改良Robocare管理模式在达芬奇机器人子宫内膜癌手术患者中的应用

Modified Robocare management model in patients undergoing Da Vinci robot endometrial cancer surgery

目的探讨改良Robocare管理模式在达芬奇机器人子宫内膜癌手术患者围手术期中的应用效果。方法以广西贵港市人民医院妇科进行达芬奇机器人子宫内膜癌手术的患者为研究对象,其中,2020年7月—2021年3月入选的31例患者为对照组;2021年4—12月入选的32例患者观察组。观察组采用改良Robocare管理模式对患者进行围手术期管理,对照组采用妇科常规护理方法。比较两组患者手术前后转送交接时间、漏实施项目发生率、首次下床活动及首次肛门排气的时间、并发症发生率、干预前后焦虑评分、患者满意度、住院时间。结果观察组手术前后转送交接时间、漏实施项目发生率与对照组比较差异均有统计学意义(P<0.05);观察组首次下床活动及首次肛门排气的时间短于对照组,两组比较差异均有统计学意义(P<0.05);两组干预后焦虑评分均低于干预前,且观察组焦虑评分低于对照组,差异有统计学意义(P<0.05);观察组患者满意度高于对照组,差异无统计学意义(P>0.05),两组住院时间及并发症发生率比较,差异无统计学意义(P>0.05)。结论子宫内膜癌手术患者应用改良Robocare管理模式,能有效缩短交接时间,降低转送交接漏项发生率,改善患者焦虑情绪,促进术后康复,有利于提高患者满意度。

Objective To investigate the effect of modified Robocare management model in the perioperative period of patients undergoing Da Vinci robot endometrial cancer surgery.Methods Patients who underwent Da Vinci robot endometrial cancer surgery in the Department of Gynecology,Guangxi Guigang People's Hospital,were used as the study subjects,31 patients enrolled from July 2020 to March 2021 were selected as the control group,32 patients enrolled from April to December 2021 were the observation group.The patients in the observation group were managed perioperatively using a modified Robocare management model,while the control group used conventional gynaecological care methods.The two groups were compared in terms of time to handover before and after surgery,incidence of missed items,time to first bed movement and first anal discharge,incidence of complications,anxiety scores before and after intervention,patient satisfaction,and length of stay.Results The difference between the observation group and the control group was statistically significant(P<0.05)in terms of the time to transfer and handover before and after surgery and the incidence of missed items;the time of getting out of bed for the first time and the time to have the first anal discharge were shorter in the observation group than in the control group.The difference was statistically significant(P<0.05);Patients satisfaction level in the observation group was higher than the control group,the difference was not statistically significant(P>0.05).There was no statistically significant difference between the two groups in terms of hospitalization time and complication rate(P>0.05).Conclusion The application of the modified Robocare management model for endometrial cancer surgery patients could effectively shorten the handover time,reduce the incidence of transfer handover omissions,improve patient anxiety,promote postoperative recovery and improve patient's satisfaction level.