Change trajectory of postoperative pain and its influencing factors in patients with lung cancer:A longitudinal study
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.