Effects of two different nursing interventions on postoperative pain of patients with thoracic tumor / 中国实用护理杂志

ABSTRACT

Objective To explore the effects of two diffeerent nursing interventions on postoperative pain of patients with thoracic tumor. Methods Postoperative patients with thoracic tumor (126 cases) were ran-domly divided into the experimental group(64 cases) and the control group (62 cases). The experimental group combined stages of assessment methods with the three-step analgesic ladder for cancer pain which the WHO recommended. Timely and reasonable use of analgesic agents ensured control of pain effectively. The control group was given disposal only when patients complained pain. Sleep, effective cough of sputum, related indica-tors of vital signs and the time of first ambulation were observed in the two groups. Results The inci-dence of patients' abnormal respiratory rate, accelerated heart rate and decreased oxygen saturation levels in fingertip in the experimental group were significantly lower than those of the control group(P<0.05). Within 3 days after surgery, the proportion of the experimental group patients whose cough and expectoration re-flex score was good, without insomnia and with first ambulation was significantly higher than that of the control group (P<0.05). Conclusions Adoption of stages of assessment and initiative and effective pain control for patients with thoracic tumor of postoperative pain can significantly improve the quality of care, pro-mote the recovery of physiological function, and reduce the incidence of postoperative complications.