Objective:To explore the effect of perioperative pain intervention on postoperative
rehabilitation of patients who underwent thoracoscopic partial resection of
lung cancer.Methods: From January 2021 to May 2021, 100 patients with primary lung cancer who
underwent thoracoscopic partial lung resection in Cardiopulmonary Department II
of Cancer
Center in our hospital were selected. They were divided into observation group
and control group by random number table. Routine nursing after surgery was used in both groups, the observation
group was given perioperative pain intervention nursing on the basis of routine
nursing, and the postoperative pain (6h, 12h, 24h, 48h after
operation), the rate of out-of-bed activity within 24h after
operation,lien chest tube time, the incidence of postoperative complications, the
influence of pain on daily life, the satisfaction of patients with pain control
methods and pain education and the satisfaction of discharged patients were
observed and recorded. Results: There was no significant difference in
general data (age, sex, educational level, course of disease, TNM stage of lung
cancer, maximum diameter of tumor (CM), surgical site) between the two groups (P
> 0.05); the NRS scores of the observation group at 6, 12, 24 and 48 hours
after operation were all lower than those in the control group, and the
difference was statistically significant (P < 0.05); after operation, the
rate of 24h out-of-bed activity in the
References
[1]
Ning, Y., Xie, D., She, Y., Shu, H., Jiang, G. and Chen, C. (2020) Interpretation of NCCN Lung Cancer Screening Guidelines in 2020. Chinese Journal of Thoracic and Cardiovascular Surgery, 27, 251-254.
[2]
Lencioni, R., Chen, J., Downie, G. and Keltner, L. (2011) Advanced Lung Cancer—Reaching a Survival Ceiling with Chemotherapy, the Nibs, and the Mabs. Journal of Cancer Therapy, 2, 157-160. https://doi.org/10.4236/jct.2011.22018
[3]
Sung, H., Ferlay, J., Siegel, R.L., Laversanne, M., Soerjomataram, I., Jemal, A., et al. (2021) Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancer in 185 Countries. CA: A Cancer Journal for Clinicians, 71, 209-249. https://doi.org/10.3322/caac.21660
[4]
(2019) Criteria for Diagnosis and Treatment of Primary Lung Cancer. Electronic Journal of Comprehensive Treatment of Cancer, 5, 100-120.
[5]
Xie, Z. (2015) Research Progress of Minimally Invasive Treatment of Lung Cancer under Total Thoracoscope. Minimally Invasive Medicine, 10, 187-190.
[6]
Raeeo, G., Brunelli, A., Jutley, R., Salati, M., Scognamiglio, F., La Manna, C., et al. (2006) Uniportal VATS for Mediastinal nodal Diagnosis and Staggering. Interactive CardioVascular and Thoracic Surgery, 5, 430-432.
https://doi.org/10.1510/icvts.2006.128603
[7]
Liu, L.X., Che, G.W., Pu, Q., Ma, L., Wu, Y., Kan, Q., et al. (2010) A New Concept of Endoscope Lung Cancer Resolution: Single-Direction Thoracoscopic Lobectomy. Surgical Oncology, 19, 71-77. https://doi.org/10.1016/j.suronc.2009.04.005
[8]
Lukerich, J., Alvelo Rivera, M., Buenaventura, P., Christie, N.A., McCaughan, J.S., Litle, V.R., et al. (2003) Minimally Invasive Esophagectomy: Outcomes in 222 Patients. Annals of Surgery, 238, 486-494.
https://doi.org/10.1097/01.sla.0000089858.40725.68
[9]
He, C. and Ding, X. (2019) Study on the Effect of Early Activity Program on Accelerated Rehabilitation of Lung Cancer Patients. Master’s Graduation Thesis, Yangtze University, Jingzhou.
[10]
Cao, F. and Wang, X. (2014) Effect of Pain Nursing Intervention within 24 Hours on Postoperative Patients with Lung Cancer. Journal of Practical Clinical Nursing, No. 5, 40-43.
[11]
Kandathil, A., Kay, F.U., Butt, Y.M., Wachsmann, J.W. and Subramaniam, R.M. (2018) Role of FDG PET/CT in the Eight Edition of TNM Staging of Non-Small Cell Lung Cancer. Radiography, 38, 2134-2149.
https://doi.org/10.1148/rg.2018180060
[12]
Lu, Y. and Chen, F. (2017) Practical Guidance of Palliative Care for Cancer. Peking University Medical Press, Beijing, 50.
[13]
Chen, L., Jing, X. and Dai, J. (2021) Research Progress on the Mechanism of Relieving Chronic Pain by a Kind of Traditional Chinese Shadowboxing (tai chi chuan) and Baduanjin. Journal of Traditional Chinese Medicine, 62, 173-178.
[14]
Chen, J. (2013) Correlation between Quality of Life and Family Support of Postoperative Patients with Lung Cancer. General Medicine, 10, 97-98.
[15]
Sun, Y. and Gu, W. (2002) Guiding Principles of Three-Step Analgesia for Cancer. Beijing Medical University Press, Beijing, 20-21.
[16]
Ye, M. (2011) Medical Cooperation Reduces the Incidence of Accidental Removal of Thoracic Tube in Patients Undergoing Thoracic Surgery. Nursing and Rehabilitation, 10, 251-252.
[17]
Xu, B. and Lu, Z. (2017) Nursing Guidance for Cancer Pain. People’s Health Publishing House, Beijing, 13.
[18]
Ma, Y. (2018) Influence of Standardized Nursing of Cancer Pain on Quality of Life of Cancer Patients. Modern Nursing, 16, 84-86.
[19]
Chen, J., Huang, D., Li, H., et al. (2019) Improvement and Effect of Timing Administration Time for Pain Patients after Liver Cancer Embolization. Chinese Journal of Nursing, 54, 393-395.
[20]
Cancer Nursing Professional Committee of Chinese Nursing Association (2017) Expert Consensus on Nursing Guidelines for Cancer Pain Patients. China Nursing Management, 17, 1585-1586.
[21]
Wang, M. (2019) Nursing Care of Subcutaneous Emphysema after Lung Cancer Surgery in Thoracic Surgery. Short Works, Modern Digestion and Interventional Diagnosis and Treatment, No. A02, 5.
[22]
Jensen, M.P., Tan, G. and Chua, S.M. (2015) Paintensity, Headachefre. Quency, and the Behavior Activation and Inheritance Systems. The Clinical Journal of Pain, 31, 1068-1074. https://doi.org/10.1097/AJP.0000000000000215
[23]
Xia, Q. (2019) Psychological Nursing Intervention in Routine Nursing Experience of Lung Cancer Patients before and after Lobectomy. Nursing Treatises. Chinese Community Physicians, 35, 147-148.
[24]
Brenner, D.R., Fehringer, G., Zhang, Z.F., Lee, Y.-C.A., Meyers, T., Matsuo, K., et al. (2018) Alcohol Con-Summary and Lung Cancer Risk: A Pooled Analysis from the International Lung Cancer Consortium and the SYNERGY Study. Cancer Epidemiology, 58, 25-32. https://doi.org/10.1016/j.canep.2018.10.006
[25]
Ye, J., Yang, R., Rao, Z., Luo, D., Xiong, L., Liu, C. and Ma, H. (2021) Study on the Influence of Standardized Nursing Process of Cancer Pain on Pain and Sleep Quality of Lung Cancer Patients. Jilin Medicine, 42, 225-228.