Robocare护理模式在早期胃癌内镜黏膜下剥离术患者围手术期应用的研究进展

Research Progress on Application of Robocare Nursing Model in Perioperative Period of Early Gastric Cancer Patients Undergoing Endoscopic Submucosal Dissection

摘要: 目的：系统分析Robocare护理模式在早期胃癌内镜黏膜下剥离术(ESD)患者围手术期应用的研究现状及效果。方法：计算机检索PubMed、Embase、Cochrane Library、Web of Science、中国知网、万方数据库，检索时限为建库至2026年7月，纳入Robocare护理模式及护士主导护理路径在ESD、胃癌及消化内镜手术患者围手术期护理中应用的临床研究、系统评价及综述。结果：Robocare模式是一种以护士为主导的全程护理路径，其核心要素包括术前教育、心理支持、术后康复指导及延续性随访。现有研究表明，该模式在缩短术后住院时间、降低并发症发生率、提升患者满意度方面显示出积极效果。通过系统比较ESD现有护理模式(临床护理路径、分级心理护理、PDCA模式、术前咨询)与Robocare模式的差异，发现现有模式普遍存在院外管理缺失、护士角色局限于流程执行、心理干预标准化不足等短板，而Robocare模式的全程个案管理和电话随访诊所可针对性弥补这些不足。本文进一步从麻醉方式、疼痛管理、并发症监测、饮食恢复等八个维度，系统分析了Robocare模式从机器人胃癌手术迁移至ESD所需的适应性调整。但目前该模式在ESD领域的直接应用研究尚属空白。结论：Robocare模式为ESD患者围手术期管理提供了可借鉴的理论框架，其适应性调整方案具有实践指导价值，但需更多高质量专科研究验证其有效性、安全性与可行性。

Abstract: Objective: To systematically analyze the research status and effects of Robocare nursing model in the perioperative period of early gastric cancer patients undergoing endoscopic submucosal dissection (ESD). Methods: PubMed, Embase, Cochrane Library, Web of Science, CNKI, and Wanfang databases were searched from inception to July 2026. Clinical studies, systematic reviews, and reviews on the application of Robocare nursing model and nurse-led care pathways in ESD, gastric cancer, and digestive endoscopic surgery were included for content analysis. Results: The Robocare model is a nurse-led whole-process care pathway with core elements including preoperative education, psychological support, postoperative rehabilitation guidance, and continuity follow-up. Existing studies have shown positive effects in shortening postoperative hospital stay, reducing complication rates, and improving patient satisfaction. Systematic comparison of existing ESD nursing models (clinical nursing pathway, graded psychological care, PDCA model, preoperative counseling) with the Robocare model revealed common shortcomings such as lack of post-discharge management, limited nurse roles, and insufficient standardization of psychological interventions, which the Robocare model’s whole-process case management and telephone follow-up clinic can specifically address. This paper further analyzed the adaptive adjustments required for transferring the Robocare model from robotic gastrectomy to ESD across eight dimensions including anesthesia, pain management, complication monitoring, and diet progression. However, direct application research in the ESD field remains absent. Conclusion: The Robocare model provides a referential theoretical framework for perioperative management of ESD patients, and its adaptive adjustment scheme offers practical guidance value. However, more high-quality specialized studies are needed to verify its effectiveness, safety, and feasibility.