NBASS-APS疼痛管理模式干预对胃癌患者术后疼痛程度及自我健康行为的影响  

Effect of NBASS-APS Pain Management Mode Intervention on Postoperative Pain Degree and Self-health Behavior in Patients with Gastric Cancer

作　　者：王丽 谢榜旗 陈玉华[1] WANG Li;XIE Bangqi;CHEN Yuhua(Department of General Surgery and Gastroenterology,Nanyang Central Hospital,Nanyang 473000,China)

机构地区：[1]南阳市中心医院普外科胃肠二区,河南南阳473000

出　　处：《航空航天医学杂志》2024年第8期986-989,共4页Journal of Aerospace medicine

摘　　要：目的回顾性分析以护士为基础、以临床医生及麻醉医生为督导的疼痛管理模式(NBASS-APS)在胃癌中的临床应用价值。方法选取2022年09月-2023年09月我院108例胃癌患者,按护理方法不同分为NBASS-APS组(n=54)、常规组(n=54),常规组行常规护理,NBASS-APS组在此基础上行NBASS-APS疼痛管理模式干预。比较2组术后恢复情况、疼痛程度[视觉模拟评分法(VAS)]、并发症发生率、自我健康行为、生活质量[世界卫生组织生活质量测定量表(WHOQOL-BREF)]。结果NBASS-APS组肠鸣音恢复、腹胀改善、肛门排气、胃管拔出时间均短于常规组(P<0.05);组内分析:干预后2组VAS评分均较干预前降低(P<0.05);组间分析:干预后NBASS-APS组VAS评分低于常规组(P<0.05);2组并发症发生率比较,差异无统计学意义(P>0.05);干预后NBASS-APS组遵医行为、健康责任、压力应对、运动锻炼等自我健康行为评分均高于常规组(P<0.05);干预后NBASS-APS组WHOQOL-BREF评分高于常规组(P<0.05)。结论对胃癌患者实施NBASS-APS疼痛管理模式干预,能减轻疼痛程度、提高自我健康行为、改善术后恢复情况,从而提高生活质量。Objective To retrospectively analyze the clinical application value of nurse-based pain management model(NBASS-APS)supervised by clinician and anesthesiologist in gastric cancer.Methods A total of 108 patients with gastric cancer in our hospital from September 2022 to September 2023 were selected and divided into the NBASS-APS group(n=54)and the conventional group(n=54)according to different nursing methods.The conventional group received routine nursing,and the NBASS-APS group received pain management intervention based on the NBASS-APS.Postoperative recovery,pain degree[visual analogue scale(VAS)],complication rate,self-health behavior,and quality of life(WHOQOL-BREF)of the two groups were compared.Results The recovery of intestinal sound,abdominal distension,anal exhaust and gastric tube extraction time in NBASS-APS group were shorter than those in conventional group(P<0.05).Intra-group analysis:VAS scores in both groups were lower after intervention than before intervention(P<0.05).Inter-group analysis:the VAS score of the NBASS-APS group was lower than that of the conventional group after intervention(P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).After intervention,the scores of compliance behavior,health responsibility,stress coping,exercise and other self-health behaviors in NBASS-APS group were higher than those in conventional group(P<0.05).After intervention,the WHOQOL-BREF score of NBASS-APS group was higher than that of conventional group(P<0.05).Conclusions The implementation of NBASS-APS pain management mode intervention in gastric cancer patients can reduce pain,improve self-health behavior,improve postoperative recovery,and thus improve the quality of life.

关 键 词：NBASS-APS 胃癌 疼痛程度 自我健康行为 生活质量 

分 类 号：R473.5[医药卫生—护理学]