To study the effect of multi-dimensional nursing based on empowerment theory on perioperative pain degree of liver cancer
赋能理论的多维护理对肝癌围术期疼痛程度的影响研究

摘要

目的 探讨基于赋能理论构建的多维护理模式对肝癌患者围术期疼痛管理的效果。方法 将90例肝癌手术患者随机分为对照组（常规护理）与实验组（赋能多维护理），每组45例。多维护理涵盖信息赋能、心理赋能、社会赋能。采用视觉模拟评分法（VAS）评估术前1天、术后24h、48h、72h的静息与活动性疼痛程度，并记录术后72h内额外镇痛药物使用率及患者护理满意度。结果 两组术前VAS评分无显著差异（P>0.05）。实验组术后各时点静息及活动VAS评分均显著低于对照组，且实验组额外镇痛药物使用率显著低于对照组，护理满意度显著高于对照组（均P<0.05）。结论 赋能理论指导的多维护理能有效缓解肝癌患者围术期疼痛，提升治疗舒适度与参与度，为优化疼痛管理提供了新的理论实践路径。

Abstract

Objective To explore the effect of multi-dimensional nursing model based on empowerment theory on perioperative pain management in patients with liver cancer.
Methods A total of 90 patients with liver cancer surgery were randomly divided into a control group (routine nursing) and an experimental group (empowerment multi-dimensional nursing), 45 cases in each group. Multi-dimensional nursing covers information empowerment, psychological empowerment and social empowerment. The visual analogue scale (VAS) was used to evaluate the degree of rest and active pain at 1 day before operation and 24h, 48h and 72h after operation. The use of additional analgesics and patient satisfaction were recorded within 72h after operation.
Results There was no significant difference in VAS score between the two groups before operation (P>0.05). The VAS scores at rest and during activity in the experimental group were significantly lower than those in the control group at each time point after operation, and the use of additional analgesics in the experimental group was significantly lower than that in the control group, and the nursing satisfaction was significantly higher than that in the control group (all P<0.05).
Conclusion  s Multi-dimensional nursing guided by empowerment theory can effectively relieve perioperative pain of patients with liver cancer, improve treatment comfort and participation, and provide a new theoretical and practical path for optimizing pain management.