机器人外科学杂志（中英文）2025，Vol.6Issue(4)：679-685,7.DOI:10.12180/j.issn.2096-7721.2025.04.029
基于计划行为理论的机器人辅助结直肠癌手术自我管理护理模型的应用
Application of a self-management nursing model based on the theory of planned behavior in robot-assisted colorectal cancer surgery
摘要
Abstract
Objective:To construct a self-management nursing model based on the theory of planned behavior(TPB)in robot-assisted colorectal cancer surgery and evaluate its impact on postoperative recovery.Methods:A prospective double-blind randomized controlled trial was conducted,involving 70 patients who underwent robot-assisted colorectal cancer surgery at Hefei Second People's Hospital from January 2021 to January 2024.Patients were randomly divided into the control group(n=35,receiving routine care)and the experimental group(n=35,receiving postoperative self-management interventions based on TPB).The two groups of patients were both managed for 2 months.Self-Management Behavior Scale(SMBS)scores,the State-Trait Anxiety Inventory(STAI)scores,36-Item Short Form Survey(SF-36)scores,functional recovery time,and complication rates were compared between the two groups of patients.Results:SMBS,STAI,and SF-36 scores before intervention showed no statistically significant differences between the two groups of patients(P>0.05).After intervention,the experimental group showed higher SMBS and SF-36 scores but lower STAI scores compared to the control group(P<0.05).Shorter gastrointestinal function recovery time,first ambulation time,first flatus time,length of hospital stay,and lower overall complication rates were found in the experimental group compared to the control group(P<0.05).Conclusion:The TPB-based self-management nursing model can effectively enhance postoperative self-management ability,accelerate recovery,reduce complications,improve quality of life,and alleviate anxiety in patients undergoing robot-assisted colorectal cancer surgery,which provides novel insights and practical evidence for postoperative nursing interventions.关键词
结直肠癌/机器人辅助手术/计划行为理论/自我管理能力/生活质量Key words
Colorectal Cancer/Robot-assisted Surgery/Theory of Planned Behavior/Self-management Ability/Quality of Life分类
临床医学引用本文复制引用
李玲,张家奎,耿娟..基于计划行为理论的机器人辅助结直肠癌手术自我管理护理模型的应用[J].机器人外科学杂志（中英文）,2025,6(4):679-685,7.基金项目
2023年度安徽省卫生健康科研项目(AHW2023BAc20117)Health Research Project of Anhui Province in 2023(AHW2023BAc20117) （AHW2023BAc20117）
