在肺癌患者中,外科手术期间疼痛值轨迹和影响因素
Jinglin Zhu1, Yanrong Zhou2, Junhui Wang2
1Nursing Department, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, China; School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, China.
概括
肺癌手术患者在手术后表现出不同的疼痛值轨迹. 识别这些疼痛模式和影响因素可以实现个性化疼痛管理,以更好地恢复.
科学领域:
- 胸部外科手术 胸部外科手术
- 疼痛管理 疼痛管理
- 在瘤学瘤学.
背景情况:
- 肺癌患者的术后疼痛管理是复杂的.
- 疼痛值 (PT) 提供了对疼痛敏感性和预测能力的客观测量.
- 了解外科手术期间的PT动态对于优化患者护理至关重要.
研究的目的:
- 在肺癌患者中调查外科手术期间疼痛值的动态轨迹.
- 为了确定肺癌手术后疼痛值变化的异质性.
- 探索影响这些独特疼痛值模式的因素.
主要方法:
- 研究了一组325名肺癌手术患者的队列.
- 疼痛值在入院时被测量,并在术后的1日和3天被测量.
- 基于组的轨迹建模 (GBTM) 和后勤回归确定了轨迹和影响因素.
主要成果:
- 确定了四种不同的疼痛值轨迹:高平滑下降,中高弹性下降,中平滑下降和低平滑下降.
- 性别,酒精消费,糖尿病和心理因素 (GAD-7,SRSS,PCS) 显著影响了这些轨迹 (p < .05).
结论:
- 识别不同的疼痛值轨迹对于肺癌患者的护理至关重要.
- 根据患者轨迹类别量身定制的个性化疼痛管理策略可以改善结果.
- 提高疼痛值和提高生活质量是术后恢复的关键目标.
相关概念视频
Analgesia and Pain Management
1.5K
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
1.5K
Peripheral Artery Disease V: Postoperative Nursing Management
379
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
379
Pneumothorax-II
928
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
928


