HOU Dandan, QU Li. The impact of professional pain management in improving postoperative pain and comfort in patients undergoing thoracotomy surgery[J]. Journal of Clinical Medicine in Practice, 2024, 28(3): 109-112, 116. DOI: 10.7619/jcmp.20233112
Citation: HOU Dandan, QU Li. The impact of professional pain management in improving postoperative pain and comfort in patients undergoing thoracotomy surgery[J]. Journal of Clinical Medicine in Practice, 2024, 28(3): 109-112, 116. DOI: 10.7619/jcmp.20233112

The impact of professional pain management in improving postoperative pain and comfort in patients undergoing thoracotomy surgery

More Information
  • Received Date: September 28, 2023
  • Revised Date: January 21, 2024
  • Available Online: February 29, 2024
  • Objective 

    To observe the effect of professional pain management measures on postoperative comfort and pain in patients undergoing thoracotomy.

    Methods 

    A total of 127 patients undergoing thoracotomy in the Department of Cardiothoracic Surgery of the Second Affiliated Hospital of Air Force Medical University from March 2018 to March 2021 were selected as research subjects, 63 patients received conventional nursing measures (conventional group) and 64 patients received professional pain management nursing measures (research group). The score of Visual Analog Scale (VAS), General Comfort Questionnaire (GCQ), and patient self-management behavior score were compared between the two groups at different time points after surgery.

    Results 

    The VAS scores of the research group at 24, 48, 72, and 96 hours after surgery were lower than those of the conventional group (P < 0.05). The psychological dimension, environmental dimension, and GCQ total score of the research group at 12 hours after surgery were higher than those of the conventional group, and the physiological dimension, psychological dimension, environmental dimension, and GCQ total score at 72 hours after surgery were higher than those of the conventional group (P < 0.05). The self-care behavior score, treatment compliance score, and analgesia self-management behavior score of the research group at 12 hours after surgery were higher than those of the conventional group, and the disease knowledge management behavior score, self-care behavior score, treatment compliance score, and analgesia self-management behavior score at 72 hours after surgery were higher than those of the conventional group (P < 0.05). The proportions of patients in the research group who alleviated pain by changing body position, transferring pain relief, and massage therapy were higher than those in the conventional group (P < 0.05).

    Conclusion 

    The use of professional pain management measures for patients undergoing thoracotomy has significant effects in improving patients' comfort and reducing pain after surgery, and is worthy of clinical application.

