Impact of NBASS-APS management model on perioperative pain,sleep quality,and quality of life in esophageal cancer patients
Objective To explore the impact of the nurse-based,anaesthesiologist supervised acute pain service(NBASS-APS)management model on perioperative pain,sleep quality,and quality of life in esophageal cancer patients,aiming to provide a reference for clinical treatment.Methods A total of 198 esophageal cancer patients treated at the First Affiliated Hospital with Nanjing Medical University from January 2020 to December 2022 were selected as the study participants.The implementation of the NBASS-APS management model in the hospital was used as the cutoff point(August 2021),with 102 patients treated before the implementation(from January 2020 to July 2021)included in the control group,and 96 patients treated after the implementation(from August 2021 to December 2022)in the observation group.The control group pa-tients received conventional pain management intervention,while the observation group patients received NBASS-APS man-agement model intervention in addition to the control group's intervention.The time to first ambulation was compared be-tween the two groups;the Semiquantitative Cough Strength Score(SCSS)was compared 7 days postoperatively;the levels of cortisol(COR),cuprozinc-superoxide dismutase(Cu-Zn SOD),glutathione peroxidase(GSH-PX),and the scores of the Connor-Davidson Resilience Scale(CD-RISC),Pittsburgh Sleep Quality Index(PSQI),Quality of Life Questionnaire-Core 30(QLQ-C30),and visual analog scale(VAS)were compared before and 7 days after surgery.Results The time to first ambulation in the observation group was significantly shorter than that in the control group(P＜0.05).The SCSS scores in the observation group were significantly lower than those in the control group(P＜0.05).The VAS scores in the observa-tion group at 1,4,and 7 days postoperatively were significantly increased as compared with those before surgery(P＜0.05)and significantly lower than those in the control group during the same period(P＜0.05).Before surgery,no significant differences were noted in COR,GSH-PX,and Cu-Zn SOD levels between the two groups(P＞0.05).The COR levels in both groups 7 days after surgery were significantly higher than before surgery,and the observation group was significantly lower than the control group(P＜0.05).The GSH-PX and Cu-Zn SOD levels in both groups 7 days after surgery were sig-nificantly lower than before surgery,and the observation group was significantly higher than the control group(P＜0.05).Before surgery,no significant difference was found in the subscale scores of optimism,resilience,and strength in the CD-RISC between the two groups(P＞0.05).The subscale scores of optimism,resilience,and strength in the CD-RISC in both groups 7 days after surgery were significantly higher than before surgery,and the observation group was significantly higher than the control group during the same period(P＜0.05).Before surgery,no significant difference was observed in the PSQI scores between the two groups(P＞0.05).The PSQI scores in both groups 7 days after surgery were significantly lower than before surgery,and the observation group was significantly lower than the control group(P＜0.05).Before sur-gery,no significant difference was noted in the subscale scores of physical function,role function,cognitive function,emo-tional function,and social function in the QLQ-C30 between the two groups(P＞0.05).The subscale scores of physical function,role function,cognitive function,emotional function,and social function in the QLQ-C30 in both groups 7 days af-ter surgery were significantly higher than before surgery,and the observation group was significantly higher than the control group(P＜0.05).Conclusion The NBASS-APS management model effectively reduces perioperative pain in esophageal cancer patients by forming a professional and standardized team and promoting their psychological resilience,strengthens sleep quality,and promotes postoperative recovery through team collaboration.
Acute pain service management modelEsophageal cancerQuality of life
万方数据
维普
