医麻护三位一体疼痛管理模式在肺癌患者围术期的应用效果  

Efficacy of medicine,anaesthesia and nursing care-based trinity pain management in lung cancer in the perioperative period

作　　者：高明琴 景雪玲 GAO Ming-qin;JING Xue-Ling(Department of Thoracie Surgery,Shandong Provincial Third Hospital,Jinan 250000,China;Department of Hepatobiliary Surgery,Shandong Provincial Third Hospital,Jinan 250000,China)

机构地区：[1]山东省立第三医院胸外科,济南250000 [2]山东省立第三医院肝胆外科,济南250000

出　　处：《中国肿瘤临床与康复》2020年第6期748-750,共3页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨医麻护三位一体疼痛管理模式在肺癌患者围术期的应用效果。方法选取2016年1月至2019年1月间山东省立第三医院收治的84例肺癌患者,采用随机数表法分为观察组和对照组,每组42例。观察组患者采用医麻护三位一体疼痛管理模式干预,对照组患者采用常规的疼痛管理模式干预,比较两组患者术后5h、12h、1天、3天和出院时的疼痛程度,比较两组患者的手术时间、术后引流拔除时间、住院时间及满意度。结果经过不同的疼痛管理模式后,两组患者的疼痛程度均呈现降低的趋势,且观察组患者术后5h、12h、1天、3天和出院时的疼痛程度均低于对照组,差异均有统计学意义(均P<0.05)。观察组患者的手术时间、术后引流拔除时间和住院时间均低于对照组患者,差异均有统计学意义(均P<0.05)。观察组患者的护理满意度为90.5%,高于对照组患者的61.0%,差异有统计学意义(P<0.05)结论医麻护三位一体疼痛管理模式有利于减轻患者疼痛感,缩短手术时间和住院时间,加快患者身体的恢复,得到患者的广泛认可,满意度高。Objective To explore the efficacy of medicine,anaesthesia and nursing care-based trinity pain management in lung cancer patients in the perioperative period.Methods Eighty-four lung cancer patients who admitted to Shandong Provincial Third Hospital from January 2016 to January 2019 were selected and divided into an observation group and a control group with 42 patients in each.The observation group was given medicine,anaesthesia and nursing care-based trinity pain management,and the control group was given conventional pain management.Degree of pain were assessed respectively at 5 h,12 h,1 d and 3 d after the surgery and at discharge.The operation time,time to postoperative drainage extubation,length of hospital stay and patient satisfaction were recorded.Results After different pain management intervention,the degree of pain decreased in both groups,and at the above five time points,the degree of pain was lower in the observation group than in the control group(all P<0.05).Operation time,time to postoperative drainage extubation,length of hospital stay was lower in the observation group than in the control group(all P<0.05).Patient satisfaction was 90.5%in the observation group which was higher than61.0%of the control group(P<0.05).Conclusion Medicine,anaesthesia and nursing care-based trinity pain management was beneficial to reduce the pain,shorten operation time and length of hospital stay,accelerated the recovery,which got the wide acceptance,and high patient satisfaction.

关 键 词：医麻护三位一体 疼痛管理模式 肺肿瘤 围手术期 

分 类 号：R734.2[医药卫生—肿瘤]