单孔胸腔镜肺癌术后的疼痛评估与护理

Pain Assessment and Nursing after Single Port Thoracoscopic Lung Cancer Surgery

目的探讨单孔胸腔镜肺癌术后的疼痛评估与护理方法,观察其临床效果。方法随机选取该院2018年11月—2020年4月行单孔胸腔镜肺癌术的患者80例作为研究对象,根据随机分配方法分为两组,每组各40例,对照组采取常规护理;研究组在对照组护理基础上基于功能活动评分法实施疼痛护理。比较两组术后恢复状况、疼痛控制效果、睡眠质量、体力状况及满意度评价、患者排气及排尿情况(包括肠道排气时间和自行排尿时间)。结果研究组肠道排气时间(35.62±10.14)h、自行排尿时间(23.31±2.72)h、术后进食时间(6.31±1.85)h、下床活动时间(1.31±0.76)d、住院时间(5.42±2.16)d时间均短于对照组(71.49±15.68)h、(25.79±2.89)h、(8.68±1.91)h、(2.64±1.05)d、(8.69±2.78)d,差异有统计学意义(t=12.149、3.952、5.637、6.490、5.875,P<0.05);干预前两组HPOI各维度评分对比差异无统计学意义(P>0.05);干预后研究组HPOI各维度评分均优于对照组,差异有统计学意义(P<0.05);两组患者干预前PSQI、ECOG评分对比差异无统计学意义(P>0.05),干预后研究组与对照组相比,PSQI、ECOG评分明显降低,差异有统计学意义(P<0.05)。研究组患者的满意度100.00%高于对照组85.00%,差异有统计学意义(χ^(2)=4.505,P<0.05)。结论基于功能活动评分法实施疼痛护理用于单孔胸腔镜肺癌手术患者可以有效减轻其术后疼痛症状,提高患者睡眠质量与体力恢复状况,缩短患者的下床活动时间和住院天数,促进其早日康复,临床应用优势显著,值得推广实施。

Objective To investigate the pain assessment and nursing methods after single-port thoracoscopic lung cancer surgery,and to observe the clinical effect.Methods A total of 80 patients who underwent single-port thora‐coscopic lung cancer surgery in the hospital from November 2018 to April 2020 were randomly selected as the re‐search subjects.They were divided into two groups according to the random assignment method,with 40 cases in each group.The control group received routine nursing,and the study group implemented pain nursing based on functional activity scoring method on the basis of nursing in the control group.The postoperative recovery status,pain control effect,sleep quality,physical condition and satisfaction evaluation,patients'exhaust and urination(in‐cluding intestinal exhaust time and self-urinating time)were compared between the two groups.Results In the study group,the intestinal gas time(35.62±10.14)h,the spontaneous urination time(23.31±2.72)h,the postopera‐tive eating time(6.31±1.85)h,the time to get out of bed(1.31±0.76)d,and the hospitalization time(5.42±2.16)d were shorter than those in the control group(71.49±15.68)h,(25.79±2.89)h,(8.68±1.91)h,(2.64±1.05)d,(8.69±2.78)d,and the differences were statistically significant(t=12.149,3.952,5.637,6.490,5.875,P<0.05).Before in‐tervention,there was no statistically significant difference in HPOI dimension scores between the two groups(P>0.05).After intervention,the HPOI dimension scores of the study group were better than those of the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in PSQI and ECOG scores between the two groups before the intervention(P>0.05).Compared with the control group,the PSQI and ECOG of the study group decreased significantly after the intervention,and the difference was statistically significant(P<0.05).The satisfaction of the patients in the study group was 100.00%higher than that in the control group,85.00%,and the difference was statistically significant(χ^(2)=4.505,P<0.05).Conclusion Implement‐ing pain care based on functional activity scoring method for patients with single-port thoracoscopic lung cancer surgery can effectively reduce postoperative pain symptoms,improve patients'sleep quality and physical recovery status,shorten patients'time of getting out of bed and hospital days,and promote their early recovery,the advan‐tages of clinical application are significant,and it is worthy of promotion and implementation.