基于渥太华研究应用模式的机器人辅助胃癌根治术临床护理应用方案构建  

Construction of clinical nursing scheme of robot-assisted radical gastrectomy based on the Ottawa model of research use

作　　者：屈文清 杨书姝 QU Wenqing;YANG Shushu(Department of Hepatobiliary Pancreatogastric Surgery,Shanxi Provincial Cancer Hospital,Taiyuan 030013,China;Department of Oncology,the Second Affiliated Hospital of Air Force Medical University,Xi'an 710038,China)

机构地区：[1]山西省肿瘤医院肝胆胰胃外科,山西太原030013 [2]空军军医大学第二附属医院肿瘤科,陕西西安710038

出　　处：《机器人外科学杂志（中英文）》2024年第4期710-716,共7页Chinese Journal of Robotic Surgery

基　　金：山西省自然科学基金面上项目(2022FDG6394)。

摘　　要：目的:探究基于渥太华研究应用模式的机器人辅助胃癌根治术临床护理应用方案。方法:前瞻性选取2022年10月—2023年10月山西省肿瘤医院收治的80例机器人辅助胃癌根治术患者,根据随机数字表法分为对照组和观察组,对照组(n=40)采用常规护理,观察组(n=40)采用基于渥太华研究应用模式的护理方案,并比较两组患者的护理效果。结果:观察组术后胃肠道恢复情况优于对照组,差异具有统计学意义(P<0.05),且观察组护理满意度、CD-RISC评分及SF-36评分均高于对照组,差异具有统计学意义(P<0.05),观察组各时间段AAQ-Ⅱ评分低于对照组,差异具有统计学意义(P<0.05)。同时,观察组护理后3 d、7d的依从率均高于对照组,差异具有统计学意义(P<0.05),观察组术后并发症发生率低于对照组,差异具有统计学意义(P<0.05)。结论:针对机器人辅助胃癌根治术患者开展基于渥太华研究应用模式的护理效果更优,可改善患者负面情绪,提高护理满意度,降低术后并发症。Objective:To explore the clinical nursing method of robot-assisted radical gastrectomy based on the Ottawa model of research use.Methods:80 patients who underwent robot-assisted radical gastrectomy in Shanxi Provincial Cancer Hospital from October 2022 to October 2023 were prospectively selected and divided into the control group and observation group using random number table method.The control group(n=40 cases)received routine nursing,while the observation group(n=40 cases)received nursing plan based on the Ottawa research application model.The nursing effect of the two groups was compared.Results:The postoperative gastrointestinal recovery of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction,CD-RISC score and SF-36 score of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).The AAQ-Ⅱscore in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Meanwhile,the compliance rate after nursing in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The incidence of postoperative complications in the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:The nursing effect of patients undergoing robot-assisted radical gastrectomy based on the Ottawa model of research use is better,which could improve nursing satisfaction and reduce postoperative complications.

关 键 词：渥太华研究应用模式 机器人辅助手术 胃癌根治术 

分 类 号：R473.73[医药卫生—护理学]