基于加速康复外科理念的医护合作模式在机器人辅助腹腔镜根治性膀胱切除术联合原位回肠新膀胱术中的应用
打开文本图片集
中图分类号R472.3R737.14 文献标识码A文章编号 2096-7721（2026）03-0435-06
Application of medical-nursing collaboration model based on enhanced recovery after surgery in robot-assisted laparoscopic radical cystectomy-orthotopic ileal neobladder reconstruction
DU Ling， CHEN Hui， ZHANG Yin，DING Jiarong， WANG Liangmei （Departenoflowsialdialiticaola
AbstractObjective：Toexploreteaplicationefectofthemedical-ursingcollaborationmodelbasedontheprinciplesofeanced recoveryafterugery（RAS）inbasistedlaarosopicdicalceoyoticlalnobdercostructon. Methods：102patientswhounderwentRALRC-OINRatNanjingDrum TowerHospital，the Afiliated Hospitalof Nanjing Univesity Medical School from June2O21 to July 2O24 were selected. They were divided into the control group （ n =51，receiving routine nursing care） and the observation group （ n =51，receiving nursing care based on the principles of ERAS with medical-nursing collaboration）using arandomuertable.eropeatieicators，ostoperatiecoveryicatorsyologicalstatusdeneofsotie complications，ndursingsatisfactionwerecomparedbetweenthetwogroups.Results：Theobservationgrouphadlowerintraopative blood loss，shorter operative time，and reduced postoperative hospital stay compared to the control group （ P <0.05）. Time to first ambulation and first oral intake were also significantly earlier in the observation group than the control group （ P- <0.05）. Compared with the control group，the observation groupexperiencedsignificantlyearlierrecoveryofbowel sounds，firstflatus，and firstdefecation（ P <0.05）. After nursing interventio，othgoupssowedducedscosonteself-ratigaxietysale （SA）andselfratigdepresioscale，th the observation group scoring lower than the control group （ P<0.05 ）. The total incidence of postoperative complications in the observation group was lower than that in the control group （P<0.05 ）. The overall nursing satisfaction level in the observation group was higher than that in the control group （P<0.05） . Conclusion： The ERAS-based medical-nursing collaboration model in RALRC-OINR can effctively reduce intraoperatieodlooaeidgtsialleateoieoyeicl status，lower complication rates，and enhance nursing satisfaction.
KeyWordsEnhacdRecoeryafterSurgery;RadicalCystetomy;OrtotoicealNobldderRecostruction;Robotaistedurgey Medical-nursing Collaboration Model
膀胱癌是起源于膀胱黏膜的恶性肿瘤，在我国泌尿生殖系统肿瘤中的发病率居首位[1]，其治疗方法包括手术、化疗以及免疫治疗等多种手段[2。（剩余9296字）