  • [1]
    DIEU A, HUYNEN P, LAVAND'HOMME P, et al. Pain management after open liver resection: procedure-Specific Postoperative Pain Management (PROSPECT) recommendations[J]. Reg Anesth Pain Med, 2021, 46(5): 433-445. doi: 10.1136/rapm-2020-101933
    [2]
    XUAN C L, YAN W, WANG D, et al. Efficacy of preemptive analgesia treatments for the management of postoperative pain: a network meta-analysis[J]. Br J Anaesth, 2022, 129(6): 946-958. doi: 10.1016/j.bja.2022.08.038
    [3]
    MARSHALL K, MCLAUGHLIN K. Pain management in thoracic surgery[J]. Thorac Surg Clin, 2020, 30(3): 339-346. doi: 10.1016/j.thorsurg.2020.03.001
    [4]
    GORSKY K, BLACK N D, NIAZI A, et al. Psychological interventions to reduce postoperative pain and opioid consumption: a narrative review of literature[J]. Reg Anesth Pain Med, 2021, 46(10): 893-903. doi: 10.1136/rapm-2020-102434
    [5]
    谢家湘, 邵永丰, 黄娟. 心脏术后患者加速康复中的规范化疼痛管理[J]. 实用临床医药杂志, 2021, 25(9): 82-85. https://www.cnki.com.cn/Article/CJFDTOTAL-XYZL202109019.htm
    [6]
    李芹, 黄春霞, 陈红, 等. 多学科协作疼痛管理模式对腹腔镜胃减容手术患者术后急性疼痛及早期康复的影响[J]. 国际护理学杂志, 2021, 40(8): 1453-1456.
    [7]
    SHAFSHAK T S, ELNEMR R. The visual analogue scale versus numerical rating scale in measuring pain severity and predicting disability in low back pain[J]. J Clin Rheumatol, 2021, 27(7): 282-285. doi: 10.1097/RHU.0000000000001320
    [8]
    WILLIAMSON A, HOGGART B. Pain: a review of three commonly used pain rating scales[J]. J Clin Nurs, 2005, 14(7): 798-804. doi: 10.1111/j.1365-2702.2005.01121.x
    [9]
    SASAKI M, YAMASAKI K. Development of a dispositional version of the General Coping Questionnaire (GCQ) and examination of its reliability and validity[J]. Nihon Koshu Eisei Zasshi, 2002, 49(5): 399-408.
    [10]
    王晓庆. 规范化疼痛教育对胃癌手术患者术后镇痛自我管理行为的干预研究[D]. 南京: 南京中医药大学, 2013.
    [11]
    MALONEY J, WIE C, PEW S, et al. Post-thoracotomy pain syndrome[J]. Curr Pain Headache Rep, 2022, 26(9): 677-681. doi: 10.1007/s11916-022-01069-z
    [12]
    张祥, 刘玉平, 宁园. 正中开胸心脏手术患者术后急性疼痛发展轨迹及其影响因素分析[J]. 中华现代护理杂志, 2023, 29(12): 1563-1569.
    [13]
    GUPTA R, VAN DE VEN T, PYATI S. Post-thoracotomy pain: current strategies for prevention and treatment[J]. Drugs, 2020, 80(16): 1677-1684. doi: 10.1007/s40265-020-01390-0
    [14]
    HOMMA T, SHIMADA Y, TANABE K, et al. Adverse factors and postoperative neuropathic pain in challenging video-assisted thoracoscopic surgery[J]. Ann Palliat Med, 2021, 10(3): 2849-2858. doi: 10.21037/apm-20-1729
    [15]
    黄春燕, 邓爱群, 许明. NBAS-APS模式在脆性骨折患者围手术期疼痛管理中的应用[J]. 广州医科大学学报, 2021, 49(1): 100-103. https://www.cnki.com.cn/Article/CJFDTOTAL-GZXI202101027.htm
    [16]
    李青青, 乔久尔, 李婷. 多学科疼痛管理模式在乳腺癌手术患者中的应用[J]. 齐鲁护理杂志, 2021, 27(18): 40-42. https://www.cnki.com.cn/Article/CJFDTOTAL-QLHL202118015.htm
    [17]
    傅红波, 杨海敏. 活动性疼痛评估在妇科手术后患者疼痛管理中的应用[J]. 中国妇幼保健, 2021, 36(7): 1494-1497. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB202107010.htm
  • Related Articles

