【摘要】 目的：探讨基于奥马哈系统的临床护理路径在机器人辅助肾部分切除术患者管理中的应用效果。方法：本研究为类实验研究，选取2020年1月至2023年3月在广西医科大学第一附属医院泌尿外科住院的120例机器人辅助肾部分切除术患者为研究对象，将2020年1月至2021年6月的60例患者设为对照组，2021年7月至2023年3月的60例患者设为观察组。对照组采用常规护理模式，观察组实施奥马哈系统临床护理路径进行护理。比较2组患者术后肠功能恢复时间、术后72 h腹膜后总引流量、术后住院时间、术后14 d血肌酐、术后30 d内需要手术或介入干预的严重出血发生率。结果：干预后，观察组患者肠功能恢复时间短于对照组，差异有统计学意义(P<0.05)；观察组患者术后72 h总引流量与对照组比较，差异无统计学意义(P>0.05)；对照组术后住院时间长于观察组，差异有统计学意义(P<0.05)。结论：基于奥马哈系统的临床护理路径有利于缩短机器人辅助肾部分切除术患者肠功能恢复及住院时间，有利于加速患者康复，值得临床推广。更多还原

【Abstract】 Objective: To explore the application effect of the clinical nursing pathway based on the Omaha system in the management of patients undergoing robot-assisted partial nephrectomy.Methods: This study was a quasi-experimental study. A total of 120 patients undergoing robot-assisted partial nephrectomy in the Department of Urology, the First Affiliated Hospital of Guangxi Medical University from January 2020 to March 2023 were conveniently selected as the study objects. Sixty patients from January 2020 to June 2021 were assigned to a control group, and 60 patients from July 2021 to March 2023 were assigned to the observation group. The control group received routine nursing, while the observation group implemented clinical nursing pathways based on the Omaha system. The postoperative intestinal function recovery time, postoperative 72 h retroperitoneal drainage, postoperative hospital stays, serum creatinine at 14 d after surgery, and the incidence of severe bleeding requiring surgery or intervention within 30 d after the surgery were compared between the 2 groups.Results: After the intervention, the recovery time of intestinal function in the observation group was significantly shorter than that in the control group(P<0.05). There was no significant difference in the total drainage volume 72 h postoperatively between the observation group and the control group(P>0.05). The postoperative hospitalization time in the control group was significantly longer than that in the observation group(P<0.05).Conclusion: The clinical nursing pathway based on the Omaha system is beneficial for shortening intestinal function recovery and hospital stay in patients undergoing robotassisted partial nephrectomy. It promotes the recovery of patients and is worthy of clinical promotion.更多还原