医学
多学科方法
术后疼痛
电视胸腔镜手术
肺癌
护理部
入射(几何)
多学科团队
急性疼痛
心胸外科
疼痛管理
癌症疼痛
麻醉
外科
癌症
内科学
社会学
物理
光学
社会科学
作者
Huanhuan Shi,Jing Feng,Hongkui Zheng,Fenglin Chen,Dongjun Bi
标识
DOI:10.3760/cma.j.issn.1674-2907.2017.14.011
摘要
Objective
To explore the effect of pain management model of the nurse-centered multidisciplinary cooperation on quick recovery in lung cancer patients with video-assisted thoracoscopic surgery vats (VATS) .
Methods
A total of 96 lung cancer patients with selective VATS in Department of Cardio-Thoracic Surgery of Taizhou Hospital of Zhejiang Province were selected as control group from July 2014 to December 2014. A total of 91 lung cancer patients with selective VATS were chosen as experimental group between January 2016 to June 2016. Patients received postoperative acute pain management with the pain management mode of nurse-centered multidisciplinary cooperation in experimental group and traditional management model in control group. The differences were observed and compared among patients between two groups in the occurrence of moderate-severe pain, time of first ambulation, occurrence of postoperative complications, average hospital stay and so on.
Results
The score of NRS, incidence of moderate-severe pain in experimental group (3.25, 6.59%) were lower than those (4.65, 16.67%) in control group within 24 hours with significant differences (t/χ2=-2.247, 4.567; P 0.05) .
Conclusions
The importance of nurses in pain management of multidisciplinary cooperation becomes increasingly. The model can effectively promote quick recovery in postoperative patients and speed up the process of nursing professional development.
Key words:
Nurses; Multidisciplinary cooperation; Acute pain; Pain nurse specialism; Enhanced recovery after surgery
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