Individualized Preoperative Visit with the Patients with Da Vinci Robotic Lobectomy: A Control Study_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

SHAOBing ,  HEQun , YANGYu , LISi-yang

Department of Anesthesiology, General Hospital of Shenyang Military Area Command, Shenyang 110016, P. R. China;

Corresponding?author：

HEQun, Email: 13309889424@163.com

Keywords：

Individualization; Preoperative visit; Robotic lobectomy operation; Postoperative rehabilitation

DOI：

10.7507/1007-4848.20150234

Video：

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Objective To explore the application effect of the individualized preoperative visit to the da Vinci Robotic lobectomy patients. Method Sixty lobectomy patients with 34 males and 26 females at age of 29 to 78 (58.4±12.4) years were divided into two groups according to the order of their medical treatment in our hospital between June 2014 and December 2014. In the control group we used conventional reoperative visit method, while in the observation group we used individualized preoperative visit method. And the rehabilitation effects of the two groups were compared. Results Postoperative drainage tube time (6.17±1.34 d vs. 7.13±1.17 d, P=0.004) and length of hospital stay (7.13±1.17 d vs. 8.37±1.92 d, P=0.004) were significantly shorter in the observation group than those in the control group. Postoperative pain score was significantly lower in the observation group than that in the control group (0.87±0.73 points vs. 2.60±0.81 points, P=0.000). Also in the observation group the patients had a higher degree of satisfaction with a statistical difference (P<0.05). Conclusion Individualized preoperative visit relieves patients' concern of the effect of the robotic operation, effectively reduces the psychological pressure of patients, strengthens the confidence of patients to overcome the disease, so that patients can actively cooperate with the operation, which promote postoperative rehabilitation.

Citation： SHAOBing, HEQun, YANGYu, LISi-yang. Individualized Preoperative Visit with the Patients with Da Vinci Robotic Lobectomy: A Control Study. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2015, 22(10): 936-939. doi: 10.7507/1007-4848.20150234 Copy

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13.	王述民,曲家騏,侯維平,等.完全電視胸腔鏡和胸腔鏡輔助小切口型肺葉切除術481例.中華胸心血管外科雜志,2010,26(9):310-311.
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15.	曲亞杰,王小光,陳霞,等.術前訪視在護患溝通中的應用及體會.中國實用醫藥,2010,36(5):277-278.
16.	胡娟.個性化術前訪視在手術室優質護理服務中的應用效果.當代護士,2014,22(7):664-667.
17.	黃玉梅,龔蘭英,黃少芹,等.淺談手術患者術前訪視的優點.中國醫藥指南,2008,6(2):235-236.
18.	吳青梅,劉慧,張潤蘭,等.淺談手術患者術前心理護理.中外健康文摘,2011,12(8):308.
19.	張德惠,胡定偉,崔素芬,等.辯證施護在肺癌患者術前訪視中的應用.時珍國醫國藥,2011,22(6):1544-1545.
20.	李維群.術前訪視對心臟介入患者焦慮及并發癥的影響.重慶醫學,2012,41(19):2002-2003.

1. Palep JH.Robotic assisted minimally invasive surgery.J Minim Access,2009,5(1):1-7.
2. 林曉虹,段雨彤,呂仙榮,等.達芬奇機器人行腹部手術患者的圍術期護理.國際護理雜志,2014,4(33):849-850.
3. 陳秀.達芬奇手術機器人在胸外科的應用.中華腔鏡外科雜志電子版,2010,3(4):302-305.
4. 高杰,蘇丕雄,劉巖,等.冠心病合并甲狀腺功能減退的冠狀動脈旁路移植術.中國胸心血管外科臨床雜志,2010,17(5):374-376.
5. 夏芳,胡曼,袁金旭,等.優化術前訪視對外科手術患者心理及疼痛的影響.國際護理雜志,2014,4(33):915-917.
6. 劉慧.個性化心理護理對乳腺癌手術期患者的影響研究進展.中國醫藥指南,2013,5(11):56-57.
7. 李鴻浩,劉雪梅,昝懿恒,等.達芬奇機器人手術系統在我國胸心外科應用的科學性和倫理學系統評價.中國胸心血管外科臨床雜志,2014,21(3):380-388.
8. 張玲琳,曾俊,陳小麗,等.達芬奇機器人下肺葉切除術的護理配合.護理學雜志,2013,2(28):58-59.
9. 王述民,李博,許世廣,等.達芬奇機器人在胸腺擴大切除術治療Ⅰ型重癥肌無力的應用.中國胸心血管外科臨床雜志,2013,20(6):679-682.
10. 王述民,童向東,劉博,等.達芬奇機器人左肺上葉切除術和淋巴結清除術治療非小細胞肺癌.中國胸心血管外科臨床雜志,2015,22(3):215-219.
11. 耿國軍,于修義,姜杰,等.胸腔鏡手術3D與2D模式下治療孤立性肺結節的病例對照研究.中國胸心血管外科臨床雜志,2015,22(7):664-667.
12. 王述民,許世廣,童向東,等.機器人肺葉切除術治療非小細胞肺癌.中國胸心血管外科臨床雜志,2013,13(3):308-311.
13. 王述民,曲家騏,侯維平,等.完全電視胸腔鏡和胸腔鏡輔助小切口型肺葉切除術481例.中華胸心血管外科雜志,2010,26(9):310-311.
14. 王天佑.快速康復外科理念與胸外科.中國胸心血管外科臨床雜志,2014,2(11):3-4.
15. 曲亞杰,王小光,陳霞,等.術前訪視在護患溝通中的應用及體會.中國實用醫藥,2010,36(5):277-278.
16. 胡娟.個性化術前訪視在手術室優質護理服務中的應用效果.當代護士,2014,22(7):664-667.
17. 黃玉梅,龔蘭英,黃少芹,等.淺談手術患者術前訪視的優點.中國醫藥指南,2008,6(2):235-236.
18. 吳青梅,劉慧,張潤蘭,等.淺談手術患者術前心理護理.中外健康文摘,2011,12(8):308.
19. 張德惠,胡定偉,崔素芬,等.辯證施護在肺癌患者術前訪視中的應用.時珍國醫國藥,2011,22(6):1544-1545.
20. 李維群.術前訪視對心臟介入患者焦慮及并發癥的影響.重慶醫學,2012,41(19):2002-2003.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Individualized Preoperative Visit with the Patients with Da Vinci Robotic Lobectomy: A Control Study

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