The status quo of postoperative pain management in patients with pulmonary disease after discharge_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

 YANG Mei ¹ , ZHENG E ¹ , LIN Lin ¹ , ZHOU Hongxia ¹ , MA Dan ¹ , ZHANG Qin ²

1. Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;
2. West China Med Co. LTD, Chengdu, 610041, P.R.China;

Corresponding author：

YANG Mei, Email: yangmei69@126.com

Keywords：

Pulmonary disease; enhanced recovery after surgery; pain; quality of life

DOI：

10.7507/1007-4848.201902022

Video：

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Objective To investigate the current status of outpatient pain management in patients with pulmonary disease after surgery by WeChat and to provide a basis for postoperative pain management.Methods A total of 449 patients who underwent thoracic surgery in our hospital from December 2017 to May 2018 were enrolled, including 156 males and 293 females with an average age of 22-83 (55.54±11.17) years. Brief Pain Inventory was adopted for pain assessment in 24-48 hours after discharge and 24 hours after removal of from the wound.Results Totally 98.22% of the patients reported that they suffered from pain in 24-48 h after discharge, most pain position was still at drainage port (45.21%), the overall pain score was 2.75 (2.00, 3.25) points, and 82.85% of patients adopted physical methods to relieve pain. After removal of stitches at the drainage port, 79.29% of the patients suffered from pain, the pain site was mainly at the drainage port (47.88%), and the overall pain score was 1.75 (1.25, 2.25) points, and 73.94% of patients adopted physical methods to relieve pain. The score of the overall influence degree of pain on patients was 2.29 (1.86, 2.86) points and 1.86 (1.29, 2.43) points, while pain had the greatest influence on sleep and mood. The scores were 4.00 (3.00, 5.00) points, 3.00 (2.00, 4.00) points and 2.00 (1.00, 4.00) points, 3.00 (2.00, 4.00) points, respectively.Conclusion Under the concept of enhanced recovery after surgery, the overall pain level of patients with pulmonary disease after discharge is mild pain, but the application rate of drug analgesia in patients is low. The overall effect of pain on postoperative patients with lung cancer is low, but it has a great impact on sleep and mood. Medical staff should strengthen the pain education for patients in order to improve their pain self-management ability.

Citation： YANG Mei, ZHENG E, LIN Lin, ZHOU Hongxia, MA Dan, ZHANG Qin. The status quo of postoperative pain management in patients with pulmonary disease after discharge. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2019, 26(11): 1098-1102. doi: 10.7507/1007-4848.201902022 Copy

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3.	Cleeland CS, Ryan KM. Pain assessment: global use of the Brief Pain Inventory. Ann Acad Med Singapore, 1994, 23(2): 129-138.
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5.	车国卫, 李为民, 刘伦旭. 快速肺康复需要围手术期流程优化. 中国胸心血管外科临床杂志, 2016, 23(3): 216-220.
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9.	Wang H, Li S, Liang N, et al. Postoperative pain experiences in Chinese adult patients after thoracotomy and video-assisted thoracic surgery. J Clin Nurs, 2017, 26(17-18): 2744-2754.
10.	王晓庆. 规范化疼痛教育对胃癌手术患者术后镇痛自我管理行为的干预研究. 南京中医药大学, 2013.
11.	Thompson C, French DG, Costache I. Pain management within an enhanced recovery program after thoracic surgery. J Thorac Dis, 2018, 10(Suppl 32): S3773-S3780.
12.	沈彬, 翁习生, 廖刃, 等. 中国髋、膝关节置换术加速康复--围术期疼痛与睡眠管理专家共识. 中华骨与关节外科杂志, 2016, 9(2): 91-97.
13.	Duivenvoorden T, Vissers MM, Verhaar JA, et al. Anxiety and depressive symptoms before and after total hip and knee arthroplasty: a prospective multicentre study. Osteoarthritis Cartilage, 2013, 21(12): 1834-1840.
14.	唐煜东, 梅小丽, 郑娥, 等. 胸部肿瘤术后患者不良情绪现状及影响因素分析. 中国胸心血管外科临床杂志, 2018, 25(1): 67-70.
15.	张振宇, 安友仲, 冯艺. ICU 腹部外科术后患者疼痛与睡眠关系的研究. 中国疼痛医学杂志, 2012, 18(2): 95-98.
16.	雷杰, 刘木清, 傅开元. 睡眠问题、焦虑及压力是颞下颌关节紊乱病肌筋膜疼痛发病的风险指标. 北京大学学报(医学版), 2016, 48(4): 692-696.

