Evidence map›Paper›PMID 40471457›Full record

Trial reportJournal of robotic surgery2025

Enhancing postoperative recovery in robotic-assisted prostatectomy: a randomized trial of LEARNS model, auricular acupressure, and intestinal rehabilitation.

Youwen Shi, Wenxia Bian, Shangqian Wang

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Journal of robotic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Youwen ShiThe First Affiliated Hospital with Nanjing Medical University, Nanjing, China.
Wenxia BianThe First Affiliated Hospital with Nanjing Medical University, Nanjing, China.
Shangqian WangThe First Affiliated Hospital with Nanjing Medical University, Nanjing, China. wangshangqiannjmu@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Robotic-assisted radical prostatectomy (RARP) frequently leads to postoperative gastrointestinal complications, delaying recovery. This study assessed the effectiveness of combining the LEARNS nursing model with auricular acupressure and intestinal rehabilitation techniques to enhance postoperative recovery in RARP patients. A randomized controlled trial was conducted involving 256 male patients undergoing RARP. Participants were randomly assigned to either an intervention group (n = 128), receiving the LEARNS model combined with auricular acupressure and intestinal rehabilitation nursing, or a control group (n = 128), receiving conventional postoperative care. Primary outcomes included the time to first postoperative exhaust, bowel sound recovery, first defecation, severity of abdominal distension, and duration of hospital stay. Compared to the control group, the intervention group demonstrated significantly shorter bowel sound recovery time (4.45 ± 0.87 vs. 5.21 ± 1.02 h, P < 0.001), earlier first exhaust (24.35 ± 2.75 vs. 30.25 ± 2.15 h, P < 0.001), and earlier first defecation (75.35 ± 4.23 vs. 83.52 ± 6.53 h, P < 0.001). The intervention group also experienced significantly reduced severity of abdominal distension and shorter postoperative hospital stays (5.28 ± 1.22 vs. 6.56 ± 1.08 days, P < 0.001). Integrating the LEARNS nursing model with auricular acupressure and intestinal rehabilitation substantially accelerates gastrointestinal recovery following RARP. Embedding this evidence-based, multimodal nursing protocol into routine perioperative care pathways may reduce postoperative morbidity, shorten hospital stay, and optimise healthcare resource utilisation, thereby providing considerable clinical value.

Indexed as

AcupressurePostoperative CareProstatectomyRobotic Surgical ProceduresAgedHumansLength of StayMaleMiddle AgedPostoperative ComplicationsAuricular acupressureIntestinal rehabilitation nursingLEARNS modelPostoperative rehabilitationProstate cancerRobot-assisted laparoscopic surgery

Identifiers

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.