围手术期优质护理在达芬奇机器人辅助前列腺癌根治术中的应用

Application of high-quality perioperative nursing in da Vinci robot assisted radical prostatectomy for prostate cancer

目的探讨围手术期优质护理在行达芬奇机器人辅助前列腺癌根治术患者中的应用价值。方法将2022年1月至2023年9月于盐城市第一人民医院接受达芬奇机器人微创手术治疗的90例前列腺癌患者纳入研究,根据护理方法的不同分为对照组(39例,常规护理)和观察组(51例,围手术期优质护理)。比较2组的手术相关指标、术后恢复情况及生活质量,并比较2组的术后并发症和护理满意度。结果观察组的手术时间、引流管留置时间及住院时间均较对照组更短,术中出血量较对照组更少,肛门排气时间、下床活动时间及尿管拔除时间均较对照组更早(P均<0.05)。观察组在出院前的生活质量综合评定问卷(GQOLI-74)各维度评分均较对照组更高(P均<0.05),且2组也均较术前更高(P均<0.05)。观察组的并发症总发生率较对照组更低,护理总满意率较对照组更高(P均<0.05)。结论在行达芬奇机器人辅助前列腺癌根治术的患者中采用围手术期优质护理策略,对于缩短手术时间、减少术中出血量、促进术后恢复、提高护理满意度和生活质量,以及降低并发症发生率均有重要意义。

Objective To explore the application value of high-quality perioperative nursing in patients undergoing da Vinci robot assisted radical prostatectomy for prostate cancer.Methods A total of 90 prostate cancer patients who underwent minimally invasive surgery with da Vinci robots at the Yancheng No.1 People's Hospital from January 2022 to September 2023 were included in the study.According to different nursing methods,they were divided into a control group(39 cases,conventional nursing)and an observation group(51 cases,high-quality perioperative nursing).The surgical related indicators,postoperative recovery,and quality of life of the two groups were compared,and the postoperative complications and nursing satisfaction of the two groups were compared.Results The observation group had shorter surgical time,drainage tube retention time,and hospital stay compared to the control group,and the observation group had less intraoperative bleeding compared to the control group.The observation group had earlier anal exhaust time,ambulation time,and urinary catheter removal time than the control group(all P<0.05).The Generic Quality of Life Inventory-74(GQOLI-74)scores of the observation group were higher in all dimensions before discharge compared to the control group(all P<0.05),and the above scores of both groups were also higher than those before surgery(all P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the overall satisfaction rate of nursing in the observation group was higher than that in the control group(both P<0.05).Conclusion The use of high-quality perioperative nursing strategies in patients undergoing da Vinci robot assisted radical prostatectomy for prostate cancer is of great significance in shortening surgical time,reducing intraoperative bleeding,promoting postoperative recovery,improving nursing satisfaction and quality of life,and reducing the incidence of complications.