Article Data

  • Views 783
  • Dowloads 170

Original Research

Open Access

Effect of multiple disciplinary team led by pain specialist nurses on postoperative analgesia in patients undergoing mastectomy

  • Chulei Ji1
  • Xiaojuan Huang1
  • Minjun Liu2
  • Xianglei Liu1
  • Jian Wen1
  • Yukai Zhou1,*,

1Anesthesia surgery center, People’s hospital of Deyang City, 618000 Deyang, Sichuan, China

2Ministry of nursing Education, Sir Run Run Shaw Hospital, 310016 Hangzhou, Zhejiang, China

DOI: 10.22514/ejgo.2023.066 Vol.44,Issue 4,August 2023 pp.136-144

Submitted: 27 March 2023 Accepted: 27 July 2023

Published: 15 August 2023

*Corresponding Author(s): Yukai Zhou E-mail: zyk_yukai123@163.com

Abstract

This study aims to analyze the effect of multiple disciplinary team (MDT) led by pain specialist nurses on postoperative analgesia in patients undergoing mastectomy. 140 patients with breast cancer admitted to our hospital were treated with mastectomy and randomly divided into the control group and the intervention group. Routine pain care was applied in the control group, while pain care of MDT led by pain specialist nurses was applied in the intervention group based on the control group. The degree of pain, total postoperative analgesic dose, the first ambulation time, the time for recovery of surgical wound and hospital stay were compared between both groups. The psychological status, stress response-related indicators before and after intervention were compared between both groups, and the incidence of postoperative complications and analgesic satisfaction were counted. In contrast to the control group, the numerical rating scale (NRS) score of the intervention group was lower (p < 0.05); total postoperative analgesic dose, the first off-bed activity time, the time for surgical wound recovery, the drainage tube placement time and the hospital stay of the intervention group were reduced (p < 0.05); after intervention, self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores of the intervention group were diminished (p < 0.05); after intervention, decreased noradrenaline (NE), adrenocorticotropic hormone (ACTH) and Cor indexes were presented in the intervention group (p < 0.05); the incidence of postoperative complications of the intervention group was 7.14%, lower than 18.57%of the control group (p < 0.05); the analgesic satisfaction of the intervention group was 95.71%, higher than 84.29% of the control group (p < 0.05). Therefore, we conclude that MDT led by pain specialist nurses is worthy of clinical application.


Keywords

Mastectomy; Pain specialist nurse; Multidisciplinary team; Postoperative analgesia


Cite and Share

Chulei Ji,Xiaojuan Huang,Minjun Liu,Xianglei Liu,Jian Wen,Yukai Zhou. Effect of multiple disciplinary team led by pain specialist nurses on postoperative analgesia in patients undergoing mastectomy. European Journal of Gynaecological Oncology. 2023. 44(4);136-144.

References

[1] Zehra S, Doyle F, Barry M, Walsh S, Kell MR. Health-related quality of life following breast reconstruction compared to total mastectomy and breast-conserving surgery among breast cancer survivors: a systematic review and meta-analysis. Breast Cancer. 2020; 27: 534–566.

[2] Sinnadurai S, Kwong A, Hartman M, Tan EY, Bhoo-Pathy NT, Dahlui M, et al. Breast-conserving surgery versus mastectomy in young women with breast cancer in Asian settings. BJS Open. 2018; 18: 48–55.

[3] Hanson SE, Lei X, Roubaud MS, DeSnyder SM, Caudle AS, Shaitelman SF, et al. Long-term quality of life in patients with breast cancer after breast conservation vs. mastectomy and reconstruction. JAMA Surgery. 2022; 157: e220631.

[4] Rocco N, Montagna G, Criscitiello C, Nava MB, Privitera F, Taher W, et al. Nipple sparing mastectomy as a risk-reducing procedure for BRCA-mutated patients. Genes. 2021; 12: 253.

[5] Zieliński J, Morawska-Kochman M, Zatoński T. Pain assessment and management in children in the postoperative period: a review of the most commonly used postoperative pain assessment tools, new diagnostic methods and the latest guidelines for postoperative pain therapy in children. Advances in Clinical and Experimental Medicine. 2020; 29: 365–374.

[6] Puthoff TD, Veneziano G, Kulaylat AN, Seabrook RB, Diefenbach KA, Ryshen G, et al. Development of a structured regional analgesia program for postoperative pain management. Pediatrics. 2021; 147: e20200138.

[7] Chitnis SS, Tang R, Mariano ER. The role of regional analgesia in personalized postoperative pain management. Korean Journal of Anesthesiology. 2020; 73: 363–371.

[8] Li H Y, YJP, Zhou Y. Research progress of emergency pain assessment. Journal of Nursing Science. 2018; 107–110. (In Chinese)

[9] Sun ZX, Liu HX, Jiao LY, Zhou T, Yang LN, Fan JY. Study on the reliability and validity of the hospital anxiety and depression scale. Chinese Journal of Clinicians. 2017; 198–201. (In Chinese)

[10] Shen Q, Li Z. Study on the reliability and validity of the Houston pain questionnaire. Chinese Journal of Nursing. 2006; 41: 1049–1051. (In Chinese)

[11] Tola YO, Chow KM, Liang W. Effects of non‐pharmacological interventions on preoperative anxiety and postoperative pain in patients undergoing breast cancer surgery: a systematic review. Journal of Clinical Nursing. 2021; 30: 3369–3384.

