临床药师参与胸外科术后急性疼痛管理的工作模式构建与应用效果OA

AIM To develop a clinical pharmacist-involved model for acute postoperative pain management in thoracic surgery and evaluate its application effect.METHODS A total of 103 patients hospitalized in the department of thoracic surgery between March and July 2024,who underwent elective video-assisted thoracoscopic surgery(VATS)for lung resection,were enrolled and randomly assigned to either a control group(n=50)or an intervention group(n=53).The control group received conventional postoperative pain management,while the experimental group received acute postoperative pain management with the involvement of clinical pharmacists.The postoperative pain intensity in both the resting and active states,as well as the occurrence of breakthrough pain,was compared between 2 groups at 6 h,24 h,and 48 h after surgery.Additionally,patient compliance with analgesic medication use was evaluated.RESULTS No statistically significant difference was observed in the numerical rating scale(NRS)scores in both the resting and active states at 6 h postoperatively between 2 groups(P＞0.05).However,the intervention group demonstrated significantly lower NRS scores at both 24 h and 48 h postoperatively,in both the resting and active states,compared to the control group(P＜0.05).Furthermore,the incidence of breakthrough pain was significantly lower,and compliance with analgesic medication was significantly better in the intervention group than in the control group,with all differences being statistically significant(P＜0.05).CONCLUSION The work model constructed for clinical pharmacists in the management of acute postoperative pain in thoracic surgery effectively alleviates pain intensity,reduces the incidence of breakthrough pain,and enhances patient compliance.Consequently,it contributes to improving patient outcomes and is deemed worthy of widespread adoption.