中外医学研究2024，Vol.22Issue(18)：79-84,6.DOI:10.14033/j.cnki.cfmr.2024.18.019
Teach-back沟通模式结合疼痛管理在胸腔镜肺癌根治术后患者中的应用效果
Effects of Teach-back Communication Mode Combined with Pain Management in Patients after Thoracoscopic Radical Resection of Lung Cancer
摘要
Abstract
Objective:To investigate the effect of Teach-back communication mode combined with pain management in patients after thoracoscopic radical resection of lung cancer.Method:A total of 412 patients who underwent thoracoscopic radical resection of lung cancer in the Department of Thoracic Oncology of Affiliated Cancer Hospital of Guangxi Medical University from January to December 2022 were selected as the study objects,and they were divided into observation group and control group by random number table method,with 206 patients in each group.The control group implemented the routine nursing mode,and the observation group implemented the Teach-back communication mode combined with pain management.Pain degree,mood state,self-efficacy,cancer-related fatigue and sleep quality were compared between two groups Result:At 6 h,1 d and 3 d after surgery,the numerical rating scale(NRS)scores in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).At 7 d after surgery,the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in 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).At 7 d after surgery,the positive attitude,self-decision making,self-decompression score and total score of strategies used by people to promote health(SUPPH)in two groups were higher than those before surgery,and those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).At 7 d after surgery,the revised Piper's fatigue scale(PFS-R)scores of behavioral fatigue,emotional fatigue,sensory fatigue and cognitive fatigue in 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).At 7 d after surgery,the Pittsburgh sleep quality index(PSQI)scores in two groups were lower than those before surgery,and that in the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).Conclusion:The combination of Teach-back communication mode and pain management is beneficial to alleviate pain,enhance self-efficacy,and improve cancer-related fatigue,mood state and sleep quality in patients undergoing thoracoscopic radical resection for lung cancer.关键词
Teach-back沟通模式/疼痛管理/胸腔镜肺癌根治术/癌因性疲乏/睡眠质量Key words
Teach-back communication mode/Pain management/Thoracoscopic radical resection of lung cancer/Cancer related fatigue/Sleep quality引用本文复制引用
邹梦婕,李春星,罗珍,朱少亮,唐振勇..Teach-back沟通模式结合疼痛管理在胸腔镜肺癌根治术后患者中的应用效果[J].中外医学研究,2024,22(18):79-84,6.基金项目
广西壮族自治区卫生健康委员会自筹课题项目(Z-B20221312 （）
Z20211065) （）
