机器人辅助手术多维协同护理管理方案的构建及应用研究

doi:10.3761/j.issn.0254-1769.2026.12.014

摘要/Abstract

摘要：

目的构建机器人辅助手术多维协同护理管理方案，并探讨其应用效果，为提高管理效率及质量提供参考。方法基于业务流程重组理论，通过文献检索、专家论证构建该方案。便利选取2024年1月—2025年3月于山东省某三级甲等综合医院接受机器人辅助手术的患者及参与该手术的医护人员作为研究对象。将2025年1—3月纳入的98例患者以及23名医生、20名护士作为试验组，采用机器人辅助手术多维协同护理管理方案进行管理；将2024年1—3月纳入的100例患者以及24名医生、17名护士作为对照组，采用常规手术管理方式进行管理。比较两组质量、效率相关指标以及医护人员的满意度。结果根据两组患者的一般资料进行倾向性评分匹配，最终各纳入85例。两组均未发生操作相关机器故障、器械相关意外事件。试验组耗材准备时长、器械准备时长、手术准备总时长、装机时长、设备复位时长等均短于对照组；试验组手术医生对手术配合、耗材供应、器械设备保障、手术周转时间以及整体体验的满意度高于对照组；试验组手术室护士对工作流程、耗材管理、器械设备管理、培训支持的满意度高于对照组，差异具有统计学意义（P<0.05）。结论应用机器人辅助手术多维协同护理管理方案有助于提升手术运行效率，提高医护人员的满意度。

关键词: 机器人辅助手术, 效率, 满意度, 护理管理研究

Abstract:

Objective To develop a multidimensional collaborative nursing management plan for robot-assisted surgery and explore its application effects，providing a reference for improving management efficiency and quality. Methods Based on the business process reengineering theory，this plan was constructed through literature retrieval and expert evaluation. Consecutive patients who underwent robot-assisted surgery at a tertiary general hospital in Shandong Province from January 2024 to March 2025，along with the participating medical staff，were selected as the study subjects. A total of 98 patients，23 doctors，and 20 nurses from January to March 2025 were assigned to an experimental group and managed using the robot-assisted surgery multidimensional collaborative nursing management plan. Meanwhile，100 patients，24 doctors，and 17 nurses from January to March 2024 were assigned to a control group and managed with conventional surgical methods. The quality and efficiency-related indicators of both groups，as well as the satisfaction of medical staff，were compared. Results Propensity score matching was performed based on the general data of the 2 groups of patients，and 85 cases were ultimately included in each group. No operation-related machine failures or instrument-related incidents occurred in either group. The experimental group demonstrated shorter durations in consumable preparation，instrument preparation，total surgical preparation，machine installation，and equipment reset compared to the control group. The surgeons in the experimental group reported higher satisfaction with surgical coordination，consumable supply，instrument and equipment support，surgical turnover time，and overall experience than the control group. Additionally，the operating room nurses in the experimental group exhibited greater satisfaction with workflow，consumable management，instrument and equipment management，and training support than the control group，with statistically significant differences（P<0.05）. Conclusion The application of the robot-assisted surgery multidimensional collaborative nursing management plan helps improve surgical operation efficiency and enhance the satisfaction of medical staff.

Key words: Robotic Surgical Procedures, Efficiency, Satisfaction, Nursing Administration Research

李丽, 曹英娟, 翟永华, 颜艳, 孙一诺, 李悦, 张玲玲. 机器人辅助手术多维协同护理管理方案的构建及应用研究[J]. 中华护理杂志, 2026, 61(12): 1688-1694.

LI Li, CAO Yingjuan, ZHAI Yonghua, YAN Yan, SUN Yinuo, LI Yue, ZHANG Lingling. Research on the construction and application of a multi-dimensional collaborative management plan for robotic surgery[J]. Chinese Journal of Nursing, 2026, 61(12): 1688-1694.

图/表 4

表1 倾向性评分匹配前后两组患者的一般资料比较[例（百分比，%）]

Table 1 Comparison of general patient characteristics between the 2 groups before and after propensity score matching[cases（percentage，%）]

表2 倾向性评分匹配后两组效率相关指标比较（min，$\bar{x}±s$）

Table 2 Comparison of efficiency indicators between the 2 groups after propensity score matching（min，$\bar{x}±s$）

表3 两组手术医生满意度比较（分，$\bar{x}±s$）

Table 3 Comparison of satisfaction levels of doctors in 2 groups（scores，$\bar{x}±s$）

表4 两组手术室护士满意度比较（分，$\bar{x}±s$）

Table 4 Comparison of satisfaction levels of operating room nurses in 2 groups（scores，$\bar{x}±s$）

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