基于系统管理理论的达芬奇机器人辅助的多学科团队手术护理标准方案的构建与应用 [中文引用][英文引用]

目的  基于系统管理理论构建达芬奇机器人辅助手术的多学科团队手术护理标准方案，并评价其应用效果。方法  基于系统管理理论，构建达芬奇机器人辅助下多学科团队手术护理标准方案。采用便利抽样法，选取 2022 年 10 月—2023 年 9 月在龙岩市某三级甲等医院行达芬奇机器人辅助手术的 100 例患者作为研究对象，其中 2022 年 10 月— 2023 年 4月 50 例患者作为对照组，2023 年 5 月— 9 月 50 例患者作为试验组。对照组采用常规护理，试验组采用基于系统管理理论的达芬奇机器人辅助的多学科团队手术护理标准方案进行护理。对比达芬奇机器人辅助手术的术前准备时间、装机时间、手术时间、住院天数、术后入住重症监护室（intensive care unit，ICU）率、手术相关并发症发生率及医、护、患满意度得分。结果  试验组患者术前准备时间和装机时间少于对照组，两组比较，差异具有统计学意义（均 P<0.001），但两组手术时间比较，差异无统计学意义（P>0.05）。试验组患者住院天数和术后入住 ICU 例数少于对照组，手术相关并发症发生率低于对照组，两组比较，差异具有统计学意义（均 P<0.05）；试验组患者、护士和医生满意度得分高于对照组，两组比较，差异具有统计学意义（均 P<0.001）。结论  本研究构建的基于系统管理理论的达芬奇机器人辅助的多学科团队手术护理方案具有科学性，能提高手术效率，保障手术患者安全，提高医护患三方满意度。

Objective To develop and evaluate a standardised nursing protocol for multidisciplinary team surgery assisted by ada Vinci surgical system based on systems management theory. Methods With the systems management theory，a nursing protocol wasdeveloped for multidisciplinary team surgery assisted by a da Vinci surgical system. Convenience sampling was employed to select 100patients who received surgery assisted by a da Vinci surgical system between October 2022 and September 2023 at a Tire-IIIA hospitalin Longyan. The patients received the surgery between October 2022 and April 2023（n=50）were assigned to the control group，and thosebetween May 2023 and September 2023（n=50）were assigned to the trial group. The patients in the control group received routine nursingcare，while those in the trial group received a standardised nursing protocol for multidisciplinary team surgery assisted by a da Vincisurgical system based on systems management theory. Preoperative preparation time，setup time for surgery，surgical time，time of hospitalstay，ICU admission rate，rate of surgical complication，and scores of satisfaction from medical staff and patients were compared betweenthe two groups. Results Patients in trial group had a shorter time in preoperative preparation and setup than those in the control group（both P<0.001），However，there was no significant difference in surgical time（P>0.05）. Patients in the trial group had shorter time ofhospital stay，fewer ICU admission and a lower surgical complication rate（all P<0.05），and with higher satisfaction scores from patients，nurses and surgeons（all P<0.001）. Conclusion The developed nursing protocol for the multidisciplinary team surgery assisted by a daVinci surgical system is scientific. It improves surgical efficiency，patient safety and satisfaction among patients，surgeons and nurses.