机器人外科学杂志（中英文）2026，Vol.7Issue(8)：1381-1386,6.DOI:10.12180/j.issn.2096-7721.2026.08.010
基于自我决定理论的活动参与促进策略在机器人辅助微创食管切除术后的应用研究
Application effect of activity participation promotion strategies based on self-determination theory in patients after robot-assisted minimally invasive esophagectomy
摘要
Abstract
Objective:To investigate the effect of activity participation promotion strategies based on self-determination theory(SDT)on the postoperative rehabilitation of patients undergoing robot-assisted minimally invasive esophagectomy(RAMIE),aiming to provide reference for optimizing postoperative rehabilitation care.Methods:A retrospective analysis was conducted on the clinical data of 76 patients who underwent RAMIE at Tangdu hospital between October 2023 and October 2025.Patients were divided into the control group(n=38,receiving routine postoperative care and activity guidance)and the observation group(n=38,receiving SDT-based activity participation promotion strategies in addition to routine postoperative care and activity guidance)according to the type of nursing intervention.Postoperative activity and rehabilitation indicators,sense of self-determination,psychological status,healthy lifestyle practices,and quality of life were compared between the two groups.Results:The observation group had a shorter length of hospital stay,longer daily activity duration at 1 and 2 weeks postoperatively,and a lower incidence rate of complications than the control group(P<0.05).At 2 weeks postoperatively,both groups showed increased scores on the self-determination scale,the exercise of self-care agency scale(ESCA),the exercise self-efficacy scale(ESES),and the Chinese version of the Connor-Davidson resilience scale(CD-RISC),while scores on the self-rating anxiety scale(SAS)and the self-rating depression scale(SDS)were all decreased(P<0.05).Furthermore,the observation group showed significantly higher self-determination scale,ESCA,ESES,and CD-RISC scores,and lower SAS and SDS scores than the control group(P<0.05).At 2 months postoperatively,both groups showed improved scores on the health-promoting lifestyle profile(HPLP)and the short form-36 health survey(SF-36),with the observation group scoring significantly higher than the control group(P<0.05).Conclusion:The SDT-based activity participation promotion strategies can effectively enhance activity engagement,shorten rehabilitation duration,reduce complication risk,and improve psychological well-being and quality of life in patients underwent RAMIE,which is worthy of clinical promotion.关键词
自我决定理论/机器人辅助手术/食管切除术/术后活动/自我护理能力Key words
Self-determination Theory/Robot-assisted Surgery/Esophagectomy/Postoperative Activities/Self-care Ability分类
医药卫生引用本文复制引用
张娜,邵琼洁,侯丽华,刘红岗,谷仲平,王艳..基于自我决定理论的活动参与促进策略在机器人辅助微创食管切除术后的应用研究[J].机器人外科学杂志（中英文）,2026,7(8):1381-1386,6.基金项目
陕西省重点研发计划项目(2025SF-YBXM-024) Key R&D Plan Project of Shaanxi Province(2025SF-YBXM-024) （2025SF-YBXM-024）
