跨理论模型的预康复护理对机器人前列腺癌 根治术患者睡眠的影响

打开文本图片集

AbstractObjective：Toexplore theimplementation valueof pre-rehabilitationnursing usingthetranstheoretical model（TTM） inpatientsundergoingrobot-asistedlaparoscopic prostatectomy（RALP）.Methods：Clinicaldataof82patientstreatedwithRALP inthe900 HospitalofthePeople'sLiberationArmyJointLogisticsSupportForcefromJanuary2O22 toDecember2024wereretrospectivelyanalyzed.Forty-onepatients whoreceivedroutinenursing wereasigned intothecontrol group，and41 patientswho received pre-rehabilitation nursing usingacross TTMwereasignedintotheobservationgroup.Theurinarycontrolfunctionand sleepqualityofthetwogroups werecompared.Results：After interventions，compared withthecontrolgroup，patientsinhebservation group hadsignificantlymoreurineoutput persesion，lessresidualurineoutput，larger maximum bladdercapacity，and higher maximum urine flow rate（ P<0.05 ）. After interventions，compared with the control group，patients in the observation group had significantly lower insomnia severity index scores（ P<0.05 ）. Conclusion： The pre-rehabilitation nursing using a cross TTM model has a positive impact onurinarycontrol functionand sleepqualityimprovement inpatients treated with RALP，andcan be recommended as an intervention model for RALP patients.

KeywordsProstatecancer;Robot；Radical prostatectomy；Thetranstheoretical model；Pre-rehabilitation nursing；Urinarycontrol function; Sleep Quality

中图分类号：R737.25;R493.3;R338.63 文献标识码：A doi：10.3969/j.issn.2095-7130.2025.07.030

前列腺癌作为全球男性发病率第二的恶性肿瘤，其根治性手术是局限性癌变的主要治疗手段[1]随着达芬奇机器人手术系统的广泛应用，机器人辅助腹腔镜前列腺癌根治术（Robot-AssistedLaparo-scopicProstatectomy，RALP）因其精准操作和微创优势，已成为临床标准术式之一[2]。（剩余5590字）