Application of pain management multi-disciplinary team in patients with video assisted thoracoscopic surgery lobectomy
10.3760/cma.j.issn.1674-2907.2019.08.003
- VernacularTitle:多学科疼痛管理模式在胸腔镜肺叶切除患者中的应用
- Author:
Miao HE
1
;
Xiaoying WU
;
Haiyan AN
;
Xiuli WANG
;
Yi FENG
Author Information
1. 北京大学人民医院麻醉科 100035
- Keywords:
Pain management;
Multi-disciplinary team;
Video assisted thoracoscopic surgery lobectomy;
Postoperative rehabilitation
- From:
Chinese Journal of Modern Nursing
2019;25(8):933-936
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To explore the effects of pain management multi-disciplinary team (pMDT) in postoperative rehabilitation among patients with video assisted thoracoscopic surgery (VATS) lobectomy, so as to provide a clinical basis for further developing the pMDT. Methods? From May 2016 to March 2017, we selected 90 patients with VATS lobectomy in Peking University People's Hospital by convenience sampling. All of the patients were divided into observation group and control group according to the time before and after implementing pMDT, 45 cases in each group. Two groups all carried out routine perioperative treatment and nursing. On this basis, observation group implemented pMDT. Finally, we compared the incidence of postoperative complications, drawing time of thoracic drainage tube, hospital stay after surgery, score of numerical rating scale (NRS) one and two days after surgery, dose of sufentanil, patient-controlled analgesia (PCA) related adverse reaction and patient satisfaction between two groups. Results? The incidence of postoperative complications, drawing time of thoracic drainage tube, hospital stay after surgery and dose of sufentanil all reduced respectively with statistical differences (χ2=5.874, P＜ 0.05; Z=2.424, P＜ 0.01;Z=2.323, P＜ 0.01;t=13.239, P＜ 0.01). However, there were no statistical differences in other indexes (P＞0.05). Conclusions? The pMDT for VATS lobectomy patients promotes patients' rehabilitation to a certain extent, which is worth to be further generalized in clinical application.
