CAJ | 학술논문

目的：总结机器人辅助腹腔镜下前列腺癌根治术（robot‐assisted laparoscopic prostatectomy ，RALP）护理团队渐进式建设和培训的经验。方法回顾性分析并总结2012年3月至今第二军医大学长海医院开展RA L P护理团队的建设经验，整个培训体系包括4个阶段：理论学习，模拟操作，现场带教和集中强化。结果2012年3月至2013年10月，第二军医大学长海医院共开展RALP手术100例，熟练掌握手术配合的护士由最初的2人增加到目前的10人，建立了一个成熟的护理团队，形成了一套“阶梯式”的培训体系，摸索了一系列改进措施，机器人的术前准备时间明显缩短。结论 RALP护理团队的建设与培训对手术的进一步开展和提高手术效率具有积极意义，值得在临床推广应用。
목적：총결궤기인보조복강경하전렬선암근치술（robot‐assisted laparoscopic prostatectomy ，RALP）호리단대점진식건설화배훈적경험。방법회고성분석병총결2012년3월지금제이군의대학장해의원개전RA L P호리단대적건설경험，정개배훈체계포괄4개계단：이론학습，모의조작，현장대교화집중강화。결과2012년3월지2013년10월，제이군의대학장해의원공개전RALP수술100례，숙련장악수술배합적호사유최초적2인증가도목전적10인，건립료일개성숙적호리단대，형성료일투“계제식”적배훈체계，모색료일계렬개진조시，궤기인적술전준비시간명현축단。결론 RALP호리단대적건설여배훈대수술적진일보개전화제고수술효솔구유적겁의의，치득재림상추엄응용。
Objective To discuss the progressive construction and training of robot‐assisted laparoscopic prostatectomy (RALP) nursing team .Methods Our accumulated experience in nursing team‐building for the RALP from March 2012 until now was retrospectively summarized .The whole training system include four stages:theoretical study ,simulation operation ,scene teaching and concentrate training .Results Over the study period ,100 consecutive cases of RALP were carried out in our hospital .Through this series ,the member of nurses mastered in surgical cooperation were increased from the initial 2 to the current 10 ,and a specialized step‐by‐step training system was establish with a series of improvement measures .With this training program ,the preoperative preparation time of the Da Vinci robot was significantly decreased .Con‐clusion RALP nursing team construction and training have significant improvement to surgical effective‐ness ,which is worthwhile for clinical trial .