曼彻斯特疼痛管理模式在胸部肿瘤患者中的应用效果

胡晓青; 应华娟; 任佳维; 阮国栋

doi:10.16766/j.cnki.issn.1674-4152.003095

曼彻斯特疼痛管理模式在胸部肿瘤患者中的应用效果

doi: 10.16766/j.cnki.issn.1674-4152.003095

1.
绍兴第二医院心胸外科，浙江绍兴 312000
2.
绍兴第二医院医共体总院肿瘤外科(甲乳外科)，浙江绍兴 312000

基金项目:

浙江省医药卫生科技计划项目 2023KY1278

详细信息

通讯作者:
胡晓青，E-mail：hxq20221206@163.com

中图分类号: R441.1 R473.73
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- 文章访问数: 535
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- 被引次数: 0
出版历程
- 收稿日期: 2023-01-06
- 网络出版日期: 2023-08-28

Effects of Manchester pain management model on postoperative pain and negative emotions of patients with thoracic tumor

1.
Department of Cardiothoracic Surgery, Zhejiang Shaoxing Second Hospital Shaoxing, Zhejiang 312000, China

摘要

摘要: 目的分析曼彻斯特疼痛管理模式对胸部肿瘤患者疼痛程度的影响，为临床疼痛管理提供依据。方法采用便利抽样法，选取2021年2月—2022年10月绍兴第二医院收治的120例胸部肿瘤手术患者，采用随机数字表法分为对照组(60例)和观察组(60例)。对照组给予常规疼痛管理，观察组使用曼彻斯特疼痛管理模式。比较2组患者手术前后的疼痛及心理状态，首次下床活动时间、住院时间、住院期间睡眠时间及疼痛控制满意度。结果术后第1、3、7天，观察组患者疼痛评分[(6.03±0.37)分、(4.53±0.34)分、(3.19±0.16)分]均低于对照组[(6.82±0.42)分、(5.45±0.33)分、(4.20±0.28)分，均P＜0.05]；术后7 d，观察组焦虑、抑郁及恐惧评分均低于对照组(均P＜0.05)。观察组首次下床活动时间[(28.17±3.42)h]及住院时间[(11.73±1.26)d]短于对照组[(31.13±4.16)h、(13.12±2.14)d，均P＜0.05]，住院期间睡眠时间[(7.07±0.83)h]长于对照组[(6.31±1.24)h，P＜0.05]。观察组疼痛控制满意度[(8.44±0.47)分]高于对照组[(7.15±0.62)分，P＜0.05]。结论曼彻斯特疼痛管理模式能减轻胸部肿瘤患者术后疼痛，缓解负性情绪，缩短住院时间，提高疼痛控制满意度。
- 胸部肿瘤 /
- 曼彻斯特疼痛管理模式 /
- 疼痛 /
- 负性情绪
Abstract: Objective To analyze the influence of Manchester pain management mode on the pain degree of patients with chest tumor, and provide a basis for clinical pain management. Methods Using the convenient sampling method, 120 patients with thoracic tumor who were treated in Hospital from February 2021 to October 2022 were selected, and divided into the control group (60 cases) and the observation group (60 cases) according to the random number table. The patients in the control group applied routine pain management, while the patients in the observation group applied Manchester pain management mode on the basis of the control group. The pain degree and psychological status, the first time out of bed activity time, average hospitalization time, average sleep time during hospitalization and pain control were compared between the two groups before and after surgery. Results On the 1st, 3rd, and 7th day after surgery, the pain scores of patients in the observation group [(6.03±0.37) points, (4.53±0.34) points, and (3.19 ±0.16) points, respectively] were lower than those in the control group [(6.82±0.42) points, (5.45±0.33) points, and (4.20±0.28) points, all P < 0.05]. On the 7th day after operation, the scores of anxiety, depression and fear of patients in the observation group were lower than those in the control group (all P < 0.05). The first activity time [(28.17±3.42) h] and average hospitalization time [(11.73±1.26) d] were shorter than those in the control group [(31.13±4.16) h, (13.12±2.14) d, both P < 0.05], and the average sleep time during hospitalization [7.07±0.83) h] was longer than those in the control group [(6.31±1.24) h, P < 0.05]. The satisfaction with pain control in the observation group [(8.44±0.47) points] was higher than that in the control group [(7.15±0.62) points, P < 0.05]. Conclusion The Manchester Pain Management Model can reduce the postoperative pain of patients with thoracic tumor, alleviate the negative emotions, shorten the length of hospital stay, and improve the satisfaction with pain control, which is worthy of clinical application.
- Chest tumor /
- Manchester pain management model /
- Pain /
- Negative emotion

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表 1 2组胸部肿瘤手术患者一般资料比较

Table 1. Comparison of general data between the two groups of patients undergoing thoracic tumor surgery

组别	例数	性别(例)		年龄 (x±s，岁)	疾病种类(例)			肿瘤性质(例)		手术方式(例)
组别	例数	男性	女性	年龄 (x±s，岁)	肺部肿瘤	食管肿瘤	纵隔肿瘤	良性	恶性	胸腔镜	开胸
对照组	60	39	21	58.71±6.11	31	21	8	11	49	40	20
观察组	60	43	17	58.68±5.43	30	24	6	15	45	42	18
统计量		0.616^a		0.028^b	0.502^a			0.786^a		0.154^a
P值		0.432		0.978	0.778			0.375		0.695
注：^a为χ²值，^b为t值。

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表 2 2组胸部肿瘤手术患者疼痛程度比较(x±s，分)

Table 2. Comparison of pain degree between the two groups of patients with thoracic tumor surgery (x±s, points)

组别	例数	手术当天	术后第1天	术后第3天	术后第7天
对照组	60	7.31±0.51	6.82±0.42^a	5.45±0.33^ab	4.20±0.28^abc
观察组	60	7.28±0.46	6.03±0.37^a	4.53±0.34^ab	3.19±0.16^abc
F值		0.338	10.933	15.040	24.259
P值		0.736	< 0.001	< 0.001	< 0.001
注：与同组手术当天比较，^aP < 0.05；与术后第1天比较，^bP < 0.05；与术后第3天比较，^cP < 0.05。

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表 3 2组胸部肿瘤手术患者心理状态评分比较(x±s，分)

Table 3. Comparison of psychological status scores between the two groups of patients with thoracic tumor surgery (x±s, points)

组别	例数	SAS评分		SDS评分		FoP-Q-SF评分
组别	例数	术前1 d	术后7 d	术前1 d	术后7 d	术前1 d	术后7 d
对照组	60	68.17±6.53	54.32±6.88	65.33±5.21	50.11±4.23	47.22±4.09	37.52±3.46
观察组	60	68.20±6.46	47.55±6.01	65.35±5.80	44.33±3.89	47.19±4.27	31.68±3.11
t值		0.025	5.740	0.020	7.791	0.039	9.707
P值		0.980	< 0.001	0.984	< 0.001	0.969	< 0.001

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表 4 2组胸部肿瘤手术患者术后恢复及疼痛控制满意度比较(x±s)

Table 4. Comparison of satisfaction with postoperative recovery and pain control between the two groups of patients undergoing thoracic tumor surgery (x±s)

组别	例数	首次下床活动时间(h)	住院时间(d)	住院期间睡眠时间(h)	疼痛控制满意度(分)
对照组	60	31.13±4.16	13.12±2.14	6.31±1.24	7.15±0.62
观察组	60	28.17±3.42	11.73±1.26	7.07±0.83	8.44±0.47
t值		4.257	4.336	3.945	12.843
P值		< 0.001	< 0.001	< 0.001	< 0.001

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