{"title":"机器人全肠系膜切除的三维造口模型教育计划：单中心经验","authors":"Sze Yuet Joyce Kwong, Pak Tat Chan, Yuk Kam Pang","doi":"10.1111/1744-1633.12739","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>Stoma education is an essential part of perioperative management in colorectal surgery. Recently, three-dimensional (3D) printed stoma models have been developed as useful adjuncts to conventional stoma teaching. This study aims to evaluate the impact of the introduction of a 3D stoma model education programme on patients undergoing elective robotic total mesorectal excision (TME).</p>\n </section>\n \n <section>\n \n <h3> Methodology</h3>\n \n <p>Between April 2021 and October 2021, 12 patients who underwent elective robotic TME in Queen Elizabeth Hospital were recruited into the 3D stoma model education programme. They were compared with 30 patients who had robotic TME before the introduction of the programme from January 2020 to December 2020. Their demographics, length of stay, self-stoma care skills, and feedback regarding the programme were reviewed.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>There was a reduction of 2.7 days in the mean length of stay before (10.8 days) and after (8.1 days) the introduction of the 3D stoma model education programme. A statistically significant difference was observed (<i>P</i> = .0236). The programme was well received among participants. All patients agreed that it relieved their anxiety, increased their understanding and confidence in self-stoma care, and enhanced their self-stoma care ability. This was supported by their excellent performance in the first post-operative stoma care session, where their stoma care skills were assessed by a stoma nurse specialist.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Preliminary results from our 3D stoma model education programme for patients undergoing elective robotic TME are promising. The use of 3D stoma models may contribute to a shorter length of hospital stay and self-stoma care proficiency, and are well accepted by patients.</p>\n </section>\n </div>","PeriodicalId":51190,"journal":{"name":"Surgical Practice","volume":"29 2","pages":"73-78"},"PeriodicalIF":0.3000,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Three-dimensional stoma model education programme for robotic total mesorectal excision: A single-centre experience\",\"authors\":\"Sze Yuet Joyce Kwong, Pak Tat Chan, Yuk Kam Pang\",\"doi\":\"10.1111/1744-1633.12739\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>Stoma education is an essential part of perioperative management in colorectal surgery. Recently, three-dimensional (3D) printed stoma models have been developed as useful adjuncts to conventional stoma teaching. This study aims to evaluate the impact of the introduction of a 3D stoma model education programme on patients undergoing elective robotic total mesorectal excision (TME).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methodology</h3>\\n \\n <p>Between April 2021 and October 2021, 12 patients who underwent elective robotic TME in Queen Elizabeth Hospital were recruited into the 3D stoma model education programme. They were compared with 30 patients who had robotic TME before the introduction of the programme from January 2020 to December 2020. Their demographics, length of stay, self-stoma care skills, and feedback regarding the programme were reviewed.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>There was a reduction of 2.7 days in the mean length of stay before (10.8 days) and after (8.1 days) the introduction of the 3D stoma model education programme. A statistically significant difference was observed (<i>P</i> = .0236). The programme was well received among participants. All patients agreed that it relieved their anxiety, increased their understanding and confidence in self-stoma care, and enhanced their self-stoma care ability. This was supported by their excellent performance in the first post-operative stoma care session, where their stoma care skills were assessed by a stoma nurse specialist.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>Preliminary results from our 3D stoma model education programme for patients undergoing elective robotic TME are promising. The use of 3D stoma models may contribute to a shorter length of hospital stay and self-stoma care proficiency, and are well accepted by patients.</p>\\n </section>\\n </div>\",\"PeriodicalId\":51190,\"journal\":{\"name\":\"Surgical Practice\",\"volume\":\"29 2\",\"pages\":\"73-78\"},\"PeriodicalIF\":0.3000,\"publicationDate\":\"2024-12-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Surgical Practice\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/1744-1633.12739\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Surgical Practice","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/1744-1633.12739","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
Three-dimensional stoma model education programme for robotic total mesorectal excision: A single-centre experience
Objective
Stoma education is an essential part of perioperative management in colorectal surgery. Recently, three-dimensional (3D) printed stoma models have been developed as useful adjuncts to conventional stoma teaching. This study aims to evaluate the impact of the introduction of a 3D stoma model education programme on patients undergoing elective robotic total mesorectal excision (TME).
Methodology
Between April 2021 and October 2021, 12 patients who underwent elective robotic TME in Queen Elizabeth Hospital were recruited into the 3D stoma model education programme. They were compared with 30 patients who had robotic TME before the introduction of the programme from January 2020 to December 2020. Their demographics, length of stay, self-stoma care skills, and feedback regarding the programme were reviewed.
Results
There was a reduction of 2.7 days in the mean length of stay before (10.8 days) and after (8.1 days) the introduction of the 3D stoma model education programme. A statistically significant difference was observed (P = .0236). The programme was well received among participants. All patients agreed that it relieved their anxiety, increased their understanding and confidence in self-stoma care, and enhanced their self-stoma care ability. This was supported by their excellent performance in the first post-operative stoma care session, where their stoma care skills were assessed by a stoma nurse specialist.
Conclusions
Preliminary results from our 3D stoma model education programme for patients undergoing elective robotic TME are promising. The use of 3D stoma models may contribute to a shorter length of hospital stay and self-stoma care proficiency, and are well accepted by patients.
期刊介绍：
Surgical Practice is a peer-reviewed quarterly journal, which is dedicated to the art and science of advances in clinical practice and research in surgery. Surgical Practice publishes papers in all fields of surgery and surgery-related disciplines. It consists of sections of history, leading articles, reviews, original papers, discussion papers, education, case reports, short notes on surgical techniques and letters to the Editor.
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