1. 鲍珊, 苏建华, 廖虎, 等. 肺癌合并慢性阻塞性肺病和手术方式对患者术后快速康复及治疗费用的影响. 中国胸心血管外科临床杂志, 2014, 21(1): 17-20.
2. Wildgaard K, Ravn J, Nikolajsen L, et al. Consequences of persistent pain after lung cancer surgery: a nationwide questionnaire study. Acta Anaesthesiol Scand, 2011, 55(1): 60-68.
3. Cleeland CS, Ryan KM. Pain assessment: global use of the Brief Pain Inventory. Ann Acad Med Singapore, 1994, 23(2): 129-138.
4. Wang XS, Mendoza TR, Gao SZ, et al. The Chinese version of the Brief Pain Inventory (BPI-C): its development and use in a study of cancer pain. Pain, 1996, 67(2-3): 407-416.
5. 车国卫, 李为民, 刘伦旭. 快速肺康复需要围手术期流程优化. 中国胸心血管外科临床杂志, 2016, 23(3): 216-220.
6. Chou R, Gordon DB, de Leon-Casasola OA, et al. Management of postoperative pain: A clinical practice guideline from the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists' Committee on Regional Anesthesia, Executive Committee, and Administrative Council. J Pain, 2016, 17(2): 131-157.
7. 朱云柯, 林琳, 廖虎, 等. 中国胸外科围手术期疼痛管理专家共识(2018版). 中国胸心血管外科临床杂志, 2018, 25(11): 921-928.
8. 王慧, 朱力, 都菁, 等. 胸腔镜辅助开胸手术患者术后慢性疼痛及影响因素的研究. 中华护理杂志, 2014, 49(7): 844-849.
9. Wang H, Li S, Liang N, et al. Postoperative pain experiences in Chinese adult patients after thoracotomy and video-assisted thoracic surgery. J Clin Nurs, 2017, 26(17-18): 2744-2754.
10. 王晓庆. 规范化疼痛教育对胃癌手术患者术后镇痛自我管理行为的干预研究. 南京中医药大学, 2013.
11. Thompson C, French DG, Costache I. Pain management within an enhanced recovery program after thoracic surgery. J Thorac Dis, 2018, 10(Suppl 32): S3773-S3780.
12. 沈彬, 翁习生, 廖刃, 等. 中国髋、膝关节置换术加速康复--围术期疼痛与睡眠管理专家共识. 中华骨与关节外科杂志, 2016, 9(2): 91-97.
13. Duivenvoorden T, Vissers MM, Verhaar JA, et al. Anxiety and depressive symptoms before and after total hip and knee arthroplasty: a prospective multicentre study. Osteoarthritis Cartilage, 2013, 21(12): 1834-1840.
14. 唐煜东, 梅小丽, 郑娥, 等. 胸部肿瘤术后患者不良情绪现状及影响因素分析. 中国胸心血管外科临床杂志, 2018, 25(1): 67-70.
15. 张振宇, 安友仲, 冯艺. ICU 腹部外科术后患者疼痛与睡眠关系的研究. 中国疼痛医学杂志, 2012, 18(2): 95-98.
16. 雷杰, 刘木清, 傅开元. 睡眠问题、焦虑及压力是颞下颌关节紊乱病肌筋膜疼痛发病的风险指标. 北京大学学报(医学版), 2016, 48(4): 692-696.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

The status quo of postoperative pain management in patients with pulmonary disease after discharge

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