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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Abstract Full text Figures/Tables Video References Cited by

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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10.	王述民,童向东,刘博,等.达芬奇机器人左肺上叶切除术和淋巴结清除术治疗非小细胞肺癌.中国胸心血管外科临床杂志,2015,22(3):215-219.
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12.	王述民,许世广,童向东,等.机器人肺叶切除术治疗非小细胞肺癌.中国胸心血管外科临床杂志,2013,13(3):308-311.
13.	王述民,曲家骐,侯维平,等.完全电视胸腔镜和胸腔镜辅助小切口型肺叶切除术481例.中华胸心血管外科杂志,2010,26(9):310-311.
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16.	胡娟.个性化术前访视在手术室优质护理服务中的应用效果.当代护士,2014,22(7):664-667.
17.	黄玉梅,龚兰英,黄少芹,等.浅谈手术患者术前访视的优点.中国医药指南,2008,6(2):235-236.
18.	吴青梅,刘慧,张润兰,等.浅谈手术患者术前心理护理.中外健康文摘,2011,12(8):308.
19.	张德惠,胡定伟,崔素芬,等.辩证施护在肺癌患者术前访视中的应用.时珍国医国药,2011,22(6):1544-1545.
20.	李维群.术前访视对心脏介入患者焦虑及并发症的影响.重庆医学,2012,41(19):2002-2003.

1. Palep JH.Robotic assisted minimally invasive surgery.J Minim Access,2009,5(1):1-7.
2. 林晓虹,段雨彤,吕仙荣,等.达芬奇机器人行腹部手术患者的围术期护理.国际护理杂志,2014,4(33):849-850.
3. 陈秀.达芬奇手术机器人在胸外科的应用.中华腔镜外科杂志电子版,2010,3(4):302-305.
4. 高杰,苏丕雄,刘岩,等.冠心病合并甲状腺功能减退的冠状动脉旁路移植术.中国胸心血管外科临床杂志,2010,17(5):374-376.
5. 夏芳,胡曼,袁金旭,等.优化术前访视对外科手术患者心理及疼痛的影响.国际护理杂志,2014,4(33):915-917.
6. 刘慧.个性化心理护理对乳腺癌手术期患者的影响研究进展.中国医药指南,2013,5(11):56-57.
7. 李鸿浩,刘雪梅,昝懿恒,等.达芬奇机器人手术系统在我国胸心外科应用的科学性和伦理学系统评价.中国胸心血管外科临床杂志,2014,21(3):380-388.
8. 张玲琳,曾俊,陈小丽,等.达芬奇机器人下肺叶切除术的护理配合.护理学杂志,2013,2(28):58-59.
9. 王述民,李博,许世广,等.达芬奇机器人在胸腺扩大切除术治疗Ⅰ型重症肌无力的应用.中国胸心血管外科临床杂志,2013,20(6):679-682.
10. 王述民,童向东,刘博,等.达芬奇机器人左肺上叶切除术和淋巴结清除术治疗非小细胞肺癌.中国胸心血管外科临床杂志,2015,22(3):215-219.
11. 耿国军,于修义,姜杰,等.胸腔镜手术3D与2D模式下治疗孤立性肺结节的病例对照研究.中国胸心血管外科临床杂志,2015,22(7):664-667.
12. 王述民,许世广,童向东,等.机器人肺叶切除术治疗非小细胞肺癌.中国胸心血管外科临床杂志,2013,13(3):308-311.
13. 王述民,曲家骐,侯维平,等.完全电视胸腔镜和胸腔镜辅助小切口型肺叶切除术481例.中华胸心血管外科杂志,2010,26(9):310-311.
14. 王天佑.快速康复外科理念与胸外科.中国胸心血管外科临床杂志,2014,2(11):3-4.
15. 曲亚杰,王小光,陈霞,等.术前访视在护患沟通中的应用及体会.中国实用医药,2010,36(5):277-278.
16. 胡娟.个性化术前访视在手术室优质护理服务中的应用效果.当代护士,2014,22(7):664-667.
17. 黄玉梅,龚兰英,黄少芹,等.浅谈手术患者术前访视的优点.中国医药指南,2008,6(2):235-236.
18. 吴青梅,刘慧,张润兰,等.浅谈手术患者术前心理护理.中外健康文摘,2011,12(8):308.
19. 张德惠,胡定伟,崔素芬,等.辩证施护在肺癌患者术前访视中的应用.时珍国医国药,2011,22(6):1544-1545.
20. 李维群.术前访视对心脏介入患者焦虑及并发症的影响.重庆医学,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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