摘要
目的 探讨肺癌术后患者疼痛变化曲线及其影响因素.方法 采用前瞻性纵向研究方法,选取2021年12月—2022年12月在我院接受肺癌手术治疗的240例患者为研究对象,收集患者术后1 d、2 d、3 d和术后30 d、60 d、90 d疼痛情况.采用增长混合模型和logistic回归探讨术后疼痛变化曲线及其相关影响因素.结果 共识别出4种肺癌患者术后疼痛变化曲线类别,分别为静息痛低位组206例(89.18％)、静息痛高位组25例(10.82％)、活动痛低位组190例(82.25％)、活动痛高位组41例(17.75％).logistic回归分析结果显示,静息痛高位组的影响因素为镇痛途径和胸管粗细度(P＜0.05),活动痛高位组的影响因素为性别和胸管粗细度(P＜0.05).结论 肺癌术后患者从术后1d至术后5个时间点疼痛变化曲线类别为4种,存在个体差异,针对高位组人群建议医护人员根据患者不同时间点特点及影响因素提供个性化干预措施.
Abstract
Objective To explore the pain change curve and its influencing factors in patients with lung cancer af-ter operation.Methods A total of 240 patients who received surgical treatment for lung cancer in our hospital from December 2021 to December 2022 were selected as subjects by prospective longitudinal study method,and pain con-ditions were collected 1,2,3 days after surgery and 30,60,90 days after surgery.The growth mixed model and lo-gistic regression were used to investigate the postoperative pain curve and its related influencing factors.Results A total of 4 kinds of postoperative pain curve in patients with lung cancer were identified by consensus,which were low resting pain group(206 cases,89.18％),high resting pain group(25 cases,10.82％),low active pain group(190 cases,82.25％),and high active pain group(41 cases,17.75％).The results of logistic regression analysis showed that the influencing factors of high resting pain group were analgesic pathway and chest tube thickness(P＜0.05),and the influencing factors of high activity pain group were gender and chest tube thickness(P＜0.05).Conclusion From the first day to 5 time points after operation,the pain curve of patients with lung cancer was classified into 4 types,with individual differences.For the high group,it is recommended that medical staff provide personalized in-tervention measures according to the characteristics and influencing factors of patients at different time points.
维普
万方数据