目的：探索 CICARE 沟通模式联合健康教育在机器人辅助结肠癌手术患者中的护理效果。方法：前瞻性选取于 2022 年 6 月—2023 年 7 月收治的 104 例达芬奇机器人辅助结肠癌手术患者，根据随机数字表法分为两组，对照组 52 例采用常规护 理干预，观察组 52 例采用 CICARE 沟通模式及健康教育干预，比较两组患者护理效果。结果：观察组下床活动时间、肠蠕 动恢复时间、肛门排气时间、胃管拔除时间、住院时间均短于对照组（P<0.05）。干预后两组患者自我护理能力量表（ESCA） 各项评分及总分、Morisky 用药依从性问卷 -8（MMAS-8）评分、医学应对方式问卷（MCMQ）面对评分、护理满意度评分 高于干预前，且观察组 ESCA 各项评分及总分、MMAS-8 评分、MCMQ 面对评分、护理满意度评分高于对照组（P<0.05）。 干预后两组患者 Piper 疲乏量表（PFS）各项评分及总分、MCMQ 屈服及回避评分低于干预前，且观察组 PFS 各项评分及总分、 MCMQ 屈服及回避评分均低于对照组（P<0.05）。观察组术后并发症发生率低于对照组（P<0.05）。结论：对机器人辅助结 肠癌手术患者进行 CICARE 沟通模式联合健康教育干预，能够加速术后康复，提高患者自我护理能力和依从性，减轻癌因疲 乏感，提高护理满意度和护理质量。

Objective: To explore the nursing effect of CICARE communication model combined with health education in patients undergoing robot-assisted surgery for colon cancer. Methods: 104 patients who underwent Da Vinci robot-assisted surgery for colon cancer from June 2022 to July 2023 were prospectively selected and divided into the control group (n=52) and the observation group (n=52) using a random number table. Patients in the control group recieved conventional nursing, while the observation group were given CICARE communication model combined with health education. The nursing effect was compared between the two groups of patients. Results: The time to out-of-bed mobilization, intestinal peristalsis recovery time, anal exhaust time, gastric tube removal time, and lenth of hospital stay were all shorter in the observation group than those in the control group (P<0.05). The exercise of self-care agency scale (ESCA) item scores and total scores, Morisky medication adherence questionnaire-8 (MMAS-8) scores, medical coping modes questionnaire (MCMQ) confronting scores, and nursing satisfaction scores were higher after intervention in the two groups than those before intervention, and the above scores were higher in the observation group than those in the control group (P<0.05). The Piper fatigue scale (PFS) item scores and total scores, and MCMQ surrender and avoidance scores were lower after intervention in the two groups than those before intervention, and they were lower in the observation group than those in the control group (P<0.05). The incidence of postoperative complications in the observation group was lower than that in the control group (P<0.05). Conclusion: The CICARE communication model combined with health education can accelerate postoperative recovery, improve patients’ self-care ability and adherence, alleviate cancercaused fatigue, and improve nursing satisfaction and quality in patients who underwent robot-assisted surgery for colon cancer.

基金项目：重庆市大足区科技发展项目（DZKJ，2017ACC1009） 

Foundation Item: Science and Technology Development Project of Dazu District, Chongqing (DZKJ, 2017ACC1009) 

引用格式：唐源，刘霞 .CICARE 沟通模式联合健康教育在机器人辅助结肠癌手术患者中的效果 [J]. 机器人外科学杂志（中英文），2025，6（2）： 313-318. 

Citation: TANG Y, LIU X. Effect of the CICARE communication model combined with health education in patients undergoing robotassisted surgery for colon cancer[J]. Chinese Journal of Robotic Surgery, 2025, 6(2): 313-318. 

通讯作者（Corresponding Author）：刘霞（LIU Xia），Email：946128390@qq.com

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