目的：观察并分析信息共享基础上的家庭延续护理在机器人辅助脑胶质瘤手术中的应用效果。方法：选取 2021 年 3 月—2023 年 10 月于广西医科大学第一附属医院行机器人辅助脑胶质瘤手术的 100 例患者，采用奇偶数分组法将其分为对 照组（n=50，常规护理）与试验组（n=50，常规护理联合信息共享基础上的家庭延续护理），比较两组患者的预后情况、心 理资本、遵医行为与生活质量。结果：护理后两组患者Fugl-Meyer上肢运动功能评分量表（FMA-UE）、改良Barthel指数（MBI）、 积极心理资本问卷（PPQ）、生活质量综合评定问卷（GQOL-74）评分均升高（P<0.05）；且护理后试验组 FMA-UE、 MBI、PPQ、GQOL-74 各维度评分均优于对照组（P<0.05）。试验组遵医行为总依从率明显高于对照组（P<0.05）。 结论：对机器人辅助脑胶质瘤手术患者应用信息共享基础上的家庭延续护理，有利于提高患者术后康复效果，改善其心理资 本，可行性良好，值得应用推广。

Objective: To evaluate the clinical efficacy of information-sharing based family-centered transitional care in patients undergoing robot-assisted glioma surgery. Methods: 100 patients who underwent robot-assisted glioma surgery at the First Affiliated Hospital of Guangxi Medical University from March 2021 to October 2023 were enrolled. They were divided into the control group (n=50, receiving routine nursing care) and the experimental group (n=50, receiving routine nursing care combined with informationsharing based family-centered transitional care) using the alternation allocation method. Postoperative outcomes, psychological capital, treatment adherence, and quality of life were compared between the two groups of patients. Results: After intervention, the two groups were both showed significant increases in scores for the Fugl-Meyer Assessment for Upper Extremity (FMA-UE)), Modified Barthel Index (MBI), Positive Psychological Capital Questionnaire (PPQ) and Generic Quality of Life Inventory-74 (GQOL-74) (P<0.05). The experimental group had greater improvements in FMA-UE, MBI, PPQ, and GQOL-74 scores compared to the control group (P<0.05). Additionally, the experimental group showed a significantly higher overall treatment adherence rate than the control group (P<0.05). Conclusion: Information-sharing based family-centered transitional care can enhance postoperative recovery, improve psychological capital, and promote treatment adherence in patients undergoing robot-assisted glioma surgery, which is feasible and worthy of clinical promotion.

基金项目：广西壮族自治区卫生健康委自筹经费科研项目（Z-A20230454） 

Foundation Item: Self-funded Scientific Research Project of the Health Commission of Guangxi Zhuang Autonomous Region (Z-A20230454)  

引用格式：蓝雪文，蒙丹丹，叶夏兰，等 . 信息共享基础上的家庭延续护理在机器人辅助脑胶质瘤手术中的应用效果 [J]. 机器人外科学杂志（中 英文），2025，6（5）：857-861. 

Citation: LAN X W, MENG D D, YE X L, et al. Application effect of information-sharing based family-centered transitional care in robotassisted glioma surgery[J]. Chinese Journal of Robotic Surgery, 2025, 6(5): 857-861. 

通讯作者（Corresponding Author）：赖海燕（LAI Haiyan），Email：2674641504@qq.com

[1] Crooms R C, Johnson M O, Leeper H, et al. Easing the journey-an updated review of palliative care for the patient with high-grade glioma[J]. Curr Oncol Rep, 2022, 24(4): 501-515. 

[2] Evidence-Based Complementary And Alternative Medicine. Retracted: Effect of high-quality nursing based on comprehensive nursing on the postoperative quality of life and satisfaction of patients with malignant glioma[J]. Evid Based Complement Alternat Med, 2023. DOI: 10.1155/2023/9861561. 

[3] DONG H, ZHANG X L, DENG C X, et al. Effects of comprehensive nursing on postoperative complications, mental status and quality of life in patients with glioma[J]. World J Clin Cases, 2022, 10(22): 7825-7831.

[4] 唐梅 , 林巧 , 周小童 , 等 . 衔接性护理干预在脑胶质瘤手术患者中 的护理效果及对术后认知功能的影响研究 [J]. 生命科学仪器 , 2022, 20(z1): 454-455. 

[5] 罗燕红 , 梁思敏 , 冯奇玉 . 基于慢性疾病轨迹模式的护理干预在脑胶 质瘤术后化疗患者中的应用 [J]. 齐鲁护理杂志 , 2021, 27(24): 29-32. 

[6] 陈丽娟 , 崔琴 , 林巍 . 微信平台下的信息共享服务模式联合疾病同 伴者在 CHB 患者延伸护理中的应用 [J]. 齐鲁护理杂志 , 2023, 29(5): 87-90. 

