|
|
|
| Application effect of multidisciplinary collaborative pain management model in the perioperative period of thoracoscopic lobectomy |
| ZHONG Ming-lian |
| Department of Thoracic Surgery, Ganzhou People′s Hospital, Jiangxi Province, Ganzhou 341000, China |
|
|
|
|
Abstract Objective To investigate the application effect of multidisciplinary collaborative pain management model in the perioperative period of thoracoscopic lobectomy. Methods A total of 88 patients with thoracoscopic lobulotomy admitted to Ganzhou People′s Hospital in Jiangxi Province from November 2018 to October 2020 were selected as the research subjects, and were divided into the observation group (44 cases) and the control group (44 cases) according to random number table method. The control group was treated with routine perioperative nursing, and the observation group was treated with multidisciplinary cooperative pain management mode on the basis of the control group, until the patients were discharged from hospital. The pain degree, postoperative recovery time and the incidence of complications were compared between the two groups. Results There was no significant difference in visual analogue scale (VAS)scores between the two groups at 4 hours after operation (P＞0.05). The VAS scores of the observation group at 24 and 72 hours after operation were lower than those of the control group, the first exhaust and hospitalization time were shorter than those of the control group, and the differences were statistically significant (P<0.05). The total incidence of postoperative complications in the observation group was 9.09%, lower than 25.00% in the control group, and the difference was statistically significant (P<0.05). Conclusion The multidisciplinary collaborative pain management model can effectively reduce the postoperative pain of patients undergoing thoracoscopic lobectomy, promote postoperative recovery and reduce postoperative complications.
|
|
|
|
|
|
| [1] |
张振龙，潘小杰，欧德彬.加速康复外科理念在胸腔镜肺癌根治术的应用[J].中国康复医学杂志，2019，34（8）：950-953.
|
| [2] |
戚胜波，刘永靖，陶宇，等.胸腔镜肺叶切除术与肺段切除术治疗早期肺癌的临床分析[J].临床肺科杂志，2020，25（5）：740-744.
|
| [3] |
石帅，任青竹，罗于海，等.胸腔镜和开胸肺叶切除术对非小细胞肺癌患者心肺功能及细胞免疫功能的影响[J].中国医刊，2019，54（11）：1211-1215.
|
| [4] |
陈湘，许固鑫，刘珍，等.多学科综合护理对肺癌根治术后患者肺康复的效果观察[J].广西医科大学学报，2019，36（7）：1206-1209.
|
| [5] |
陈孝平，汪健平，赵继宗.外科学[M].9 版.北京：人民卫生出版社，2018：265-267.
|
| [6] |
孙兵，车晓明.视觉模拟评分法（VAS）[J].中华神经外科杂志，2012，28（6）：645.
|
| [7] |
李纪远，张灿斌，马新，等.胸腔镜肺叶切除术治疗非小细胞肺癌效果及生存分析[J].中国老年学杂志，2019，39（12）：2882-2884.
|
| [8] |
黄健，张凡，石晶，等.全程系统化护理在腹腔镜肾癌根治性切除术围术期护理中的应用[J].中国肿瘤临床与康复，2019，26（9）：1122-1125.
|
| [9] |
廖萌露，陈微微，丁小荣.六步标准沟通结合疼痛管理对非小细胞肺癌胸腔镜术后患者康复的影响[J].中国实用护理杂志，2020，36（35）：2747-2753.
|
| [10] |
陈瑜，徐青青.个案专项疼痛管理理念在肺癌根治术后护理中的运用[J].中国药物与临床，2019，19（4）：670-673.
|
| [11] |
蔡秋霞，张立君，朱伟伟.肺癌胸腔镜手术患者的多学科加速康复外科护理[J].护理学杂志，2018，33（19）：26-29.
|
| [12] |
王芹，夏广惠，丁洁芳，等.护士主导的多学科协作管理疼痛在胸腔镜围术期的应用[J].中国临床研究，2019，32（5）：703-707.
|
| [13] |
刘金华，王平，刘月.基于放松训练的心理护理对胸腔镜非小细胞肺癌手术患者疼痛的影响[J].河北医药，2019，41（4）：633-636.
|
| [14] |
王超，刘伟，刘洋.早期非小细胞肺癌患者肺叶切除术后慢性疼痛的影响因素[J].中国疼痛医学杂志，2017，23（4）：283-286.
|
| [15] |
施欢欢，冯静，郑红葵，等.以护士为主体的多学科合作疼痛管理模式在肺癌胸腔镜患者快速康复中的应用[J].中华现代护理杂志，2017，23（14）：1871-1875.
|
|
|
|
