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Effectiveness of continuity of care after robot-assisted laparoscopic adrenalectomy under ambulatory mode: a single-center intervention study

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Abstract

To investigate the effectiveness of continuity of care after robot-assisted adrenal tumor resection under ambulatory mode. Patients who underwent robot-assisted laparoscopic adrenalectomy (RALA) in the ambulatory surgery department and urology department of our hospital from January 2022 to January 2023 were selected as study subjects. Among them, 50 patients in the Department of Urology as the control group were given routine care. The 50 patients in the ambulatory surgery department as the observation group were given continuity of care on the basis of routine care. Observation indexes include: wound healing, blood pressure, blood potassium, renal function impairment, self-care ability in daily life, medication compliance, follow-up rate, and patient satisfaction. There were no remarkable discrepancies between the two groups in terms of demographic data and basic preoperative conditions of the patients. Compared with the control group, the observation group significantly improved the patients' wound healing, postoperative blood pressure and blood potassium and kidney function (P value all < 0.05). Compared with the control group, the observation group significantly improved postoperative patients' ADL scores, follow-up rates within three months after surgery, and patient satisfaction scores (P value all < 0.05). For patients receiving ambulatory mode robot-assisted laparoscopic adrenalectomy, continuity of care can effectively reduce postoperative complications, improve patients' postoperative self-care ability in daily life, medication compliance and follow-up rate, and improve patient satisfaction, which is worthy of promotion and application by nursing workers.

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Data availability

The clinical data used to support the findings of this study are available from the corresponding author upon request.

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Acknowledgements

This research is financially supported by project from Natural Science Research in Shanxi Province (202203021211072).

Funding

Funding was provided by Natural Science Research in Shanxi Province (Grant No. 202203021211072).

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Authors and Affiliations

  1. Department of Ambulatory Surgery, Shanxi Bethune Hospital, Shanxi Academy of Medical Science, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, 030032, China

    Xue Yao, Xiaoyan Luo, Yanghao Tai, Kang Wang & Jiwen Shang

Authors
  1. Xue Yao
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  2. Xiaoyan Luo
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  3. Yanghao Tai
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  4. Kang Wang
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  5. Jiwen Shang
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Contributions

XY and JS contributed to the conception and design of the study. XL completed the acquisition of clinical data. YT and KW contributed to the data analysis and interpretation. YT completed the drafting of the manuscript and critical revision. JS contributed to the approval of final version of manuscript.

Corresponding author

Correspondence to Jiwen Shang.

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Conflict of interest

The authors have no conflicts of interest or financial ties to disclose.

Ethics statement

This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Ethics Committee of the Shanxi Bethune Hospital (No. YXLL-2019-073).

Patient consent statement

All patients agreed with this study.

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Yao, X., Luo, X., Tai, Y. et al. Effectiveness of continuity of care after robot-assisted laparoscopic adrenalectomy under ambulatory mode: a single-center intervention study. J Robotic Surg 18, 8 (2024). https://doi.org/10.1007/s11701-023-01788-4

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