[7] 周美芳 , 徐闻清 . 家庭延续护理技术在慢性传染病社区管理中的应 用 [J]. 国际护理学杂志 , 2022, 41(15): 2877-2880. 

[8] 张晓雪 , 王睿月 , 樊虹玉 , 等 . 上肢功能测试量表的汉化及其在脑卒 中患者中的信效度研究 [J]. 中国全科医学 , 2023, 26(8): 1022-1027. 

[9] 赵建功 , 李芮志 , 徐斌 . 低频重复经颅磁刺激对重度颅脑外伤术后 认知及日常生活能力的疗效分析 [J]. 中国临床医生杂志 , 2021, 49(8): 961-964. 

[10] 唐文 , 尹香 , 邢倩倩 . 阶梯式心理护理对年轻肿瘤患者心理资本、家 属恐惧心理的影响 [J]. 齐鲁护理杂志 , 2022, 28(21): 1-4. 

[11] 胡月 , 平娟娟 . 基于 GQOL-74 量表规范化癌痛护理对晚期肝癌患 者不良情绪、疼痛及睡眠的影响 [J]. 国际护理学杂志 , 2022, 41(4): 720-724.

[12] Hertler C, Eisele G, Gramatzki D, et al. End-of-life care for glioma patients; the caregivers' perspective[J]. J Neurooncol, 2020, 147(3) : 663-669. 

[13] ZHAO Y H, XU Y. Effect of comprehensive nursing based on cognitive behavior on psychological function of glioma patients[J]. Neuropsychiatric Dis Treat, 2021. DOI: 10.2147/NDT.S286164. 

[14] Sprugnoli G, Rossi S, Rotenberg A, et al. Personalised, image-guided, noninvasive brain stimulation in gliomas: Rationale, challenges and opportunities[J]. EBioMedicine, 2021. DOI: 10.1016/j.ebiom.2021.103514. 

[15] 张雪 , 甘燕玲 , 刘蔷 . 情景模拟式健康教育结合回授法在脑胶质瘤术 后肢体运动障碍患者护理中的应用 [J]. 国际护理学杂志 , 2023, 42(6): 1007-1010. 

[16] 胡琴 , 黄晶晶 , 张晴 . 家属赋能联合信息化服务在脑胶质瘤患者术后 的应用 [J]. 护理学杂志 , 2022, 37(11): 24-27. 

[17] 吴坤 , 杨光 . 护理信息共享联合家庭延续护理对脑胶质瘤患者运 动功能、语言功能及日常生活能力的影响 [J]. 昆明医科大学学报 , 2019, 40(8): 131-135. 

[18] 莫丽娟 , 范利萍 , 吴勇姿 , 等 . 共享决策干预配合多感觉训练对喉 癌手术患者语言交流及希望水平的影响 [J]. 护理实践与研究 , 2022, 19(23): 3481-3485. 

[19] 崔婧 . 综合护理联合延续性护理对胶质瘤病人生存质量的影响 [J]. 中国临床神经外科杂志 , 2020, 25(2): 118-120. 

[20] Squires A, Engel P, Ma C J, et al. Continuity of care versus language concordance as an intervention to reduce hospital readmissions from home health care[J]. Medical care, 2023, 61(9) : 605-610. 

[21] Lessing S, Deck R, Berwig M. Telephone-based aftercare groups for family carers of people with dementia-results of a mixed-methods process evaluation of a randomized controlled trial[J]. BMC Health Services Research, 2023, 23(1): 643-643. 

[22] LI L P, RAO D F, CHEN X X, et al. The impact of hospital-family integrated continuation nursing based on information technology on patients unhealthy mood, family function and sexual function after cervical cancer surgery[J]. Medicine, 2023, 102(16): e33504. 

[23] SUN M J, LIU L M, WANG J N, et al. Facilitators and inhibitors in hospital-to-home transitional care for elderly patients with chronic diseases: A meta-synthesis of qualitative studies [J]. Front Public Health, 2023. DOI: 10.3389/fpubh.2023.1047723. 

[24] Jo Heuisug, Kim Woojin, Park Yukyung, et al. Study protocol for a hospital-to-home transitional care for older adults hospitalized with chronic obstructive pulmonary disease in south korea: A randomized controlled trial[J]. Int J Environ Res Public Health, 2023, 20(15): 6507. 

[25] SUN X J, YIN H Y, LIU C L, et al. Psychological capital and perceived supervisor social support as mediating roles between role stress and work engagement among Chinese clinical nursing teachers: a cross-sectional study[J]. BMJ Open, 2023, 13(8): e073303. 

[26] LING C G, YU S J. The relationship between clinical work stress and anxiety in master's degree nursing students: The mediating role of psychological capital and social support[J]. Medicine, 2023, 102(23) : e33997.