目的 探讨护患双视角下达芬奇机器人结直肠肿瘤手术术前访视困境的双重原因。方法 2024年6-7月，采用目的取样法选取某三级甲等医院的11名手术室护士及13名行达芬奇机器人结直肠肿瘤切除术的患者为研究对象，对其进行半结构化访谈，并对访谈资料进行分析和主题提炼。结果 护患视角下的达芬奇机器人结直肠肿瘤手术术前访视困境可归纳为3个核心主题和8个亚主题，即：术前访视的需求差异（信息需求差异、沟通目标差异、执行方式差异），术前访视的实施困境（认知偏差困境、访视时间冲突、信息消化迟滞），术前访视困境的应对策略（优化沟通方式、组建多学科访视团队制订个性化方案）。结论 基于护患访视认知的差异，充分考虑患者及护士的实际需求，帮助提高患者术前准备的依从性，同时优化手术室护理访视方案，提高访视效率。

Objective To explore the dual causes of the preoperative visit dilemma of da Vinci robotic colorectal oncologic surgery from the dual perspective of nurses and patients.Methods 11 operating room nurses and 13 patients after da Vinci robotic colorectal tumor resection in a tertiary A hospital were selected by purposive sampling from June to July 2024 to conduct semi-structured interviews,and the interview data were analyzed and themes were refined.Results Through analysis,the preoperative visit dilemma of da Vinci robotic colorectal tumor surgery from the nurse-patient perspective can be summarized into 3 core themes and 8 sub-themes:differences in the needs of preoperative visits(differences in information needs,differences in communication goals,and differences in implementation methods),implementation dilemmas of preoperative visits(cognitive bias dilemmas,conflicting visit times,and information digestion lag),and coping strategies for preoperative visit dilemmas(optimizing communication methods and forming a multidisciplinary visit team to develop a personalized plan).Conclusions Based on the differences in nurse-patient visit perceptions, the actual needs of both patients and nurses are fully considered to help improve patients' compliance with preoperative preparation, while optimizing the standardization of the visitation protocol for the operating room nursing team and enhancing visitation efficiency.

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江苏省卫生健康委重点科研项目（ZD2022047）