    [1]MAO Juncong, HONG Yunfei, WEI Yin, CAI Yerui, YIN Jinsong. Application values of triglyceride and glucose index, metabolic insulin resistance score and triglyceride to high-density lipoprotein cholesterol ratio in patients with acute coronary syndrome complicated with multivessel coronary artery disease[J]. Journal of Clinical Medicine in Practice, 2025, 29(5): 56-63. DOI: 10.7619/jcmp.20243599
    [2]ZHANG Chenchen, LIU Yanling. Values of the Acute Physiology and Chronic Health Evaluation Ⅱ score combined with serum glycated hemoglobin and lactate dehydrogenase in evaluating the severity and prognosis of patients with acute pancreatitis[J]. Journal of Clinical Medicine in Practice, 2024, 28(17): 62-67. DOI: 10.7619/jcmp.20240043
    [3]SU Yan, GAO Hui, ZHANG Yan, YU Siyong. Value of serological indicators combined with Acute Physiology and Chronic Health Evaluation Ⅱ score in predicting prognosis of acute exacerbation of chronic obstructive pulmonary disease[J]. Journal of Clinical Medicine in Practice, 2023, 27(17): 82-87. DOI: 10.7619/jcmp.20231448
    [4]SUN Weiwei, HUANG Xiaoying, WANG Yadong. Value of HELENICC score in predicting early mortalityof septic-related acute kidney injury patients with continuous renal replacement therapy[J]. Journal of Clinical Medicine in Practice, 2023, 27(15): 29-34. DOI: 10.7619/jcmp.20231689
    [5]YIN Yuping, WANG Xia, CHEN Ken, SHEN Aiwu, DING Yihong. Relationships of serum levels of homocysteine, serum soluble interleukin 2 receptor with severity of illness in patients with acute pancreatitis[J]. Journal of Clinical Medicine in Practice, 2022, 26(20): 85-88. DOI: 10.7619/jcmp.20221507
    [6]MENG Chao, FAN Zhiqiang, TONG Qing, ZHU Guijun, ZHU Hui. Value of prognostic assessment of soluble triggering receptor expressed on myeloid cell-1, high-sensitivity C-reactive protein combined with the Acute Physiology and Chronic Health Evaluation Ⅱ score in patients with pneumonia complicated with respiratory failure[J]. Journal of Clinical Medicine in Practice, 2021, 25(21): 88-92, 101. DOI: 10.7619/jcmp.20211056
    [7]DAI Ying, QIN Shaoyun, PAN Huaqin, CHEN Yanhua. Value of acute physiology score and sequential organ failure assessment score in predicting the prognosis of elderly septic patients[J]. Journal of Clinical Medicine in Practice, 2019, (4): 37-40. DOI: 10.7619/jcmp.201904011
    [8]WANG Qiongya, LE Wenqing, YU Hao. Application of APACHE Ⅱ score and CAPS score in prognostic evaluation of patients with AECOPD complicated with respiratory failure[J]. Journal of Clinical Medicine in Practice, 2016, (11): 25-27. DOI: 10.7619/jcmp.201611008
    [9]CHEN Jianqiang. Clinical application of non-invasive ventilation in chronic obstructive pulmonary disease associated with type Ⅱ respiratory failure in elderly patients[J]. Journal of Clinical Medicine in Practice, 2014, (21): 23-25,30. DOI: 10.7619/jcmp.201421007
    [10]HUANG Kegang. Relationships between acute physiology and chronic health evaluation system Ⅲ, oxygenation index and prognosis of senile severe pneumonia[J]. Journal of Clinical Medicine in Practice, 2013, (5): 24-25,32. DOI: 10.7619/jcmp.201305006
  • Cited by

    Periodical cited type(4)

    1. 肖礼红,鲁力,石伟. 中性粒细胞明胶酶相关脂质运载蛋白、肾损伤分子-1联合尿微量白蛋白检测对胰腺炎并发急性肾损伤的诊断价值. 中国当代医药. 2024(11): 117-120 .
    2. 李玲,管亚飞,张存,陈筱青,崔曙东,吴晶晶. 窒息相关新生儿急性肾损伤危险因素及临床特征分析. 实用临床医药杂志. 2024(18): 81-85 . 本站查看
    3. 荣曾霞,熊绘,杨勋能. 低晶胶比液体复苏完成时限对成人重症急性胰腺炎休克患者病情及转归的影响. 实用临床医药杂志. 2024(23): 81-86 . 本站查看
    4. 罗玮玮,董小武,王凝之,李瑶瑶,肖炜明,丁岩冰,孙云云. 基于Web of Science数据库对急性胰腺炎相关研究的文献计量与可视化分析. 实用临床医药杂志. 2023(19): 101-106 . 本站查看

    Other cited types(1)

Catalog

    Article views (132) PDF downloads (14) Cited by(5)

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return