Effect of adjusting timing of nebulization and analgesic usage on the pain and exercise self-efficacy during early postoperative respiratory function exercise of lung cancer surgery patients
10.3760/cma.j.cn211501-20241101-03007
- VernacularTitle:调整雾化和镇痛药使用时机对肺癌术后早期呼吸功能锻炼患者疼痛和运动自我效能的影响
- Author:
Ying LIU
1
;
Yaqing ZHOU
;
Qian CHEN
;
Rui ZHOU
;
Yun CAO
;
Yanan REN
;
Lanying LIU
Author Information
1. 济宁医学院附属医院头颈部肿瘤、胸部肿瘤科，济宁 272000
- Publication Type:Journal Article
- Keywords:
Lung neoplasms;
Breathing exercises;
Pain management;
Exercise self-efficacy
- From:
Chinese Journal of Practical Nursing
2025;41(30):2360-2365
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore applications of adjusting timing of nebulization and analgesic usage in patients after lung cancer surgery, to provide reference for postoperative rehabilitation of lung cancer.Methods:Adopting a prospective randomized controlled study design, a total of 84 patients with lung cancer who underwent surgery in affiliated hospital of Jining Medical University from September 2020 to June 2023 were enrolled by a convenience sampling method, they were randomly divided into experimental group and control group according to random number table method. Two groups was given routine perioperative care, on this basis, the control group received lip and abdomen contraction breathing training according to the conventional process, and the experimental group adjusted timing of nebulization and analgesic usage and received respiratory function training when nebulization and analgesics were at the peak of blood drug concentration. Pain level and exercise self-efficacy of two groups were compared.Results:There were 27 males and 15 females in the control group, aged (54.52 ± 14.06) years; and 24 males and 18 females in the experimental group, aged (53.33 ± 12.02) years. At one day, two days and three days after operation, the scores of Numerical Rating Scale (NRS) were (5.07 ± 0.84), (3.40 ± 0.49), (2.93 ± 0.87) in the experimental group, lower than (5.86 ± 1.05), (4.09 ± 0.88), (3.33 ± 0.65) in the control group, the differences were statistically significant ( t=3.79, 4.44.2.42, all P<0.05), and for both groups, the differences in the time effect, between-group effect, and the interaction effect were all statistically significant ( F=582.92, 44.65, 3.82, all P<0.05). Three days after operation, the dimensions of efficacy expectation, outcome expectation and total self-efficacy scores were (28.62 ± 6.75), (33.71 ± 7.04) and (62.33 ± 9.07) in the experimental group, and (25.52 ± 6.66), (30.43 ± 6.80) and (55.95 ± 9.34) in the control group, the differences were statically significant ( t=2.12, 2.18, 3.18, all P<0.05). Conclusions:Adjusting timing of nebulization and analgesic usage and giving respiratory function training for lung cancer surgery when nebulization and analgesics at the peak of blood drug concentration can effectively alleviate the pain caused by respiratory exercise and improve training self-efficacy of patients after lung cancer surgery.
