量化活动方案干预对非小细胞肺癌手术患者术后疼痛及康复的影响  

Effect of quantitative activity program intervention on postoperative pain and rehabilitation in patients with non-small cell lung cancer

作　　者：张灿[1] 马艳梅[1] 张莉[1] ZHANG Can;MAYanmei;ZHANG Li(Ward 3,Department of Thoracic Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China)

机构地区：[1]郑州大学第一附属医院胸外科三病区,郑州450000

出　　处：《癌症进展》2025年第4期472-475,495,共5页Oncology Progress

摘　　要：目的探讨量化活动方案干预对非小细胞肺癌(NSCLC)手术患者术后疼痛及康复的影响。方法将110例接受肺癌根治术治疗的NSCLC患者按照围手术期干预方案的不同分为研究组57例和对照组53例,对照组接受常规干预,研究组在对照组的基础上联合量化活动方案干预。比较两组患者术后疼痛[视觉模拟评分法(VAS)]、癌因性疲乏[Piper疲乏修订量表(PFS-R)]、康复时间及术后并发症发生情况。结果两组患者VAS评分均随时间呈下降趋势,且研究组患者术后VAS评分低于对照组(P﹤0.01)。术后,两组患者PFS-R各维度评分均较术前降低,且研究组患者PFS-R各维度评分均低于对照组,差异均有统计学意义(P﹤0.05)。研究组患者术后首次下床活动时间、排气时间、排便时间、住院时间均短于对照组,差异均有统计学意义(P﹤0.05)。两组患者术后并发症总发生率比较,差异无统计学意义(P﹥0.05)。结论量化活动方案干预有效缓解NSCLC患者术后疼痛,减少癌因性疲乏,对缩短康复时间有积极作用。Objective To investigate the effect of quantitative activity program intervention on postoperative pain and recovery in patients with non-small cell lung cancer(NSCLC).Method A total of 110 NSCLC patients who received radical resection for lung cancer were divided into study group(57 cases)and control group(53 cases)according to the perioperative intervention plan.The control group received routine intervention,and the study group combined quantitative activity program intervention on the basis of the control group.Postoperative pain[visual analogue scale(VAS)],cancer-related fatigue[Piper fatigue scale-revised(PFS-R)],recovery time and postoperative complications were compared between the two groups.Result The VAS score of both groups showed decreasing trend with time,and the VAS scores of the study group were lower than those of the control group(P<0.01).After surgery,PFS-R scores in both groups were lower than those before surgery,and PFS-R scores in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).The first time of getting out of bed,exhaust time,defecation time and hospital stay in the study group were shorter than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the total incidence of postoperative complications between the two groups(P>0.05).Conclusion Quantitative activity program intervention can effectively relieve the postoperative pain of NSCLC patients,reduce cancer-related fatigue,and shorten the recovery time.

关 键 词：量化活动方案干预 非小细胞肺癌 肺癌根治术 术后疼痛 康复 癌因性疲乏 

分 类 号：R734.2[医药卫生—肿瘤]