医药高职教育与现代护理2025，Vol.8Issue(6)：507-510,4.DOI:10.3969/j.issn.2096-501X.2025.06.010
达芬奇机器人前列腺手术三维坐标沟通模式的护理实践构建
Construction of a nursing practice model based on 3D coordinate communication in Da Vinci robotic prostatectomy
杨娟 1王麒钧1
作者信息
- 1. 214000 江苏 无锡,江南大学附属中心医院 手术室
- 折叠
摘要
Abstract
Objective To address the ambiguity of traditional verbal communication in robotic surgery by establishing a 3D coordinate system to enhance instrument transfer efficiency and team collaboration accuracy.Methods A prospective randomized controlled trial enrolled 80 patients who underwent Vinci robotic radical prostatectomy at Jiangnan University Affiliated Central Hospital between June 2023 and December 2024.Participants were assigned to an observation group(3D coordinate communication)or a control group(traditional communication).The observation group utilized the ureteral orifice as the coordinate origin to define zones(A:urethral anastomosis;B:neurovascular bundle;C:Denonvilliers'fascia),with standardized command format of Zone number+3D offset"and an emergency code system(Code α/β/γ).Nurses received 3D model training(error<0.3 cm),with quality control metrics were monitored.Results The observation group showed significantly shorter command response time(9.3±2.1)s vs.(68.2±15.4)s,higher first-pass instrument accuracy(98.5±1.3)%vs.(82.7±6.8)%,and reduced nurse stress score(32.6±8.4)vs.(71.3±12.6)points.Non-core time decreased(18.3±3.5)%vs.(34.7±6.9)%,and higher surgeon satisfaction scores(9.2±0.7)vs.(6.1±1.4)points,all P<0.001.Conclusions The 3D coordinate communication mode optimizes nursing efficacy in robotic surgery through standardized spatial positioning and procedural decision-making.关键词
达芬奇机器人手术/前列腺癌/三维坐标系统/手术护理/团队沟通Key words
Da Vinci robotic surgery/Prostate cancer/3D coordinate system/Surgical nursing/Team communication引用本文复制引用
杨娟,王麒钧..达芬奇机器人前列腺手术三维坐标沟通模式的护理实践构建[J].医药高职教育与现代护理,2025,8(6):507-510,4.
