系统教学模式对机器人辅助下泌尿系统肿瘤患者预康复的影响  

Effect of systematic teaching model on the prehabilitation of patients underwent robot-assisted surgery for urologic tumors

作　　者：谷春梅 魏灿[1] GU Chunmei;WEI Can(Department of Urology,the Second People’s Hospital of Hefei,Hefei 230012,China)

机构地区：[1]合肥市第二人民医院泌尿外科,安徽合肥230012

出　　处：《机器人外科学杂志（中英文）》2024年第4期681-686,共6页Chinese Journal of Robotic Surgery

基　　金：国家自然科学基金项目(82004010)。

摘　　要：目的:探讨系统教学模式对达芬奇机器人辅助下泌尿系统肿瘤患者预康复的影响。方法:选取2021年1月—2023年12月于合肥市第二人民医院行达芬奇机器人辅助下泌尿系统肿瘤手术的69例患者作为研究对象,按历史对照法将2021年的患者设为对照组(n=35),2022—2023年的患者设为干预组(n=34)。对照组实施常规预康复,干预组基于系统教学模式实施常规预康复干预,以患者术前焦虑评分、术后6 min步行试验(6MWT)距离、术后首次肛门排气时间作为评价指标。结果:与对照组相比,干预组患者术前焦虑水平更低,术后第3 d及出院时6MWT距离更远,术后首次肛门排气时间更早。结论:系统教学模式能有效降低达芬奇机器人辅助下泌尿系统肿瘤患者术前焦虑,提高术后早期运动耐力,并缩短术后首次肛门排气时间。Objective:To explore the effect of systematic teaching model on prehabilitation of patients underwent Da Vinci robot-assisted surgery for urologic tumors.Methods:Patients who underwent Da Vinci robot-assisted surgery for urologic tumors in the Second People’s Hospital of Hefei from January 2021 to December 2023 were selected as the research subjects.The patients in 2021 were divided into the control group(n=35)and patients in 2022 to 2023 into the intervention group(n=34)using the historical control method.Patients in the control group received conventional prehabilitation interventions,and patients in the intervention group received prehabilitation interventions based on a systematic teaching model.Preoperative anxiety scores,postoperative 6-min walk test(6MWT)distance,and time to first anal exhaust of patients in the two groups were evaluated and compared.Results:Compared with the control group,patients in the intervention group had lower preoperative anxiety levels,longer 6MWT distances on the 3rd day after surgery and at discharge,and earlier first anal exhaust.Conclusion:The systematic teaching model can effectively reduce preoperative anxiety,improve early postoperative exercise tolerance,and shorten the time to first anal exhaust in patients underwent Da Vinci robot-assisted surgery for urologic tumors.

关 键 词：ADDIE模式 预康复 机器人辅助手术 泌尿系统肿瘤 

分 类 号：R473.6[医药卫生—护理学] R737[医药卫生—临床医学]