{"title":"Application of lean nursing in patient care of Da Vinci robot-assisted laparoscopic prostatectomy","authors":"Jiayu Tan, Wenyan Wu, Yubo Kang, Qiongfang Zhu, Qiuyi Ouyang, Huixian Liu, Huaying Zhang, Fengqiu Gong","doi":"10.1016/j.pcorm.2024.100369","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p><span>In order to meet the needs of patients in modern medicine for lean nursing mode, the author proposes a method of lean nursing combining Da Vinci robot-assisted surgery and laparoscopic-assisted surgery, using the data analysis system, the authors retrospectively analyzed the differences in the basic conditions, medical safety, short-term efficacy, hospitalization time, and hospitalization costs of the patients in the Da Vinci robot group and the </span>laparoscopy group.</p></div><div><h3>Results</h3><p><span>The results showed that: Compared with the general nursing group, the lean nursing group combined with DaVinci robot technology had a significantly higher nursing compliance score (96.14 points vs. 82.23 points, </span><em>P</em><0.05); The nursing job satisfaction score was significantly improved (47.26 points vs. 41.19 points, <em>P</em><0.05). The postoperative hospital stay was significantly shortened (4.46 d vs 6.02 d, <em>P</em><0.05); Karnofsky physical condition score at 1 week after operation (88.62 points vs 83.47 points, <em>P</em><span><0.05) and EORTC QLQ-C30 quality of life evaluation system overall health standardization score at 1 week after operation (73.79 points and 68.02 points, </span><em>P</em><0.05) were also significant improve.</p></div><div><h3>Conclusion</h3><p><strong>:</strong> Lean nursing combined with the DaVinci robot has a great effect and help in the operation and after operation of the surgical patient, and the patient also has a high evaluation of the author's method.</p></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"34 ","pages":"Article 100369"},"PeriodicalIF":1.0000,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Perioperative Care and Operating Room Management","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2405603024000037","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/26 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"Nursing","Score":null,"Total":0}
引用次数: 0
Abstract
Objective
In order to meet the needs of patients in modern medicine for lean nursing mode, the author proposes a method of lean nursing combining Da Vinci robot-assisted surgery and laparoscopic-assisted surgery, using the data analysis system, the authors retrospectively analyzed the differences in the basic conditions, medical safety, short-term efficacy, hospitalization time, and hospitalization costs of the patients in the Da Vinci robot group and the laparoscopy group.
Results
The results showed that: Compared with the general nursing group, the lean nursing group combined with DaVinci robot technology had a significantly higher nursing compliance score (96.14 points vs. 82.23 points, P<0.05); The nursing job satisfaction score was significantly improved (47.26 points vs. 41.19 points, P<0.05). The postoperative hospital stay was significantly shortened (4.46 d vs 6.02 d, P<0.05); Karnofsky physical condition score at 1 week after operation (88.62 points vs 83.47 points, P<0.05) and EORTC QLQ-C30 quality of life evaluation system overall health standardization score at 1 week after operation (73.79 points and 68.02 points, P<0.05) were also significant improve.
Conclusion
: Lean nursing combined with the DaVinci robot has a great effect and help in the operation and after operation of the surgical patient, and the patient also has a high evaluation of the author's method.
摘要] 目的 为满足现代医学中患者对精益化护理模式的需求，笔者提出了达芬奇机器人辅助手术与腹腔镜辅助手术相结合的精益化护理方法，利用数据分析系统，回顾性分析了达芬奇机器人组与腹腔镜组患者在基本情况、医疗安全性、短期疗效、住院时间、住院费用等方面的差异，结果显示：达芬奇机器人组与腹腔镜组患者在基本情况、医疗安全性、短期疗效、住院时间、住院费用等方面的差异显著：与普通护理组相比，结合达芬奇机器人技术的精益护理组护理依从性评分显著提高（96.14 分 vs. 82.23 分，P<0.05）；护理工作满意度评分显著提高（47.26 分 vs. 41.19 分，P<0.05）。术后住院时间明显缩短（4.46 d vs 6.02 d，P<0.05）；术后1周的Karnofsky身体状况评分（88.62分 vs 83.47分，P<0.05）和术后1周的EORTC QLQ-C30生活质量评价系统总体健康标准化评分（73.79分和68.02分，P<0.05）也明显改善：精益护理结合达芬奇机器人对手术患者的术中、术后有很大的效果和帮助，患者对笔者的方法也有很高的评价。
期刊介绍：
The objective of this new online journal is to serve as a multidisciplinary, peer-reviewed source of information related to the administrative, economic, operational, safety, and quality aspects of the ambulatory and in-patient operating room and interventional procedural processes. The journal will provide high-quality information and research findings on operational and system-based approaches to ensure safe, coordinated, and high-value periprocedural care. With the current focus on value in health care it is essential that there is a venue for researchers to publish articles on quality improvement process initiatives, process flow modeling, information management, efficient design, cost improvement, use of novel technologies, and management.
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