目的：探讨基于品管圈（QCC）的集束化护理模式在机器人辅助结直肠癌根治术围手术期的应用效果。方法：前瞻性 选取新疆两所三甲医院于 2021 年 7 月—2023 年 7 月收治的结直肠癌患者 106 例，基于随机数字表法分为对照组（53 例，予 常规护理干预）和观察组（53 例，予 QCC 集束化护理模式干预）。比较两组患者的围手术期指标、恢复指标、腹痛及腹胀 程度、肛肠动力学指标、术后并发症发生率及护理满意度情况。结果：与对照组相比，观察组围手术期指标及恢复指标更优 （P<0.05）。术后 6 h 及术后 12 h，观察组腹痛程度评分低于对照组，术后 12 h 观察组腹胀程度评分低于对照组（P<0.05）。 干预后两组患者肛管最大收缩压（MSP）均升高，直肠静息压（RRP）、肛管静息压（ARP）均降低，且观察组 MSP 高于对 照组，RRP、ARP 低于对照组，差异有统计学意义（P<0.05）。观察组术后并发症总发生率低于对照组，总满意率高于对照 组（P<0.05）。结论：在机器人辅助结直肠癌根治术患者围手术期开展 QCC 集束化护理模式，有利于促进患者术后恢复， 改善早期肠道功能及动力学，减少术后并发症发生率，提高护理满意度。

Objective: To explore the effectiveness of quality control circle (QCC)-based bundled nursing model in the perioperative period of robot-assisted radical resection for colorectal cancer. Methods: A prospective study was conducted on 106 colorectal cancer patients from two tertiary hospitals in Xinjiang from July 2021 to July 2023. Participants were randomly divided into the control group (n=53, receiving routine nursing care) and the observation group (n=53, receiving QCC-based bundled nursing model). Perioperative indicators, recovery indicators, abdominal pain and distension severity, anorectal dynamics, postoperative complication rates, and nursing satisfaction were compared between the two groups of patients. Results: The observation group showed better perioperative and recovery indicators compared to the control group (P<0.05). The observation group had lower abdominal pain scores at 6 and 12 hours after surgery, and lower abdominal distension scores at 12 hours after surgery (P<0.05). After intervention, increased maximum squeeze pressure (MSP), decreased rectal resting pressure (RRP) and anal resting pressure (ARP) were found in the two groups, with higher MSP and lower RRP/ARP in the observation group (P<0.05). The observation group also had a lower overall complication rate and higher satisfaction levels (P<0.05). Conclusion: Application of the QCCbased bundled nursing model in the perioperative period of robot-assisted surgery for colorectal cancer can promote postoperative recovery, improve early intestinal function and dynamics, reduce complications, and enhance nursing satisfaction.

基金项目：自治区卫生与健康适宜技术推广项目（SYTG-Y202321） 

Foundation Item: Health and Sanitation Appropriate Technology Promotion Project in Xinjiang Uygur Autonomous Region(SYTG-Y202321) 

引用格式：杨丹，罗丽坤，郑双峰，等 . 品管圈集束化护理模式在机器人辅助结直肠癌根治术围手术期中的应用 [J]. 机器人外科学杂志（中 英文），2025，6（5）：852-856. 

Citation: YANG D, LUO L K, ZHENG S F, et al. Application of quality control circle-based bundled nursing model in the perioperative period  of robot-assisted radical resection for colorectal cancer[J]. Chinese Journal of Robotic Surgery, 2025, 6(5): 852-856. 

通讯作者（Corresponding Author）：李丽（LI Li），Email：lili6699@163.com

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