Application value and benefit analysis of standardized nursing procedures in the perioperative period of da Vinci robotic radical prostatectomy
标准化护理流程在达芬奇机器人前列腺癌根治术围术期的应用价值与效益分析

摘要

目的 探讨标准化护理流程在达芬奇机器人辅助前列腺癌根治术患者围术期护理中的应用效果及临床效益分析，为完善机器人手术护理方案提供依据。方法 采用方便抽样法，选取2023年1月至2024年12月我院收治的120例行达芬奇机器人前列腺癌根治术的患者作为研究对象。将2023年1—12月接受常规护理的60例患者纳入对照组，2024年1—12月实施标准化护理流程的60例患者纳入干预组。从护理工作效率相关的时间指标，以及患者安全与医生满意度等指标对两组进行比较。结果 干预组在术前物品准备时间、机器人系统泊机时间和连台手术衔接时间均显著短于对照组，差异具有统计学意义（P<0.05）；在护理效益方面，干预组术后护理相关并发症发生率明显低于对照组，患者满意度显著高于对照组，差异均具有统计学意义（P<0.05）。结论 在达芬奇机器人前列腺癌根治术患者中应用标准化护理流程，可有效提高护理效率与质量，具有较高的临床推广价值。

Abstract

Objective To explore the application effect and clinical benefit of standardized nursing procedures in the perioperative nursing of patients undergoing Da Vinci robotic-assisted radical prostatectomy, and to provide a basis for improving the nursing plan for robotic surgery.
Methods A convenient sampling method was used to select 120 patients who underwent Da Vinci robotic radical prostatectomy in our hospital from January 2023 to December 2024 as the research objects. Sixty patients who received routine nursing from January to December 2023 were included in the control group, and 60 patients who received standardized nursing procedures from January to December 2024 were included in the intervention group. The two groups were compared in terms of time indicators related to nursing work efficiency, as well as indicators such as patient safety and doctor satisfaction.
Results The preoperative equipment preparation time, robotic system parking time, and transition time between consecutive surgeries in the intervention group were significantly shorter than those in the control group, with statistically significant differences (P<0.05). In terms of nursing benefits, the incidence of postoperative nursing-related complications in the intervention group was significantly lower than that in the control group, and the patient satisfaction was significantly higher than that in the control group, with statistically significant differences (P<0.05).
Conclusion   The application of standardized nursing procedures in patients undergoing Da Vinci robotic radical prostatectomy can effectively improve nursing efficiency and quality, and has high clinical promotion value.