Robocare全程干预模式应用于机器人辅助下前列腺癌根治术中的效果

Effect of Robocare′s full intervention mode in robotic assisted radical prostatectomy

目的探讨Robcare全程干预模式应用于机器人辅助下前列腺癌根治术中的效果。方法选择2017年3月—2019年3月南京大学医学院附属鼓楼医院收治的行机器人辅助下前列腺癌根治术患者102例,按随机数字表法分为对照组和观察组,各51例。对照组行常规干预,观察组行Robcare全程干预模式。比较两组术后情况、干预前后负性情绪及术后并发症发生率。结果观察组术后下床活动时间、首次肛门通气时间、排便时间、引流管拔除时间、术后住院时间均短于对照组,差异有统计学意义(P<0.05);两组出院3个月后的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均低于入院时;观察组出院3个月后SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05);观察组术后总并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论Robcare全程干预模式应用于机器人辅助下前列腺癌根治术中可促进术后恢复,缓解患者负性情绪,降低并发症发生率,值得推广。

Objective To investigate the effect of Robcare′s full intervention mode in robotic assisted radical prostatectomy.Methods A total of 102 patients with radical prostatectomy underwent robotic surgery from March 2017 to March 2019 were enrolled in Drum Tower Hospital Affiliated to School of Medicine.They were divided into control group and observation group according to the random number table,51 cases in each group.The control group underwent routine intervention,and the observation group underwent the full range of Robcare intervention.The postoperative situation,negative emotion before and after intervention,and postoperative complication rate were compared between the two groups.Results The time of getting out of bed,the time of first anal ventilation,the time of defecation,the time of drainage,and the length of postoperative hospital stay were shorter in the observation group than in the control group,the differences were statistically significant(P<0.05).The scores of self rating anxiety scale(SAS)and self rating depression scale(SDS)in the two groups on the admission were lower than on adnission those three months after discharge;the scores of SAS and SDS in the observation group were lower than those in the control group three months after discharge,the difference was statistically significant(P<0.05).The incidence of total complication was lower in the observation group than in the control group,the difference was statistically significant(P<0.05).Conclusion Robcare′full-intervention model can be used in robotic-assisted radical prostatectomy to promote postoperative recovery,relieve negative emotions and reduce the incidence of complications.It is worthy of promotion.