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LI Zhouning^a, LIU Gaoming^b, PENG Xiaowei^c , WU Jingfen^a

( a. Department of Operating Room; b. Department of Nursing; c. 

Department of Fourth Head andNeck Surgery, Hunan Cancer Hospital, 

Changsha 410013, China)

Abstract Objective To explore the application effect of the medical and nursing care integration model in the inwhole process management of robotic thyroid surgery via oral approach. Methods The study was conductad as ahistorical controued trial, involving 85 patients who underwent active thyroid procedures via the oral route at atertiary Grade A cancer hospital located in Hunan province. 43 patients from July 2021 to March 2022 were selectedas the control group, adopting the conventional nursing mode. 42 patients from April 2022 to November 2022 wereselected as the observation group, adopting the medical and nursing integration model. The time used to set the single sterile arm cover, the time used to connect the mechanical arm , the average number of intraoperative adjustments olthe mechanical arm, the doctors¡¯ satisfaction level with the nurses and the satisfaction level of patients with thenurses were compared between the two groups. Results In the observation group, the time used to set the singlesterile arm cover and the time used to connect the mechanical arm were significantly shorter than those in the controlgroup. The average number of intraoperative adijustments of the mechanical arm in the observation group wassignificantly less than that in the control group, and the doctor's satisfaction level with the nurses and the satisfactionlevel of patients with the nurses in the observation group were significantly higher than those in the control group ( P<0.05 ). Conclusion 'Through the whole operation process management of robotie thyroid surgery via oral approach ,the elfeetive communication between doctors and nurses is enhaneed, the mutual understanding of collaborativesurgeries is improved, the efficiency and ellectiveness of surgeries are increased. This model is conducive to theimprovement of the outcome of patients¡¯surgical treatment and surgical nursing quality.

Keywords: medical and nursing care integration model; Da Vinci robot; thyroid surgery; nursing care

DOI:10.19296/i.cnki.1008-2409.2024-04-033

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