机器人外科学杂志（中英文）2024，Vol.5Issue(2)：199-205,7.DOI:10.12180/j.issn.2096-7721.2024.02.014
ADOPT护理模式在机器人辅助腹腔镜下根治性膀胱切除术中的应用效果
ADOPT nursing care model in robot-assisted laparoscopic radical cystectomy
摘要
Abstract
Objective:To explore the effect of the ADOPT(Attitude,Definition,Open mind,Planning,Try it out)problem solving model in robot-assisted laparoscopic radical cystectomy(RALRC).Methods:A retrospective study was conducted.A total of 66 patients who underwent RALRC with ADOPT nursing intervention in the Department of Urology,Nanjing Drum Tower Hospital from April 2022 to June 2023 were selected as the observation group,and 60 patients who were performed RALRC from January 2020 to March 2022 under the conventional nursing intervention were selected as the control group.The differences in drainage tube indwelling time,removal time of gastric tube,total hospitalization cost,postoperative pain score,incidence of adverse reactions,and Self-care Ability Implementation Scale(ESCA)scores were compared between the two groups.Results:The drainage tube indwelling time,removal time of gastric tube,exhaust time and length of hospital stay in the observation group were shorter than those in the control group,and the total hospitalization cost was less than that in the control group.The self-care ability of patients in the observation group was better and the visual analogue scale(VAS)scores were lower at 24 h,2 d,3 d and 5 d after surgery(P<0.05).Conclusion:ADOPT nursing intervention can improve the self-care ability and rehabilitation efficiency of patients under RALRC.关键词
态度-定义-开放思维-计划-实施护理模式/机器人辅助手术/腹腔镜根治性膀胱切除术Key words
Attitude-Definition-Open mind-Planning-Try it out Nursing Care Model/Robot-assisted Surgery/Laparoscopic Radical Cystectomy分类
医药卫生引用本文复制引用
张小青,陈慧,张银,周泽宇..ADOPT护理模式在机器人辅助腹腔镜下根治性膀胱切除术中的应用效果[J].机器人外科学杂志（中英文）,2024,5(2):199-205,7.基金项目
国家自然科学基金项目(81802535) National Natural Science Foundation of China(81802535) （81802535）
