目的：探讨医护一体化护理模式在达芬奇机器人辅助腹腔镜下前列腺癌根治术患者中的应用价值。方法：选取 2020 年 1 月—2021 年 6 月于海军军医大学第二附属医院行达芬奇机器人辅助腹腔镜下前列腺癌根治术（RARP）的 498 例患者为 研究对象，将其随机分为试验组（n=248）与对照组（n=250）。对照组患者接受传统护理模式干预，试验组在传统护理模式 的基础上接受医护一体化护理模式干预。比较两组患者围手术期情况，住院情况，术后恢复指标，心理状态等方面的差异。 结果：与对照组相比，试验组患者术中出血量显著降低、术后住院时间明显缩短且治疗满意度更高，但住院费用亦显著增加， 差异均具有统计学意义（P<0.05）。与对照组相比，试验组患者术后恢复状况显著改善，表现为排尿功能改善率更高，且引 流管拔除时间、肛门排气时间、下床活动时间及尿管拔除时间均明显缩短，差异均具有统计学意义（P<0.05）。试验组患者 的术后疼痛开始时间晚于对照组，差异有统计学意义（P<0.05）；在手术当日疼痛开始时、术日临睡前两个时间点，两组患 者的疼痛评分比较，差异均无统计学意义（P>0.05）；在术后 24 h、术后 48 h 两个时间点，试验组的疼痛评分均显著低于对 照组，差异有统计学意义（P<0.05 ）。结论：医护一体化护理模式比传统护理模式更有利于 RARP 患者恢复，有助于改善患 者的疼痛状况，提高患者满意度。

Objective: To explore the clinical value of an integrated medical-nursing care model in patients undergoing Da Vinci robotassisted laparoscopic radical prostatectomy (RARP). Methods: 498 patients who underwent RARP at the Second Affiliated Hospital of Naval Medical University from January 2020 to June 2021 were enrolled. They were randomly divided into the experimental group (n=248) and the control group (n=250). The control group received conventional nursing care, while the experimental group was managed with the integrated medical-nursing care model based on conventional care. Perioperative outcomes, hospitalization parameters, postoperative recovery indicators, and psychological status were compared between the two groups of patients. Results: Compared with the control group, the experimental group showed significantly reduced intraoperative blood loss, shorter postoperative hospitalization duration, and higher treatment satisfaction, though with significantly higher hospitalization costs (P<0.05). The experimental group showed superior postoperative recovery over the control group, including a higher urinary function improvement rate and significantly shorter durations for drain removal, anal exhaust, ambulation, and urinary catheter removal (P<0.05). Postoperative pain onset in the experimental group was delayed compared to the control group (P<0.05). No significant differences in pain scores were observed between the two groups at initial pain onset on the surgical day or before sleep on the operative day (P>0.05), but the experimental group showed significantly lower pain scores at 24 h and 48 h after surgery (P<0.05). Conclusion: The integrated medical-nursing care model outperforms conventional nursing in promoting recovery, alleviating pain, and improving satisfaction among RARP patients.

基金项目：上海申康医院发展中心市级医院新兴前沿技术联合攻关项目（SHDC12022117） 

Foundation Item: Municipal Hospital Emerging Frontier Technology Joint Research Project of Shanghai Hospital Development Center  (SHDC12022117) 

引用格式：宋丽，李盈盈，刘冬，等 . 医护一体化护理模式在达芬奇机器人辅助腹腔镜下前列腺癌根治术患者中的应用价值 [J]. 机器人外科 学杂志（中英文），2025，6（5）：862-865，870. 

Citation: SONG L, LI Y Y, LIU D, et al. Application value of integrated medical-nursing care model in patients undergoing Da Vinci robotassisted laparoscopic radical prostatectomy [J]. Chinese Journal of Robotic Surgery, 2025, 6(5): 862-865, 870. 

通讯作者（Corresponding Author）：张芹芹（ZHANG Qinqin），Email：15121118296@163.com；彭飞（PENG Fei），Email：zhaozichenpf@ 163.com 

注 : 宋丽，李盈盈为共同第一作者 Co-first Author: SONG Li, LI Yingying

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