机器人辅助下结直肠癌根治术患者强化康复护理干预体会  

Initial experience of intensive rehabilitation nursing intervention in patients undergoing robot-assisted radical surgery for colorectal cancer

作　　者：史亚丽[1] 于宏伟 王丽慧[3] 郑宇 SHI Yali;YU Hongwei;WANG Lihui;ZHENG Yu(Infection Control Department,the Second Hospital of Hebei Medical University,Shijiazhuang 050000,China;Nursing Department,the Second Hospital of Hebei Medical University,Shijiazhuang 050000,China;Medical Imaging Department,the Second Hospital of Hebei Medical University,Shijiazhuang 050000,China;General Surgery Department,the Second Hospital of Hebei Medical University,Shijiazhuang 050000,China)

机构地区：[1]河北医科大学第二医院感染控制处 [2]河北医科大学第二医院护理部 [3]河北医科大学第二医院医学影像科 [4]河北医科大学第二医院普外二科,河北石家庄050000

出　　处：《机器人外科学杂志（中英文）》2024年第3期386-391,共6页Chinese Journal of Robotic Surgery

基　　金：河北省卫生健康委重点科技研究计划(20230521)。

摘　　要：目的:总结2例达芬奇机器人辅助下结直肠癌根治术患者的术后强化康复护理干预方案,提炼护理干预要点。方法:对2例达芬奇机器人辅助下结直肠癌根治术患者实施围手术期强化康复护理干预方案,干预内容包括术前健康教育、心理干预、术前准备干预、术后疼痛管理、术后康复锻炼5大项,干预时间从患者入院第1 d至出院。结果:2例患者均顺利完成机器人辅助下结直肠癌根治术,术后均未出现切口感染、压力损伤等并发症及恶心、呕吐、头晕等不良反应,康复情况较好,出院时情绪稳定。结论:强化康复护理干预范围全面,可为临床机器人辅助下结直肠癌根治术护理管理提供一定参考。Objective:To analyze the intensive rehabilitation nursing intervention procedures in 2 patients underwent Da Vinci robot-assisted radical surgery for colorectal cancer,and to summarize the key points.Methods:A intensive rehabilitation nursing intervention plan was performed on 2 patients who underwent Da Vinci robot-assisted colorectal surgery.The intervention plan consists of 5 main elements:preoperative health education,psychological intervention,preoperative preparation intervention,postoperative pain management and postoperative rehabilitation exercise.The intervention started from the first day of admission and ended to discharge.Results:2 cases of robot-assisted radical surgery for colorectal cancer were successfully completed,with no surgical site infection,pressure injury or side effects(such as nausea,vomiting,and dizziness).2 patients were both recovered well and discharged from the hospital with stable moods.Conclusion:The intensive rehabilitation nursing intervention plan is comprehensive and effective,which could provide references for clinical nursing management in robot-assisted radical surgery for colorectal cancer.

关 键 词：强化康复护理 机器人辅助手术 结直肠癌 心理状态 

分 类 号：R735.3[医药卫生—肿瘤] R473.73[医药卫生—临床医学]