| Summary: | 碩士 === 臺北醫學大學 === 護理學研究所 === 94 === The aim of this study were to evaluate the pain response, pulmonary and shoulder functions in patients receiving thoracic surgery, and the relationship between them. This study is a prospective longitudenal design and using convenient sampling 30 patients received thoracic surgery were collected. Each patient received preoperative day and postoperative days 1 - 7, and second, sixth weeks repeat testing. Postoperative pain were measured by 0 - 10 numeric rating scale and Pulmonary function were measured by spirometer and Shoulder function were measured by the American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES). The findings of the study : there were significance change of pulmonary function, shoulder function and postoperative pain in the six weeks of postthoracic surgery. The forced vital capacity (FVC) and forced expiratory volume at one second (FEV1) were worse in the first day of post operation, and recovered to 86.8% (SD = 12.2) and 87.7% (SD = 19.0) of the preoperative baseline volume after six weeks. The shoulder function were worse in the first day of post operation, and recovered to 94.2% (SD = 11.7) of the preoperative baseline score after six weeks. The common pain experience was throbbing (61.0%) on incision wound, and the highest pain intensity occurred in postoperative day 2. There were significant correlation (r = -.44 to -.52) between FEV1 and average pain in 4 times of postoperative exam. There were significant correlation between shoulder score index and average pain (r = -.43 to -.64) in 4 times of postoperative exam and between shoulder score index and most pain (r = -.44 to -.72) in 6 times of postoperative exam. There were also significant correlation between the time of chest drains and FVC (r = -.39 to -.49) and between total incision length and shoulder score index (r = -.45 to -.47) and between total incision length and most pain (r = -.40 to -.52) in 6 weeks of postoperative period. The study result can help us to understand the relationship between physical function and pain experience after thoracic surgery for the clinical application.
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