Perioperative nursing based on the Knowledge-Attitude-Practice theory in patients undergoing robot-assisted dental implant surgery.

PURPOSE: To investigate the clinical effectiveness of perioperative nursing interventions based on the Knowledge-Attitude-Practice (KAP) theory in patients undergoing robot-assisted dental implant surgery. METHODS: A total of 54 patients who underwent robot-assisted dental implant surgery were allocated to either a conventional perioperative care group (control group) or a KAP intervention group. The control group received routine perioperative care according to the hospital's standard protocols, whereas the intervention group received perioperative care based on the KAP theory in addition to the standard care. The KAP-based care followed a progressive pathway characterized by knowledge dissemination, attitude cultivation, and behavioral guidance. The intervention period lasted for 8 weeks. Primary outcome measures included self-care ability, negative emotions, postoperative swelling and pain, follow-up compliance, and patient satisfaction. RESULTS: After 8 weeks, the intervention group exhibited significantly greater improvements in all domains of self-care behavior (regular follow-up, correct toothbrushing, and balanced diet) as well as in total self-efficacy scores compared with the control group. Dental anxiety and dental fear scores decreased significantly in both groups, with greater reductions in the intervention group. Postoperative pain scores were significantly lower and satisfaction scores significantly higher in the intervention group. At 3 and 6 months, compliance rates in the intervention group were significantly higher than those in control group. CLINICAL SIGNIFICANCE: Perioperative nursing based on the Knowledge-Attitude-Practice (KAP) theory enhanced self-care ability, alleviated negative emotions, increased long-term follow-up compliance, and improved patient satisfaction in individuals undergoing robot-assisted dental implant surgery. This model effectively standardizes patient care behaviors and optimizes postoperative recovery.