Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
Supervisor：Ministry of Education of People’s Republic of ChinaSponsor：Sichuan University Editor-in-chief：Liu Lunxu Publishing period：
Monthly
ISSN：1007-4848CN：51-1492/R
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: 10.7507/1007-4848.201902022Copy
Copyright ? the editorial department of Chinese Journal of Clinical Thoracic and Cardiovascular Surgery of West China Medical Publisher. All rights reserved
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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.
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.
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.
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.
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.
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.
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.
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.
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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
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