Practice and effect of postoperative pain management in thoracic surgery nursing
术后疼痛管理在胸外科护理中的实践与效果

摘要

目的 讨论术后疼痛管理在胸外科护理中的实践与效果。方法 参与本次研究的患者共100例，均为2024年1月-2025年1月我院胸外科收治并行手术治疗的病人，研究期间以护理方案为标准对患者进行分组，将行院内基础护理方案者纳入参照组、行术后疼痛管理者纳入研究组，同时观察护理效果，对比两组患者术后疼痛评分、有效咳嗽对疼痛的影响、术后首次下床时间、护理满意度各项数据。结果 患者术后疼痛评分统计研究组低于参照组（P＜0.05）；患者术后镇痛剂使用时间、拔管时间、住院时间各项用时研究组低于参照组（P＜0.05）；两组护理总满意率对比研究组高于参照组（P＜0.05）。结论 术后疼痛管理在胸外科护理中的应用效果显著，能够减轻患者疼痛程度，提高患者咳嗽有效率，促进患者尽快下床，缩短术后恢复时间，提高护理满意度，临床应用效果显著，值得推广并使用。

Abstract

Objective To discuss the practice and effect of postoperative pain management in thoracic surgery nursing.
Methods A total of 100 patients participated in this study, all of whom were admitted to the Department of Thoracic Surgery of our hospital for concurrent surgical treatment from January 2024 to January 2025. During the study period, patients were divided into groups according to the standard of nursing plan, those who received in-hospital basic nursing plan were included in the reference group, and those who underwent postoperative pain management were included in the study group, and the nursing effect was observed. The postoperative pain score, the effect of effective cough on pain, the first time to get out of bed after surgery, and nursing satisfaction were compared between the two groups.
Results The postoperative pain score of the statistical group was lower than that of the reference group (P < 0.05). The time of analgesic use, extubation time and hospital stay in the study group were lower than those in the reference group (P < 0.05). The total satisfaction rate of nursing in the comparison group was higher than that in the reference group (P < 0.05).
Conclusion   The application of postoperative pain management in thoracic surgery nursing is significant, which can reduce the pain degree of patients, improve the cough efficiency of patients, promote patients to get out of bed as soon as possible, shorten the postoperative recovery time, and improve nursing satisfaction. The clinical application effect is significant, and it is worth promoting and using.