肺癌术后患者疼痛管理的护理策略探讨
摘 要
肺癌是全球范围内发病率和死亡率较高的恶性肿瘤之一，术后疼痛管理对患者康复具有重要意义。本研究旨在探讨针对肺癌术后患者的疼痛管理护理策略，以提高其疼痛控制效果及生活质量。研究采用前瞻性队列设计，选取120例接受手术治疗的肺癌患者为研究对象，将其随机分为干预组和对照组。干预组实施基于多模式镇痛理念的综合护理策略，包括个体化疼痛评估、心理支持、物理疗法及健康教育等措施，而对照组仅接受常规护理。结果显示，干预组患者的术后疼痛评分显著低于对照组，且其睡眠质量、情绪状态及满意度均得到明显改善。此外，干预组患者阿片类药物使用量减少，相关不良反应发生率亦有所下降。本研究创新性地将多模式镇痛与护理干预相结合，形成了系统化的疼痛管理方案，为临床实践提供了新思路，有助于优化肺癌术后患者的疼痛控制效果并促进其整体康复进程。
关键词：肺癌术后疼痛; 多模式镇痛; 综合护理策略; 疼痛管理; 患者康复
Abstract
Lung cancer is one of the malignant tumors with high incidence and mortality worldwide, and postoperative pain management plays a crucial role in patient recovery. This study aimed to explore nursing strategies for pain management in patients after lung cancer surgery to enhance pain control outcomes and quality of life. A prospective cohort design was adopted, involving 120 lung cancer patients who underwent surgical treatment as research participants, randomly divided into an intervention group and a control group. The intervention group received comprehensive nursing strategies based on the concept of multimodal analgesia, including individualized pain assessment, psychological support, physical therapy, and health education, while the control group only received routine care. The results showed that the postoperative pain scores of patients in the intervention group were significantly lower than those in the control group, and their sleep quality, emotional state, and satisfaction levels were markedly improved. Moreover, the opioid consumption of patients in the intervention group was reduced, along with a decrease in the incidence of related adverse reactions. This study innovatively combined multimodal analgesia with nursing interventions, forming a systematic pain management protocol that provides new insights for clinical practice, contributing to the optimization of pain control in postoperative lung cancer patients and promoting their overall recovery process.
Key words:Lung Cancer Postoperative Pain; Multimodal Analgesia; Comprehensive Nursing Strategy; Pain Management; Patient Rehabilitation
目 录
中文摘要 I
英文摘要 II
引 言 1
第1章、肺癌术后疼痛管理现状分析 2
1.1、术后疼痛的特点与成因 2
1.2、当前护理策略的局限性 2
1.3、研究背景与意义 2
第2章、疼痛评估在护理中的应用 4
2.1、疼痛评估工具的选择 4
2.2、患者个体差异对评估的影响 4
2.3、提高评估准确性的方法 5
第3章、护理干预措施的设计与实施 6
3.1、多模式镇痛的应用策略 6
3.2、心理支持在疼痛管理中的作用 6
3.3、护患沟通技巧的优化 7
第4章、疼痛管理效果的评价与改进 8
4.1、疗效评价指标的设定 8
4.2、数据收集与分析方法 8
4.3、改进措施与未来方向 8
结 论 10
参考文献 11
摘 要
肺癌是全球范围内发病率和死亡率较高的恶性肿瘤之一，术后疼痛管理对患者康复具有重要意义。本研究旨在探讨针对肺癌术后患者的疼痛管理护理策略，以提高其疼痛控制效果及生活质量。研究采用前瞻性队列设计，选取120例接受手术治疗的肺癌患者为研究对象，将其随机分为干预组和对照组。干预组实施基于多模式镇痛理念的综合护理策略，包括个体化疼痛评估、心理支持、物理疗法及健康教育等措施，而对照组仅接受常规护理。结果显示，干预组患者的术后疼痛评分显著低于对照组，且其睡眠质量、情绪状态及满意度均得到明显改善。此外，干预组患者阿片类药物使用量减少，相关不良反应发生率亦有所下降。本研究创新性地将多模式镇痛与护理干预相结合，形成了系统化的疼痛管理方案，为临床实践提供了新思路，有助于优化肺癌术后患者的疼痛控制效果并促进其整体康复进程。
关键词：肺癌术后疼痛; 多模式镇痛; 综合护理策略; 疼痛管理; 患者康复
Abstract
Lung cancer is one of the malignant tumors with high incidence and mortality worldwide, and postoperative pain management plays a crucial role in patient recovery. This study aimed to explore nursing strategies for pain management in patients after lung cancer surgery to enhance pain control outcomes and quality of life. A prospective cohort design was adopted, involving 120 lung cancer patients who underwent surgical treatment as research participants, randomly divided into an intervention group and a control group. The intervention group received comprehensive nursing strategies based on the concept of multimodal analgesia, including individualized pain assessment, psychological support, physical therapy, and health education, while the control group only received routine care. The results showed that the postoperative pain scores of patients in the intervention group were significantly lower than those in the control group, and their sleep quality, emotional state, and satisfaction levels were markedly improved. Moreover, the opioid consumption of patients in the intervention group was reduced, along with a decrease in the incidence of related adverse reactions. This study innovatively combined multimodal analgesia with nursing interventions, forming a systematic pain management protocol that provides new insights for clinical practice, contributing to the optimization of pain control in postoperative lung cancer patients and promoting their overall recovery process.
Key words:Lung Cancer Postoperative Pain; Multimodal Analgesia; Comprehensive Nursing Strategy; Pain Management; Patient Rehabilitation
目 录
中文摘要 I
英文摘要 II
引 言 1
第1章、肺癌术后疼痛管理现状分析 2
1.1、术后疼痛的特点与成因 2
1.2、当前护理策略的局限性 2
1.3、研究背景与意义 2
第2章、疼痛评估在护理中的应用 4
2.1、疼痛评估工具的选择 4
2.2、患者个体差异对评估的影响 4
2.3、提高评估准确性的方法 5
第3章、护理干预措施的设计与实施 6
3.1、多模式镇痛的应用策略 6
3.2、心理支持在疼痛管理中的作用 6
3.3、护患沟通技巧的优化 7
第4章、疼痛管理效果的评价与改进 8
4.1、疗效评价指标的设定 8
4.2、数据收集与分析方法 8
4.3、改进措施与未来方向 8
结 论 10
参考文献 11
