活动细节分级干预在机器人辅助腹腔镜下肾部分切除术患者中的应用效果  

Application effect of activity detail graded intervention in patients undergoing robot-assisted laparoscopic partial nephrectomy

作　　者：周怡 黄媛媛[1] 高冉冉 纪长威[1] ZHOU Yi;HUANG Yuanyuan;GAO Ranran;JI Changwei(Department of Urology,Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University Medical School,Nanjing 210008,China)

机构地区：[1]南京大学医学院附属鼓楼医院泌尿外科,江苏南京210008

出　　处：《机器人外科学杂志(中英文)》2025年第3期460-463,470,共5页Chinese Journal of Robotic Surgery

基　　金：国家自然科学基金(82172777)。

摘　　要：目的:探讨活动细节分级干预应用于机器人辅助腹腔镜下肾部分切除术患者的效果。方法:选取2020年3月—2022年3月于南京大学医学院附属鼓楼医院行机器人辅助腹腔镜下肾部分切除术的110例患者为研究对象。采用随机数字表法将其分为对照组(n=55)和试验组(n=55),对照组实施常规干预,试验组实施活动细节分级干预。对比两组患者术后康复指标、并发症发生率及干预前后生活质量、自我管理效能的变化。结果:试验组患者术后各康复指标均优于对照组,且术后24 h血清肌酐水平较对照组低(P<0.05);试验组患者干预后生活质量各维度评分均较对照组高(P<0.05);试验组患者干预后自我管理效能各维度评分均较对照组高(P<0.05);试验组患者术后总并发症发生率较对照组低(P<0.05)。结论:活动细节分级干预应用于机器人辅助腹腔镜下肾部分切除术患者的效果显著。Objective:To explore the effect of activity detail graded intervention in patients undergoing robot-assisted laparoscopic partial nephrectomy.Methods:A total of 110 patients who underwent robot-assisted laparoscopic partial nephrectomy at the Affiliated Hospital of Nanjing University Medical School from March 2020 to March 2022 were selected as study subjects.They were divided into the control group(n=55)and the experimental group(n=55)using a random number table.The control group received routine intervention,while the experimental group received activity detail graded intervention.Postoperative recovery indicators,complication rates,quality of life,and self-management efficacy before and after intervention were compared between the two groups of patients.Results:The experimental group demonstrated superior postoperative recovery indicators compared to the control group,with significantly lower serum creatinine levels at 24 h after surgery(P<0.05).After intervention,the experimental group showed higher scores across all quality-of-life dimensions(P<0.05)and higher scores in all self-management efficacy dimensions(P<0.05)than the control group.Additionally,the experimental group had a significantly lower total complication rate(P<0.05).Conclusion:Activity detail graded intervention has significant efficacy in patients undergoing robot-assisted laparoscopic partial nephrectomy.

关 键 词：活动细节分级干预 机器人辅助手术 腹腔镜下肾部分切除术 康复 生活质量 并发症 

分 类 号：R692[医药卫生—泌尿科学]