关键词: 机器人辅助腹腔镜前列腺癌根治术；日间手术；全程护理；加速康复；延续性护理；护理管理

Abstract: Objective: To construct a comprehensive nursing management program for day surgery in patients undergoing robotic-assisted radical prostatectomy and evaluate its safety and feasibility. Methods: According to the inclusion and exclusion criteria, we recruited patients admitted from January to December, 2021, as the control group, and patients admitted from January to December, 2022, as the experimental group, respectively. The experimental group adopted the comprehensive rehabilitation nursing scheme, while the control group received routine nursing care. Indicators including the proportion of patients discharged within 48 hours, the time needed to have the first ambulation, the incidence of orthostatic intolerance and surgical complications, unplanned readmission within 30d after discharge and incidence of moderate to severe urinary incontinence 1 month after surgery, were compared and analyzed. Results: A total of 126 patients were included in the experimental (n=62) and the control group (n=64), respectively. The time needed to have the first ambulation after surgery in the experimental group was significantly shorter than that in the control group (P<0.05). The incidence of patients' discharge within 48h and the occurrence of postoperative orthostatic intolerance were smaller in the experimental group when compared to the control group (P<0.05). Also, the incidence of moderate and severe urinary incontinence and the unplanned readmission rate within 30d of discharge were significantly lower in the experimental group (P<0.05). The difference between the two groups in terms of surgical complications was not statistical significant (P>0.05). Conclusion: The comprehensive nursing management program for day surgery in patients undergoing robotic-assisted radical prostatectomy can ensure the success of day surgery for robotic-assisted radical prostatectomy and promote patient recovery after surgery. Also, by applying the mode, the incidence of severe urinary incontinence in the first month after surgery is decreased and the patients' life quality is enhanced. The approach facilitates the high-quality management of day surgery for robotic-assisted radical prostatectomy.

Key words: robotic-assisted radical prostatectomy; day surgery; prerehabilitation; enhanced recovery after surgery; transitional care; nursing management