Application of perioperative pain management based on NBASS-APS model in patients undergoing radical resection of esophageal cancer
10.3760/cma.j.cn115682-20211222-05752
- VernacularTitle:基于NBASS-APS模式的围手术期疼痛管理在食管癌根治术患者中的应用
- Author:
Yujie HOU
1
;
Sufen LI
;
Junxia WANG
;
Xilong LI
Author Information
1. 郑州大学附属肿瘤医院麻醉与围术期医学科，郑州 450000
- Keywords:
Esophageal neoplasm;
Perioperative nursing;
Pain;
General anesthesia;
Adverse reactions;
Acute pain service
- From:
Chinese Journal of Modern Nursing
2022;28(31):4408-4412
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application effect of perioperative pain management based on nurse-based, anesthesiologist and specialist-supervised APS (NBASS-APS) model in patients undergoing radical resection of esophageal cancer under general anesthesia during perioperative period.Methods:A total of 520 patients with esophageal cancer who were admitted to Department of Thoracic Oncology in Affiliated Cancer Hospital of Zhengzhou University from October 2020 to September 2021 were selected as the research objects by the convenient sampling method. A total of 260 patients with esophageal cancer admitted from October 2020 to March 2021 were set as the control group, and 260 patients with esophageal cancer admitted from April to September 2021 were set as the observation group. The control group received conventional perioperative pain management, while the observation group received perioperative pain management based on NBASS-APS model. The operation, postoperative pain, postoperative recovery and adverse events were compared between the two groups.Results:The highest visual analogue scale (VAS) score, average VAS score, duration of the highest VAS level and duration of VAS score in the observation group were (4.59±1.54) , (1.72±1.34) , (2.56±1.62) h and (3.64±2.41) h, respectively. Compared with the control group, the differences were statistically significant ( P<0.01) . The first time to get out of bed and the length of hospital stay in the observation group were respectively (78.33±12.31) h and (8.16±2.53) d, which were shorter than those in the control group, and the differences were statistically significant ( P<0.05) . The incidence of excessive sedation, nausea, vomiting and other adverse reactions in the observation group were respectively 3.08%, 3.85%, 4.23%, which were lower than those in the control group, and the differences were statistically significant ( P<0.05) . Conclusions:The application of NBASS-APS model in perioperative pain management can effectively relieve the pain level of patients undergoing radical esophagectomy under general anesthesia, promote the postoperative recovery of patients and reduce the occurrence of adverse reactions.
