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INNOSC Theranostics
and Pharmacological Sciences
ORIGINAL RESEARCH ARTICLE
Impact of Tianji orthopedic robot on patient
satisfaction and quality of life
2
1
Jamal Alshorman * and Ruba Altahla *
1 Department of Orthopedics, Second Affiliated Hospital of Hainan Medical University, Haikou,
Hainan, China
2 Department of Rehabilitation, Second Affiliated Hospital of Hainan Medical University, Haikou,
Hainan, China
Abstract
Internal fixation (IF) surgery has been promoted with the combination of robotic
technology, promising increased accuracy and improved patient prognosis. This
study examined the effect of IF surgery using Tianji orthopedic robot on patient
satisfaction and quality of life (QoL) over a longitudinal follow-up time. A cohort
of 387 patients undergoing IF guided by Tianji orthopedic robot surgery was
followed from the pre-surgery phase through 12 months post-surgery. Patient-
reported outcome measures, including the Oswestry Disability Index (ODI) and the
Short Form Health Survey (SF-36), were administered at baseline, 6 months, and
12 months. In addition, the Newcastle Satisfaction with Nursing Care Scale (NSNCS)
*Corresponding authors: was also used to assess patient satisfaction. Data were analyzed using repeated
Jamal Alshorman
(jamalking61@yahoo.com) measures analysis of variance. However, only 338 (87.33%) patients who underwent
Ruba Altahla robot-assisted surgery completed the survey. A total of 214 (63.31%) females and
(rubamntahla91@gmail.com) 124 (36.68%) males, with an age of 63.76 ± 14 years, were included in the study. The
Citation: Alshorman J, Altahla R. study indicated significant progress in patient satisfaction and QoL. The mean ODI
Impact of Tianji orthopedic robot score decreased from 79.1 ± 4.76 pre-surgery to 46.2 ± 6.09 at 12 months (p<0.001),
on patient satisfaction and quality
of life. INNOSC Theranostics compared to the SF-36 score from 43.5 ± 4.20 to 84 ± 4.8 (p<0.05). Moreover,
and Pharmacological Sciences. the NSNCS scores of 86 ± 4.32 reflected high satisfaction levels, indicating that
2025;8(3):85-92. participants were satisfied with their surgical outcomes at the 12-month follow-up.
doi: 10.36922/ITPS025080009
The Tianji orthopedic robot significantly improves patient satisfaction and QoL
Received: February 19, 2025 over a year. These findings confirm the significance of robotic technology and
Revised: June 10, 2025 surgical procedures and highlight the essential role of nurses in using telehealth for
continuous follow-up care.
Accepted: June 16, 2025
Published online: July 4, 2025
Keywords: Tianji orthopedic robot; Spinal cord abnormalities; Satisfaction; Quality of life;
Copyright: © 2025 Author(s). Nursing
This is an Open-Access article
distributed under the terms of the
Creative Commons Attribution
License, permitting distribution,
and reproduction in any medium, 1. Introduction
provided the original work is
properly cited. The advancements in surgical techniques have altered orthopedic surgery, particularly
Publisher’s Note: AccScience in spinal care. Internal fixation (IF) surgery, vital for stabilizing spine abnormalities,
Publishing remains neutral with has traditionally involved complex procedures with different outcomes. Recent
1
regard to jurisdictional claims in
published maps and institutional achievements, such as robot-assisted surgery, have enhanced surgical accuracy and may
affiliations. improve patient prognosis. 2-6
Volume 8 Issue 3 (2025) 85 doi: 10.36922/ITPS025080009

