Effect of multiple disciplinary team led by pain specialist nurses on postoperative analgesia in patients undergoing mastectomy
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
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.
Mastectomy; Pain specialist nurse; Multidisciplinary team; Postoperative analgesia
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