[12] Khan JS, Ladha KS, Abdallah F, Clarke H. Treating persistent pain after breast cancer surgery. Drugs. 2020; 80: 23–31.

[13] Albi-Feldzer A, Dureau S, Ghimouz A, Raft J, Soubirou J, Gayraud G, et al. Preoperative paravertebral block and chronic pain after breast cancer surgery: a double-blind randomized trial. Anesthesiology. 2021; 135: 1091–1103.

[14] Behzadmehr R, Dastyar N, Moghadam MP, Abavisani M, Moradi M. Effect of complementary and alternative medicine interventions on cancer related pain among breast cancer patients: a systematic review. Complementary Therapies in Medicine. 2020; 49: 102318.

[15] Bani Mohammad E, Ahmad M. Virtual reality as a distraction technique for pain and anxiety among patients with breast cancer: a randomized control trial. Palliative and Supportive Care. 2019; 17: 29–34.

[16] Xue ZH, Tong YG, Wu YX, Chen SY, Liu MM, Liu DH, et al. A qualitative study on the core competence of pain specialist nurses in China. Journal of Nurse Training. 2021; 36: 255–259. (In Chinese)

[17] Geng YY, Li L, Peng LP, Xiao H. Pain treatment specialist nurse training based on core competency. Journal of Nursing. 2020; 35: 62–66. (In Chinese)

[18] Ruan XF, Yao MQ, Feng Y, Chen J, Lv BF, Wei GF. Construction of clinical practice teaching system for pain specialist nurses based on core competence. Chinese Journal of Nursing. 2020; 55: 1234–1238. (In Chinese)

[19] Liu M J, Tian SM, He FF, Yang LL, Feng JE, Qiao SN, et al. The establishment and practice of the role of specialist nurses in pain management. Journal of Nursing and Rehabilitation. 2020; 19: 73–75.(In Chinese)

[20] Jiang Y, Zhou YY, Wang H, Zhou JL. The application value of multidisciplinary pain management team in burn patients. Nursing Practice and Research. 2022; 19: 1811–1815.

[21] Liu WC, Wang YT, Zhang DY, Wang ZJ, Xiong YC, Ning YM, et al. Construction of evaluation index system for core competence of pain specialist nurses based on multidisciplinary collaboration. Chinese Journal of Pain Medicine. 2021; 27: 866–871. (In Chinese)

[22] Li XR, Z. C. Application of pain management by multidisciplinary team combined with NRS score in patients with subarachnoid hemorrhage after surgery. Journal of Nanchang University. 2022; 62: 65–68. (In Chinese)

[23] Zhu XY, Zhang QY, Shi DN, Hou HJ. The effect of multidisciplinary pain management led by anesthesia nursing team in the perioperative period of liver transplantation patients. Chinese Journal of Modern Nursing. 2022; 28: 4462–4466. (In Chinese)

[24] Zhu Y J, W. WL. Effect of multidisciplinary collaborative pain manage-ment model on postoperative pain and quality of life of elderly patients with thoracolumbar spinal tumors. Cancer clinic and rehabilitation in China. 2021; 28: 95–97. (In Chinese)

[25] Stumpo V, Staartjes VE, Quddusi A, Corniola MV, Tessitore E, Schröder ML, et al. Enhanced recovery after surgery strategies for elective craniotomy: a systematic review. Journal of Neurosurgery. 2021; 135: 1857–1881.

[26] Fregni F, El-Hagrassy MM, Pacheco-Barrios K, Carvalho S, Leite J, Simis M, et al. Evidence-based guidelines and secondary meta-analysis for the use of transcranial direct current stimulation in neurological and psychiatric disorders. International Journal of Neuropsychopharmacology. 2021; 24: 256–313.

[27] Schirren M, Jefferies B, Safi S, Wörtler K, Hoffmann H. Surgical treatment of chest wall tumors. Chirurgie. 2022; 93: 623–632. (In German)

[28] Li J, Ma Y, Xiao L. Postoperative pain management in total knee arthroplasty. Orthopaedic Surgery. 2019; 11: 755–761.

[29] Small C, Laycock H. Acute postoperative pain management. British Journal of Surgery. 2020; 107: e70–e80.

[30] Mitra S, Carlyle D, Kodumudi G, Kodumudi V, Vadivelu N. New advances in acute postoperative pain management. Current Pain and Headache Reports. 2018; 22: 35.


Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,500 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Biological Abstracts Easily discover critical journal coverage of the life sciences with Biological Abstracts, produced by the Web of Science Group, with topics ranging from botany to microbiology to pharmacology. Including BIOSIS indexing and MeSH terms, specialized indexing in Biological Abstracts helps you to discover more accurate, context-sensitive results.

Google Scholar Google Scholar is a freely accessible web search engine that indexes the full text or metadata of scholarly literature across an array of publishing formats and disciplines.

JournalSeek Genamics JournalSeek is the largest completely categorized database of freely available journal information available on the internet. The database presently contains 39226 titles. Journal information includes the description (aims and scope), journal abbreviation, journal homepage link, subject category and ISSN.

Current Contents - Clinical Medicine Current Contents - Clinical Medicine provides easy access to complete tables of contents, abstracts, bibliographic information and all other significant items in recently published issues from over 1,000 leading journals in clinical medicine.

BIOSIS Previews BIOSIS Previews is an English-language, bibliographic database service, with abstracts and citation indexing. It is part of Clarivate Analytics Web of Science suite. BIOSIS Previews indexes data from 1926 to the present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Submission Turnaround Time

Conferences

Top