Application of perioperative bundled nursing measures in robot assisted radical prostatectomy
10.13263/j.cnki.nja.2025.11.007
- VernacularTitle:围手术期集束化护理措施在机器人辅助根治性前列腺切除术中的应用
- Author:
Wei LIU
1
;
Yuhao CHEN
;
Jing LIU
;
Song XU
;
Xiaodong ZHAO
;
Pan LIU
Author Information
1. 南京大学医学院附属金陵医院/东部战区总医院麻醉科,南京 210002
- Publication Type:Journal Article
- Keywords:
cluster nursing;
robot-assisted surgery;
radical prostatectomy
- From:
National Journal of Andrology
2025;31(11):1003-1008
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the application effect of perioperative cluster nursing interventions in patients under-going robot-assisted radical prostatectomy.Methods A total of 122 prostate cancer patients who underwent robot-assisted sur-gery from January 2023 to December 2024 were divided into the control group(routine care,55 cases)and the observation group(cluster nursing,67 cases)according to the nursing methods.The psychological status,surgery-related indicators,postoperative recovery,incidence of perioperative complications,and patient satisfaction were compared between the two groups.Results The observation group demonstrated a statistically significant decrease in postoperative anxiety and depression scores compared to the control group(P=0.034,P=0.005).The observation group exhibited shorter operative time and less intraoperative blood loss,with both differences being statistically significant(P=0.016,P＜0.001).In terms of postoperative recovery,the obser-vation group showed faster recovery of bowel function,shorter time for catheter insertion and postoperative hospital stay compared to the control group(P=0.010,P＜0.001,P＜0.001).In the observation group,the incidence of systemic postoperative in-fection was lower than that of the control group(4.5％vs 18.2％,P=0.015).The perioperative hypothermia rate in the obser-vation group was lower than that of the control group(38.8％vs 60.0％,P=0.020).There was no statistically significant difference in postoperative urinary fistula rate between the two groups(P=0.477).The observation group achieved an overall patient satisfaction rate of 98.51％,with higher satisfaction scores compared to the control group(P=0.008).Conclusion Perioperative cluster nursing measures yield favorable outcomes in patients undergoing robot-assisted radical prostatectomy.It can not only shorten the operation time,promote the postoperative recovery of patients,but also reduce the anxiety and depression of patients and complica-tions,and improve patient satisfaction.
