the control group, the time of waking up from anesthesia, the first anal defecation, the pelvic drainage, and the length of hospital stay were shorter in the observation group, with the lower incidence of postoperative complications and higher satisfaction of nursing care (P<0.05). Conclusion: Precision nursing in patients undergoing robot-assisted urologic surgery can significantly improve anxiety and depression of patients, and positively control postoperative complications, which is contribute to accelerating recovery and improving patients’ quality of life.
收稿日期:2023-11-23 录用日期:2024-01-08
Received Date: 2023-11-23 Accepted Date: 2024-01-08
基金项目:四川省医学青年创新科研课题(S22018)
Foundation Item: Innovative Scientific Research Project of Medical Youth in Sichuan Province (S22018)
通讯作者:何其英,Email:13668232964@163.com
Corresponding Author: HE Qiying, Email: 13668232964@163.com
引用格式:周艳,刘爽,王婷,等 . 精准化护理在泌尿外科机器人辅助手术中的应用效果及其对护理满意度的影响 [J]. 机器人外科 学杂志(中英文),2024,5(5):975-979.
Citation: ZHOU Y, LIU S, WANG T, et al. Application effect of precision nursing in robot-assisted urologic surgery and its impact on nursing satisfaction[J]. Chinese Journal of Robotic Surgery, 2024, 5(5): 975-979.
[1] 蔡桂芬 , 陈雪莉 , 隋永领 . 改良体位护理在机器人辅助腹腔 镜膀胱全切回肠膀胱术中的体会 [J]. 腹腔镜外科杂志 , 2022, 27(10): 797-798.
[2] 杨芳 . 护理风险管理在老年泌尿外科手术患者中的应用 [J]. 生 命科学仪器 , 2022, 20(S1): 216, 219.
[3] 陈晓敏 , 赵妮娜 . 综合护理干预在预防泌尿外科患者手术后 下肢深静脉血栓中的应用效果 [J]. 血栓与止血学 , 2022, 28(1): 165-166.
[4] 郑霞 , 周洁 , 胡雅 , 等 . 达芬奇机器人肾部分切除术治疗复杂 性肾肿瘤患者的围手术期护理 [J]. 现代临床护理 , 2021, 20(10): 43-47.
[5] 林丹妮 , 刘振湘 , 张冲 , 等 . 达芬奇机器人辅助腹腔镜下泌尿外 科手术的护理实践 [J]. 海南医学 , 2021, 32(17): 2310-2312.
[6] 胡秀花 , 侯明星 . 达芬奇机器人辅助结直肠癌根治术前 , 术后患 者的心理护理 [J]. 内蒙古医科大学学报 , 2021, 4(S1): 124-125.
[7] 潘婷婷 , 姚翠 . 快速康复外科理念在达芬奇机器人结直肠癌 根治术围术期护理中的应用 [J]. 腹腔镜外科杂志 , 2021, 26(6): 476-477.
[8] 崔颖 , 李国宏 , 杨霞 , 等 . 手术室亚专科体温保护标准化管理方 案在泌尿外科机器人手术中的应用研究 [J]. 解放军护理杂志 , 2021, 38(6): 13-16.
[9] 李聪聪 , 王静 , 于晓红 , 等 . 快速康复护理在机器人辅助腹腔镜 前列腺癌根治术中的应用 [J]. 当代医学 , 2021, 27(15): 179-180.
[10] 王燕 , 孔婉莹 . 基于人文关怀的治疗性沟通对泌尿外科男性 手术患者自尊水平及应对方式的影响 [J]. 中国性科学 , 2020, 29(12): 28-31.
[11] 杨娜 , 王颖 , 屈晓玲 , 等 . 集束化护理预防泌尿外科机器人手术 后腹胀 [J]. 护理学杂志 , 2020, 35(22): 24-27.
[12] 徐振宇 , 唐朝朋 , 吴鼎 , 等 . 加速康复外科在达芬奇机器人辅 助腹腔镜下肾肿瘤剜除术中的应用研究 [J]. 腹腔镜外科杂志 , 2020, 25(10): 774-778.
[13] 周茜 . 思维导图引导下无缝隙护理在泌尿外科手术室中的应用 效果 [J]. 实用临床医药杂志 , 2020, 24(8): 114-116.
[14] 龚琪芬 , 杨艳娉 . 综合护理干预对泌尿外科手术患者肠道恢复 的影响研究 [J]. 结直肠肛门外科 , 2021, 27(S2): 171-172.
[15] 杨霞 , 李国宏 , 崔颖 . 泌尿外科达芬奇机器人手术患者术中 低体温风险预测模型的构建及应用研究 [J]. 解放军护理杂志 , 2021, 38(9): 33-36.