Zhou Minshu, Qi Haiou
Nursing Department, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, China.
Medicine (Baltimore). 2025 Jun 13;104(24):e42896. doi: 10.1097/MD.0000000000042896.
This study explores the clinical effect of continuous improvement of perioperative nursing quality in patients with Da Vinci robot-assisted laparoscopic radical prostatectomy. A total of 222 patients who received Da Vinci robot-assisted laparoscopic radical prostatectomy in our hospital from January to June 2021 were selected as the control group. From July to December 2021, 259 patients who received Da Vinci robot-assisted laparoscopic radical prostatectomy using the perioperative nursing quality continuous improvement model were selected as the improvement group, and the nursing effects of the 2 groups of patients were compared. The placement time of the patients, the incidence of the second berth and the robotic arm collision with the body in the improvement group were significantly less than those in the control group (P < .05); the incidence of short-term postoperative adverse events in the improved group (3.47%) was significantly lower than that in the control group (8.11%) (x2 = 7.096, P = .011). Patients in the improvement group had significantly higher satisfaction with nursing services than the control group, and the difference between the groups was statistically significant (x2 = 9.845, P = .002). The continuous improvement of perioperative nursing quality of Da Vinci robot-assisted laparoscopic radical prostatectomy can not only expose the surgical site to the greatest extent, ensure the smoothness of the operation, but also effectively reduce the incidence of adverse events and improve patient satisfaction, which is worthy of clinical promotion and application.
本研究探讨持续改进围手术期护理质量对达芬奇机器人辅助腹腔镜前列腺癌根治术患者的临床效果。选取2021年1月至6月在我院接受达芬奇机器人辅助腹腔镜前列腺癌根治术的222例患者作为对照组。选取2021年7月至12月采用围手术期护理质量持续改进模式接受达芬奇机器人辅助腹腔镜前列腺癌根治术的259例患者作为改进组，比较两组患者的护理效果。改进组患者的放置时间、二次泊位发生率及机械臂与身体碰撞发生率均显著低于对照组（P < .05）；改进组术后短期不良事件发生率（3.47%）显著低于对照组（8.11%）（x2 = 7.096，P = .011）。改进组患者对护理服务的满意度显著高于对照组，组间差异具有统计学意义（x2 = 9.845，P = .002）。持续改进达芬奇机器人辅助腹腔镜前列腺癌根治术围手术期护理质量，不仅能最大程度暴露手术视野，确保手术顺利进行，还能有效降低不良事件发生率，提高患者满意度，值得临床推广应用。
