摘要
目的:探讨超前镇痛管理理念联合聚焦解决模式干预在肺癌根治术中的应用效果。方法:将2022年3月—2023年9月中山大学肿瘤防治中心收治的90例行肺癌根治术的患者参照随机数字表法分为两组,每组45例。对照组给予常规疼痛管理及心理干预,观察组在对照组基础上加用超前镇痛管理理念联合聚焦解决模式干预。比较两组疼痛水平、炎症水平及病耻感水平。结果:观察组术后6、12、24、48 h的视觉模拟评分法(VAS)评分均低于对照组,差异均有统计学意义(P<0.05)。术后72 h,两组的白细胞介素-8(IL-8)、白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、血清肺表面活性蛋白A(SP-A)水平均较术前升高,但观察组均低于对照组,差异均有统计学意义(P<0.05)。术后72 h,两组的中文版肺癌患者病耻感评估量表(CLCSS)耻辱与羞愧、社会隔离、歧视、吸烟评分均低于术前,观察组均低于对照组,差异均有统计学意义(P<0.05)。结论:超前镇痛管理理念联合聚焦解决模式干预能够有效减轻肺癌根治术后患者术后疼痛反应,降低其应激性炎症反应,改善其病耻感。
Objective:To explore the application effect of advanced analgesic management concept combined with focused solution model intervention in radical surgery for lung cancer.Method:A total of 90 patients who underwent radical surgery for lung cancer admitted to the Intensive Care Unit of Sun Yat-Sen University Cancer Center from March 2022 to September 2023 were divided into two groups by random number table method,with 45 cases in each group.The control group received routine pain management and psychological intervention,while the observation group received advanced analgesic management concept combined with focused solution model intervention on the basis of the control group.The pain level,inflammation level,and stigma level of the two groups were compared.Result:The visual analogue scale(VAS)scores of the observation group at 6 hours,12 hours,24 hours and 48 hours after surgery were lower than those of the control group,the differences were statistically significant(P<0.05).72 hours after surgery,interleukin-8(IL-8),interleukin-6(IL-6),tumor necrosis factor-α(TNF-α),serum pulmonary surfactant protein A(SP-A)in the two groups were increased compared to those before surgery,those in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).72 hours after surgery,Cataldo lung cancer stigma scale(CLCSS)(shame and shame,social isolation,discrimination,smoking)of the two groups were lower than those before surgery and those in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:The combination of advanced analgesic management concept and focused solution model intervention can effectively alleviate postoperative pain response,reduce stress inflammatory response,and improve the shame of lung cancer patients after radical surgery.
作者
池千勉
CHI Qianmian(Intensive Care Unit,Sun Yat-Sen University Cancer Center,Guangzhou 510060,China)
出处
《中国医学创新》
CAS
2024年第13期79-83,共5页
Medical Innovation of China
关键词
超前镇痛管理理念
聚焦解决模式
肺癌
疼痛
病耻感
Advanced analgesic management concept
Focused solution model
Lung cancer
Pain
Stigma
