基于循证理念的无缝隙护理在机器人辅助根治性膀胱全切术患者围手术期中的应用  

Application of evidence-based seamless nursing care in perioperative period of patients undergoing robot-assisted radical cystotomy

作　　者：李华敏 陈庆丽[1] LI Huamin;CHEN Qingli(Department of Urology,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210000,China)

机构地区：[1]南京医科大学第一附属医院泌尿外科,江苏南京210000

出　　处：《机器人外科学杂志（中英文）》2024年第4期692-696,703,共6页Chinese Journal of Robotic Surgery

基　　金：江苏省科教能力提升工程(ZDXK202219)。

摘　　要：目的:探讨基于循证理念的无缝隙护理在机器人辅助根治性膀胱全切术患者围手术期中的应用效果。方法:选取2021年10月—2023年10月于南京医科大学第一附属医院行机器人辅助根治性膀胱全切术的120例膀胱癌患者为研究对象,将其随机分为对照组(n=60)和试验组(n=60)。对照组患者给予常规护理,试验组患者接受基于循证理念的无缝隙护理。观察两组患者的自我管理能力评分、视觉模拟量表(VAS)评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、应激反应指标及不良反应等情况。结果:干预后,试验组患者的自我管理能力评分、VAS评分、SAS评分、SDS评分优于对照组(P<0.05)。与对照组相比,试验组患者干预后的心率、皮质醇、舒张压及收缩压等应激反应指标更优(P<0.05)。试验组患者深静脉血栓、肠梗阻及感染等不良反应的总发生率低于对照组(P<0.05)。结论:基于循证理念的无缝隙护理在机器人辅助根治性膀胱全切术患者围手术期中的应用效果较好,能够提升患者的自我管理能力,缓解疼痛,减轻负面情绪和应激反应,减少不良反应的发生。Objective:To explore the effect of seamless nursing based on evidence-based concept in the perioperative period of robot-assisted radical cystotomy.Methods:120 patients with bladder cancer who underwent robot-assisted radical cystotomy in the First Affiliated Hospital of Nanjing Medical University from October 2021 to October 2023 were selected and randomly divided into the control group(n=60)and the experimental group(n=60).The control group received standard nursing care,while the experimental group received evidence-based seamless nursing care.Scores of self-management ability,visual analogue scale(VAS),Self-rating anxiety scale(SAS)and Self-rating Depression Scale(SDS),stress response indicators,and adverse reactions of patients in the two groups were evaluated and compared.Results:Scores of self-management ability,VAS,SAS,SDS in the experimental group were better than those in the control group,and the differences were statistically significant(P<0.05).Additionally,the stress response indicators of patients in the experimental group,including heart rate,cortisol levels,diastolic and systolic blood pressure,were better than those of the control group(P<0.05).The total incidence of adverse reactions such as deep vein thrombosis,intestinal obstruction and infection in the experimental group was lower than that in control group(P<0.05).Conclusion:Application of evidence-based seamless nursing care in perioperative period of patients undergoing robot-assisted radical cystotomy could achieve better outcomes,which could improve self-management abilities of patients,relief pain,reduce negative emotions and adverse reactions.

关 键 词：循证理念 无缝隙护理 机器人辅助手术 根治性膀胱全切术 膀胱癌 

分 类 号：R608[医药卫生—外科学] R694[医药卫生—临床医学]