Impacts of preoperative pain treatment based on KTA model on nursing effect of patients with gastrointestinal cancer
Objective To explore the impact of preoperative pain treatment based on knowledge to action framework(KTA)model on postoperative pain level,cognitive function level and inflammatory response level of patients with gastrointestinal cancer.Methods A total of 92 patients with gastrointestinal cancer who underwent tumor resection treatment in Zhongshan People's Hospital from March 2022 to March 2023 were selected for the study,and were divided into two groups using the random number table method,with 46 cases in each group.The control group was given conventional pain management before surgery,and the observation group was given pain management based on the KTA model before surgery,comparing the pain level,inflammatory factor level,cognitive function,and nursing satisfaction scores of patients in the two groups.Results At 24 h postoperatively,the visual analogue scale score of patients in the observation group was lower than that of the control group,and the difference was statistically significant(P＜0.05).At 24 h postoperatively,serum interleukin-6(IL-6)and tumor necrosis factor-α(TNF-α)levels of patients in the observation group were significantly lower than those of the control group,and the difference was statistically significant(P＜0.05).1 week after the operation,the total scores of Montreal cognitive assessment scale(MoCA)of patients in both groups were significantly higher than that on the day after the operation,and the total scores of MoCA of patients in the observation group were higher than that of the control group,and the difference was statistically significant(P＜0.05).The nursing care satisfaction of the observation group was higher than that of the control group,with a statistically significant difference(P＜0.05).Conclusion The preoperative pain treatment based on KTA model can effectively improve patients'postoperative pain level,reduce inflammatory response,and improve patients'cognitive function,which is worthy of clinical application.
万方数据
维普
