Feedforward Control Combined With Refined Management: Perioperative Nursing Outcomes for Robot‑Assisted Radical Prostatectomy
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Jia Xu1, Qunyan Zheng1, Rijian Guan2
1Department of Operating Room, The Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People's Hospital, 324000 Quzhou, Zhejiang, China.
Aims/Background:
Perioperative nursing has critical implications in surgical procedures as well as patients' safety and postoperative prognosis. This study aimed to explore the effect of feedforward control combined with a refined management model on perioperative nursing in robot-assisted radical prostatectomy.
Methods:
Clinical data of 108 patients who underwent robot-assisted radical prostatectomy from November 2024 to November 2025 in Quzhou People's Hospital were collected for retrospective analysis. All patients were divided into two groups: control group (n = 49) and study group (n = 59) according to the type of nursing management model adopted. The refined management model was applied to the patients in the control group. The study group adopted feedforward control combined with the refined management model. The perioperative indicators were collected. Postoperatively, the quality of nursing care was evaluated using a Good Perioperative Nursing Care Scale (GPNCS). The patient satisfaction and nursing errors were assessed and recorded.
Results:
Compared with the control group, the operative time, blood loss, intraoperative hypothermia, and time to first ambulation were significantly shorter in the study group (p = 0.020, 0.028, 0.034, 0.022, respectively). The scores of different dimensions of GPNCS, such as total score, body care, receiving information, support, and environment, in the study group were significantly increased compared with the control group (all p < 0.001). There were no differences between the two groups in dimensions of respect, medical staff characteristics, and nursing process (all p > 0.05). Patient satisfaction in the study group was higher than in the control group (p < 0.001). There were two cases of patient complaints in the control group but none in the study group (p > 0.05). The incidence of nursing errors reported in the study group was 3.39% (2/59), which was lower than in the control group (18.37%, 9/49) (p = 0.025).
Conclusion:
Feedforward control combined with refined management improved perioperative nursing quality and patient satisfaction while reducing operating room nursing errors in robot-assisted radical prostatectomy.