五位一体护理结合循证式癌痛护理在肺癌根治术后患者中的应用价值OA
Application value of five-in-one nursing combined with evidence-based cancer pain nursing in patients after radical resection of lung cancer
目的 探讨五位一体护理结合循证式癌痛护理对肺癌根治术后患者胃肠道功能及疼痛程度的影响.方法 选取2021 年5 月至2023 年5 月于华中科技大学同济医学院附属同济医院接受胸腔镜下肺癌根治术的140 例患者,按随机数字表法分为对照组(n=70,行常规护理)和观察组(n=70,行五位一体护理结合循证式癌痛护理).对比2 组的胃肠道功能、疼痛程度等.结果 干预1 个月和3 个月后,观察组的促胃液素和胃动素水平,以及体力状况评分、积极情绪和消极情绪量表评分、癌症患者生命质量测定量表评分均优于同期对照组,且 2 组均优于入院时(P均<0.05);干预3 个月后,2 组均优于干预1 个月(P均<0.05).干预1 个月、2 个月和3 个月后,观察组的视觉模拟评分法评分均低于同期对照组,且与入院时比较,2 组均更优,上述比较均有统计学差异(P均<0.05).结论 五位一体护理和循证式癌痛护理的结合应用于肺癌根治术后患者,可有效缓解疼痛,促进胃肠道功能恢复,改善体力状况和负面情绪,提高生活质量.
Objective To explore the effect of five-in-one nursing combined with evidence-based cancer pain nursing on gastrointestinal function and pain degree of patients after radical resection of lung cancer.Methods A total of 140 patients who underwent thoracoscopic radical resection of lung cancer at Tongji Hospital,Tongji Medical College of Huazhong University of Science and Technology from May 2021 to May 2023 were enrolled and randomly divided into a control group(n=70,receiving routine nursing)and an observation group(n=70,receiving five-in-one nursing combined with evidence-based cancer pain nursing)using a random number table method.The indicators such as gastrointestinal function,and pain degree were compared between the two groups.Results After 1 and 3 months of intervention,the levels of gastrin and motilin,as well as the scores of physical condition,Positive and Negative Affect Scale,and Functional Assessment of Cancer Therapy-General of the observation group were better than those of the control group at the same time,and both groups were better than those at admission.After 3 months of intervention,both groups were better than those after 1 month of intervention.After 1 month,2 months,and 3 months of intervention,the scores of Visual Analogue Scale of the observation group were lower than those of the control group during the same period,and both groups were better compared with admission.The above comparisons showed statistically significant differences(P<0.05).Conclusion The application of five-in-one nursing combined with evidence-based cancer pain nursing can effectively alleviate pain,promote the recovery of gastrointestinal function,improve physical condition and negative emotions,and enhance the quality of life of patients after radical resection of lung cancer.
熊盛玉;赵倩;曾凡
华中科技大学同济医学院附属同济医院,湖北 武汉,430205华中科技大学同济医学院附属同济医院,湖北 武汉,430205华中科技大学同济医学院附属同济医院,湖北 武汉,430205
医药卫生
肺癌根治术五位一体护理循证式癌痛护理胃肠道功能疼痛程度
radical resection of lung cancerfive-in-one nursingevidence-based cancer pain nursinggastrointestinal functionpain degree
《中西医结合护理（中英文）》 2025 (7)
14-17,4
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