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门诊机器人辅助肾上腺切除术的术后反馈式健康教育:一项单中心护理干预队列研究

Postoperative feedback-oriented health education in ambulatory robot-assisted adrenalectomy: a single-center nursing intervention cohort study.

作者信息

Yao Xue, Tai Yanghao, Luo Xiaoyan, Wang Kang, Shang Jiwen

机构信息

Department of Ambulatory Surgery, Shanxi Bethune Hospital, Shanxi Academy of Medical Science, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, China.

Third Hospital of Shanxi Medical University, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Taiyuan, China.

出版信息

J Robot Surg. 2025 Jun 1;19(1):255. doi: 10.1007/s11701-025-02416-z.

Abstract

To explore the application effect of feedback health education in the care of patients after robot-assisted adrenal tumor resection in ambulatory mode. 100 patients who underwent robot-assisted adrenal tumor resection in the ambulatory surgery department of our hospital from June 2022 to June 2024 were randomly selected as the study subjects and were divided into the observation group (n = 50 cases) and the control group (n = 50 cases). The observation group used feedback health education, the control group used conventional health education, and the two groups were compared with regard to the patients' psychological status, medication adherence, life quality assessment, and patient satisfaction score. After the intervention, the SAD score of the observation group was significantly lower than that of the control group (42.14 ± 3.52 vs. 47.16 ± 4.60, P < 0.001). SAS scores were significantly lower in the observation group than in the control group (43.9 ± 5.06 vs. 48.36 ± 3.89, P < 0.001). Adherence scores were significantly higher in the observation group than in the control group (7.16 ± 0.71 vs. 6.56 ± 1.15, P = 0.002), and medication adherence was better in the observation group than in the control group (P = 0.008). ADL scores were significantly higher in the observation group than in the control group (85.4 ± 5.09 vs. 80.62 ± 5.70, P < 0.001). Nursing satisfaction scores were significantly higher in the observation group than in the control group (85.42 ± 4.79 vs. 81.12 ± 4.88, P < 0.001). Compared with traditional nursing education, the feedback health education method helps improve the psychological state of patients undergoing robotic-assisted adrenal tumor resection in the day mode, and improves medication adherence, quality of life, and nursing satisfaction.

摘要

探讨反馈式健康教育在日间模式下机器人辅助肾上腺肿瘤切除术后患者护理中的应用效果。选取2022年6月至2024年6月在我院日间手术部行机器人辅助肾上腺肿瘤切除术的100例患者作为研究对象,随机分为观察组(n = 50例)和对照组(n = 50例)。观察组采用反馈式健康教育,对照组采用传统健康教育,比较两组患者的心理状态、用药依从性、生活质量评估及患者满意度评分。干预后,观察组的SAD评分显著低于对照组(42.14±3.52 vs. 47.16±4.60,P < 0.001)。观察组的SAS评分显著低于对照组(43.9±5.06 vs. 48.36±3.89,P < 0.001)。观察组的依从性评分显著高于对照组(7.16±0.71 vs. 6.56±1.15,P = 0.002),且观察组的用药依从性优于对照组(P = 0.008)。观察组的ADL评分显著高于对照组(85.4±5.09 vs. 80.62±5.70,P < 0.001)。观察组的护理满意度评分显著高于对照组(85.42±4.79 vs. 81.12±4.88,P < 0.001)。与传统护理教育相比,反馈式健康教育方法有助于改善日间模式下机器人辅助肾上腺肿瘤切除术后患者的心理状态,提高用药依从性、生活质量及护理满意度。

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