基于人文关怀理念的护理干预在肺癌根治术后早期疼痛管理中的应用效果

Effect of Nursing Intervention Based on Humanistic Care Concept on Early Pain Management after Radical Operation of Lung Cancer

目的:探讨基于人文关怀理念的护理干预在肺癌根治术后早期疼痛管理中的应用效果。方法:将2019年1—8月佛山市第一人民医院胸外科收治的45例行胸腔镜下肺癌根治术的患者设为对照组,将2019年9月—2020年4月佛山市第一人民医院胸外科收治的42例行胸腔镜下肺癌根治术的患者设为研究组。对照组采用微量泵泵入镇痛药(芬太尼联合右美托咪定),执行目标导向镇痛管理,研究组在对照组的基础上采用基于人文关怀理念的护理干预。对比两组患者镇痛药物应用剂量及持续时间。结果:研究组枸橼酸芬太尼、盐酸右美托咪定应用剂量低于对照组,镇痛药泵注时间短于对照组,差异有统计学意义(t=3.365、3.199、3.663,P<0.05)。研究组术后镇痛药物相关不良反应发生率低于对照组,差异有统计学意义(χ^(2)=5.776,P<0.05)。结论:基于人文关怀理念的护理干预在肺癌根治术后早期疼痛管理中应用,可减少微量泵泵入镇痛药物应用剂量及持续时间,降低镇痛药物不良反应发生率。

Objective: To explore the application effect of nursing intervention based on the concept of humanistic care in early pain management after radical lung cancer surgery. Methods: 45 patients in the hospital who underwent thoracoscopic radical resection of lung cancer from January to August 2019 were set as the control group. A total of 42 patients who underwent thoracoscopic radical resection of lung cancer in the hospital from September 2019 to April 2020 were selected as the research group. The control group was treated with micro-pump analgesics(fentanyl combined with dexmedetomidine) to implement goal-oriented analgesia management, while the study group was treated with nursing intervention based on the concept of humanistic care on the basis of the control group. The dose and duration of analgesic drugs were compared between the two groups. Results: The application doses of fentanyl citrate and dexmedetomidine hydrochloride in the study group were lower than those in the control group, and the analgesic pump injection time was shorter than that in the control group, and the differences were statistically significant(t=3.365,3.199, 3.663, P<0.05). The incidence of postoperative analgesic-related adverse reactions in the study group was lower than that in the control group, and the difference was statistically significant(χ^(2)=5.776, P<0.05). Conclusion: The application of nursing intervention based on the concept of humanistic care in early pain management after radical operation for lung cancer can reduce the dosage and duration of analgesic drugs pumped by micropumps, and reduce the incidence of adverse reactions of analgesic drugs.