Effect of pain management model of the nurse-centered multidisciplinary cooperation on quick recovery in lung cancer patients with video-assisted thoracoscopic surgery vats
10.3760/cma.j.issn.1674-2907.2017.14.011
- VernacularTitle:以护士为主体的多学科合作疼痛管理模式在肺癌胸腔镜患者快速康复中的应用
- Author:
Huanhuan SHI
1
;
Jing FENG
;
Hongkui ZHENG
;
Fenglin CHEN
;
Dongjun BI
Author Information
1. 317000,浙江省台州医院护理部
- Keywords:
Nurses;
Multidisciplinary cooperation;
Acute pain;
Pain nurse specialism;
Enhanced recovery after surgery
- From:
Chinese Journal of Modern Nursing
2017;23(14):1871-1875
- CountryChina
- Language:Chinese
-
Abstract:
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). There were statistically significant differences in the time of first ambulation and average hospital stay between experimental group [(19.11±7.49) h,(9.34±3.66) d] and control group [(27.40±11.91) h, (10.98±5.01) d] (t=-4.766,-2.024;P<0.05). There was no statistically significant difference in the occurrence of postoperative complications between two groups (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.
