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机器人手术如何影响妇科患者护理?

How does robotic surgery affect gynecology patient care?

机构信息

Department of Surgical Diseases Nursing Science, Faculty of Health Sciences, Kilis 7 Aralık Universty, Kilis, Türkiye.

Department of Nursing Science, Faculty of Health Sciences, Kuopio University Hospital, University of Eastern Finland, Kuopio, Finland.

出版信息

J Robot Surg. 2024 Jun 19;18(1):256. doi: 10.1007/s11701-024-01955-1.

Abstract

The aim of this review is to map the current research on the needs of gynecological patients treated with robotic surgery. Systematic Rapid Review. Pubmed, Web of Science, Google Scholar. Search was limited from the years 2017-2021. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement was followed. Rapid review is a synthesis of information produced in a shorter time than systematic reviews, which allows clinical nurses to access evidence in the decision-making process. The methodological steps implemented were the following: (1) needs assessment and topic selection, (2) study development, (3) literature search, (4) screening and study selection, (5) data extraction, (6) risk-of-bias assessment and (7) knowledge synthesis. The search yielded 815 articles, 746 were excluded after screening the title and abstract, and 69 full-text syntheses were performed. Only 10 articles were included in the final analysis. This research evaluated the effects of robotic surgery on the patient under seven themes; operative time, length of stay, complications, estimated blood loss, pain, survivor, and conversion. Five studies were on endometrial cancer, one study on gynecologic cancer, two studies on hysterectomy, one study on patient safety, and one study on cervical cancer. The results show that robotic surgery can change the needs of patients by solving ongoing problems in gynecological patients. This requires a better understanding of robotic surgery procedures while facilitating nursing care over patient care.

摘要

本次综述的目的是绘制接受机器人手术治疗的妇科患者需求的当前研究图谱。系统快速综述。检索 Pubmed、Web of Science、Google Scholar,检索年限限于 2017-2021 年。遵循了系统评价和荟萃分析的首选报告项目(PRISMA)声明。快速综述是在比系统综述更短的时间内对信息进行综合,使临床护士能够在决策过程中获取证据。实施的方法步骤如下:(1)需求评估和主题选择,(2)研究开发,(3)文献检索,(4)筛选和研究选择,(5)数据提取,(6)偏倚风险评估和(7)知识综合。检索得到 815 篇文章,在筛选标题和摘要后排除了 746 篇,对 69 篇全文进行了综合分析。最终只有 10 篇文章被纳入最终分析。本研究从七个主题评估了机器人手术对患者的影响;手术时间、住院时间、并发症、估计出血量、疼痛、存活率和转化。五项研究针对子宫内膜癌,一项研究针对妇科癌症,两项研究针对子宫切除术,一项研究针对患者安全,一项研究针对宫颈癌。结果表明,机器人手术可以通过解决妇科患者的持续问题来改变患者的需求。这需要更好地了解机器人手术程序,同时促进患者护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59fe/11186900/979e8702fcf2/11701_2024_1955_Fig1_HTML.jpg

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