胸腔镜肺癌切除术后患者疼痛护理需求的潜在类别分析

The latent categories of pain care needs in patients after thoracoscopic lung cancer resection

目的探讨胸腔镜下行肺癌切除术后患者疼痛护理需求的潜在分型,并分析不同类别肺癌患者的特征差异。方法便利抽取276例行胸腔镜肺癌切除术患者作为研究对象,使用一般资料调查表、疼痛数字评分表、疼痛灾难化量表、疼痛护理需求问卷于术后第3天进行调查。对研究对象的疼痛护理需求进行潜在类别分析,并探索潜在类别的影响因素。结果胸腔镜肺癌切除术后患者疼痛护理需求可分为3个潜在类别,分别为高需求水平组(73.9%)、中等需求水平组(19.9%)、低水平-高社会需求组(6.2%);无序多分类logistic回归分析显示,疼痛程度、性别、胸腔引流管数量、疼痛灾难化水平是疼痛护理需求潜在类别的影响因素(均P<0.05)。结论肺癌切除术后患者的疼痛护理需求呈现出群体异质性。临床护理工作者应根据不同类别的影响因素,制订不同内容的疼痛管理方案。

Objective To explore the latent categorical characteristics of pain care needs in patients after the thoracoscopic lung cancer resection and analyze the differences in the characteristics of different categories of lung cancer patients.Methods A total of 276 patients who underwent thoracoscopic lung cancer resection were conveniently sampled.General information questionnaires,Numeric Rating Scales(NRS),Pain Catastrophizing Scales(PCS),and Pain Care Needs Questionnaire were used to survey the patients on the 3rd postoperative day.The latent categories of pain care needs of the patients were analyzed,and the influencing factors of the potential categories were explored.Results Pain care needs of patients after thoracoscopic lung cancer resection could be divided into three potential categories,which were high-level needs group(73.9%),moderate-level needs group(19.9%),and low level-high social needs group(6.2%).Disordered multinomial logistic regression analysis showed that pain intensity,gender,number of chest drainage tubes,and level of pain catastrophizing were influencing factors for potential categories of pain care needs(all P<0.05).Conclusion Pain care needs after lung cancer resection exhibit group heterogeneity.Clinical nurses should develop different pain management plans based on the influencing factors of different categories.