胸腔镜肺癌切除术后疼痛相关患者报告结局与恐动水平的关系  

Association between pain-related patient-reported outcomes and kinesiophobia level in patients after video assisted thoracoscopic surgery for lung cancer

作　　者：张馨元 张小红 陈经欣 余艳[3] 曾天裕 李漓[1] Zhang Xinyuan;Zhang Xiaohong;Chen Jingxin;Yu Yan;Zeng Tianyu;Li Li(Clinical Nursing Education and Research Section,Zhujiang Hospital,Southern Medical University,Guangzhou 510282,China;不详)

机构地区：[1]南方医科大学珠江医院临床护理教研室,广东广州510282 [2]南方医科大学护理学院 [3]南方医科大学珠江医院胸外科,广东广州510282 [4]广州医科大学附属第一医院/广州呼吸健康研究院胸外科 [5]广州医科大学附属第一医院/广州呼吸健康研究院麻醉手术科

出　　处：《护理学杂志》2022年第17期28-31,共4页Journal of Nursing Science

基　　金：广东省医学科研基金项目(B2022093)。

摘　　要：目的分析胸腔镜肺癌切除术后疼痛相关患者报告结局与恐动水平的关系。方法对212例胸腔镜辅助下肺癌切除术患者于术后第1天使用恐动症评估简表和国际疼痛疗效问卷进行调查。结果胸腔镜肺癌切除术后患者恐动症发生率为38.68%,恐动水平评分25(23,29)分;女性患者更易发生恐动症;疼痛严重程度、疼痛对功能情绪的影响和患者对疼痛治疗的感知与恐动水平显著相关(均P<0.05)。结论胸腔镜肺癌切除术后患者恐动水平较高,疼痛相关患者报告结局不佳加重了恐动水平。应针对患者疼痛特点和心理特征,减轻其对术后康复锻炼的恐惧心理。Objective To analyze the relationship between pain-related patient-reported outcomes and kinesiophobia level in patients after video assisted thoracoscopic surgery for lung cancer.Methods A total of 212 patients undergoing video-assisted thoracoscopic surgery for lung cancer were investigated on postoperative day 1 using the Tampa Scale for Kinesiophobia-11 and the International Pain Outcomes Questionnaire.Results The incidence of kinesiophobia was 38.68%,and the median score of kinesiophobia was 25(interquartile range 23-29).Female patients were more likely to develop kinesiophobia.Pain intensity,physical and emotional functional interference,and perceptions of care were significantly associated with kinesiophobia level(all P<0.05).Conclusion Kinesiophobia is prevalent in patients after video-assisted thoracoscopic lung cancer resection,and poor pain-related patient-reported outcomes increase kinesiophobia level.Pain characteristics and psychological features of patients should be addressed to reduce their fear of postoperative rehabilitation exercise.

关 键 词：肺癌 胸腔镜手术 肺癌切除术 恐动 疼痛 患者报告结局 

分 类 号：R473.6[医药卫生—护理学] R734.2[医药卫生—临床医学]