关于胸腔镜肺癌手术疼痛管理的证据摘要
Dongdong Wu1, Jianjuan Dai2, Yifan Sheng3
1Department of Geriatric and Integrated Chinese and Western Medicine, Zhoushan Hospital, Zhoushan, China.
Asia-Pacific journal of oncology nursing
|April 28, 2025
概括
这项研究总结了关于胸腔镜肺癌手术的术后疼痛管理的证据. 它为瘤护士提供了更好的疼痛评估和多样化的止痛干预策略.
科学领域:
- 瘤科 护理 护理专业
- 疼痛管理 疼痛管理
- 胸部外科手术 胸部外科手术
背景情况:
- 对于接受胸腔镜肺癌手术的患者来说,有效的术后疼痛管理至关重要.
- 瘤护士需要基于证据的指导来优化疼痛评估和治疗策略.
研究的目的:
- 系统地检索,评估和总结经过胸腔镜肺癌手术的成年人手术期间疼痛管理的证据.
- 帮助瘤护士提高疼痛评估和管理协议.
主要方法:
- 使用PIPOST模型 (2017年1月至2024年12月) 在英语和中文数据库,专业网站和指南平台上进行系统的文献搜索.
- 包括指导方针,系统审查,证据摘要,专家共识和标准.
- 在2025年1月的文献选后,调查人员进行证据提取和分类.
主要成果:
- 包括18篇文章:5篇系统评论,3篇指南,2篇临床决定,4篇证据摘要,3篇专家共识,1篇标准.
- 总结了25个基于证据的建议,涵盖6个关键主题.
- 主题涵盖组织管理,高风险患者评估,手术前教育,疼痛评估,手术内止痛,多式药理学策略和非药理学干预措施.
结论:
- 这份证据总结提供了在胸腔镜肺癌手术中治疗术后疼痛的有效策略.
- 瘤护士可以利用这些发现来实施全面的疼痛评估,并识别高风险患者.
- 摘要支持应用多样化的药理和非药理止痛干预措施.
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