Preventive effect of hierarchical intervention in patients with robot-assisted partial nephrectomy on venous thromboembolism

Objective To observe the preventive effect of hierarchical intervention in patients with robot-assisted partial nephrectomy on venous thromboembolism (VTE) of lower limbs.

Methods A total of 76 patients with renal tumor resection were selected as the study objects, and were randomly divided into control group and observation group, with 38 cases in each group. After operation, the control group was given routine nursing, and the observation group was given graded intervention based on the R.E.N.A.L renal measurement scoring system. The incidence of complications, rehabilitation index, coagulation index, quality of life and nursing satisfaction were compared between the two groups.

Results After intervention, the incidence of lower limb pain and swelling, the incidence of VTE and total complications in the observation group were significantly lower than those in the control group (P < 0.05). The exhaust time, infusion time, autonomous activity time and hospitalization stay of the observation group were significantly shorter, and the expenditure was significantly lower than that of the control group (P < 0.05). The activated partial thromboplastin time (APTT) and prothrombin time (PT) in the observation group were significantly shorter, and the levels of fibrinogen (FBG) and D-dimer (D-D) in the observation group were significantly lower than those in the control group (P < 0.05). After intervention, the scores and total scores of all indexes of quality of life (physiological condition, psychological state, independent state, environment, spiritual support and social relationship) in two groups were significantly higher, and the observation group was significantly higher in above indicators than the control group (P < 0.05). The nursing satisfaction of observation group was 97.37%, which was significantly higher than 71.05% of control group (P < 0.05).

Conclusion Hierarchical intervention for patients with robot-assisted laparoscopic partial nephrectomy can effectively prevent lower limb pain, swelling and VTE, promote postoperative recovery, shorten hospital stay and reduce treatment costs, and improve patients' quality of life and nursing satisfaction.