School of Public Health, Chongqing Medical University, Chongqing, China.
Nursing Department, People's Hospital of Deyang City, Sichuan, China.
Cancer Med. 2023 Oct;12(19):20212-20223. doi: 10.1002/cam4.6616. Epub 2023 Oct 3.
Patients with lung cancer surgery often suffer pain after discharge. However, there is limited evidence to describe the pain experience from the qualitative investigation. This study was designed to describe the pain experience of lung cancer patients during home recovery after surgery and to provide evidence for developing pain management strategies.
This qualitative descriptive study recruited 35 patients who had received lung resection and were discharged by purposive sampling from May to July 2022. Mobile phone interviews were conducted to collect views on patients' pain experience after discharge. The interviews were audio-recorded and converted verbatim into standard text, and the data were iteratively thematic analyzed.
A thematic framework was identified for three themes: perception and impact of pain, coping styles for pain, and unmet needs for pain. Whether short or long-term after discharge, patients complain that they suffer from different degrees and types of pain, causing them a "double burden" physically and mentally. The lack of knowledge about pain may lead them to adopt very different coping styles and desire professional continuous pain management.
This study may help clarify the status of pain problems that patients face after lung cancer surgery and provides multiple dimensions of pain assessment and management objectives for quantitative research. We call on medical staff to pay attention to patients' perspectives and related needs after discharge and formulate targeted management strategies to reduce pain and improve their quality of life.
肺癌手术后的患者常常在出院后感到疼痛。然而,从定性研究的角度来看,关于疼痛体验的证据有限。本研究旨在描述肺癌患者术后居家康复期间的疼痛体验,为制定疼痛管理策略提供依据。
本定性描述性研究于 2022 年 5 月至 7 月通过目的抽样选取了 35 名接受肺切除术并出院的患者。采用移动电话访谈收集患者出院后疼痛体验的观点。访谈进行录音,并逐字转换为标准文本,对数据进行迭代主题分析。
确定了三个主题的主题框架:疼痛的感知和影响、应对疼痛的方式以及疼痛的未满足需求。无论是出院后短期还是长期,患者都抱怨自己存在不同程度和类型的疼痛,给他们带来身心“双重负担”。对疼痛知识的缺乏可能导致他们采用非常不同的应对方式,并渴望专业的持续疼痛管理。
本研究可能有助于阐明肺癌手术后患者面临的疼痛问题现状,并为定量研究提供疼痛评估和管理目标的多个维度。我们呼吁医务人员关注患者出院后的观点和相关需求,并制定有针对性的管理策略,以减轻疼痛,提高生活质量。