基于压力与适应理论的护理干预结合规范化疼痛管理对肺癌脑转移患者手术后疼痛介质及心境状态的影响  

Effects of nursing intervention based on stress and adaptation theory combined with standardized pain management on postoperative pain mediators and mood state in patients with lung cancer brain metastasis

作　　者：毛拴霞 蒲海宁 MAO Shuanxia;PU Haining(Baoji High-tech Hospital,Baoji 721013,China)

机构地区：[1]宝鸡高新医院,陕西宝鸡721013

出　　处：《临床医学研究与实践》2023年第23期174-177,共4页Clinical Research and Practice

摘　　要：目的探讨基于压力与适应理论的护理干预结合规范化疼痛管理对肺癌脑转移患者手术后疼痛介质及心境状态的影响。方法选取2020年5月至2021年8月在我院进行肺癌脑转移手术的96例患者,将其随机分为对照组(48例,常规护理)和观察组(48例,在对照组基础上实施基于压力与适应理论的护理干预结合规范化疼痛管理)。比较两组的干预效果。结果干预后,观察组的5-羟色胺(5-HT)、前列腺素E2(PGE2)水平低于对照组(P<0.05)。干预后,观察组的广泛性焦虑障碍量表(GAD-7)、简明心境量表(BPOMS-SF)评分低于对照组(P<0.05)。干预后,观察组的自我感受负担量表(SPBS)各维度评分低于对照组(P<0.05)。干预后,观察组的生活质量综合评定问卷-74(GQOLI-74)各维度评分高于对照组(P<0.05)。结论基于压力与适应理论的护理干预结合规范化疼痛管理有助于减轻肺癌脑转移患者术后疼痛程度,改善心境状态,提高生活质量,值得推广。Objective To explore the effects of nursing intervention based on stress and adaptation theory combined with standardized pain management on postoperative pain mediators and mood state in patients with lung cancer brain metastasis.Methods A total of 96 patients who underwent lung cancer brain metastasis surgery in our hospital from May 2020 to August 2021 were selected and randomly divided into control group(48 cases,routine nursing)and observation group(48 cases,nursing intervention based on stress and adaptation theory combined with standardized pain management on the basis of the control group).The intervention effects of the two groups were compared.Results After intervention,the levels of 5-hydroxytryptamine(5-HT)and prostaglandin E2(PGE2)in the observation group were lower than those in the control group(P<0.05).After intervention,the scores of Generalized Anxiety Disorder-7(GAD-7)and Brief Profile of Mood States-Short Form(BPOMS-SF)in the observation group were lower than those in the control group(P<0.05).After intervention,the scores of each dimension of Self-Perceived Burden Scale(SPBS)in the observation group were lower than those in the control group(P<0.05).After intervention,the scores of each dimension of General Quality of Life Inventory-74(GQOLI-74)in the observation group were higher than those in the control group(P<0.05).Conclusion Nursing intervention based on stress and adaptation theory combined with standardized pain management is helpful to reduce postoperative pain degree,improve mood state,and improve quality of life in patients with lung cancer brain metastasis,which is worthy of promotion.

关 键 词：压力与适应理论 规范化疼痛管理 肺癌脑转移 疼痛介质 心境状态 

分 类 号：R473.73[医药卫生—护理学]